Nokea
A health care provider needs to insert a vaginal speculum into a patient for a vaginal examination. In what position should the nurse place the patient?
- A. Sims
- B. Prone
- C. Lithotomy
- D. Dorsal recumbent
Correct Answer: C
Rationale: The lithotomy position provides maximal exposure of genitalia and facilitates insertion of a vaginal speculum.
You may also like to solve these questions
During a neurologic assessment the nurse notes a patient has a unilateral dilated and nonreactive pupil. This is a sign that the patient is experiencing pressure on which cranial nerve?
- A. I
- B. II
- C. III
- D. IV
Correct Answer: C
Rationale: The third cranial nerve runs parallel to the brainstem. The function of the oculomotor nerve is essential for eye movements. A traumatic brain injury can result in increased intracranial pressure, edema to the brainstem with pressure on cranial nerve III, causing the ominous sign of a unilateral, dilated, and nonreactive pupil.
A creamy viscous pale yellow or yellow-green fluid exudate that is the result of fluid remains of liquefied necrosis of ____ is known as purulent drainage.
Correct Answer: tissues
Rationale: Purulent drainage is a creamy, viscous, pale yellow or yellow-green fluid exudate that is the result of fluid remains of liquefied necrosis of tissues.
As part of an assessment the nurse asks the patient for subjective information related to the present illness. What are the subjective findings perceived by the patient?
- A. Assessments
- B. Symptoms
- C. Signs
- D. Observations
Correct Answer: B
Rationale: Symptoms are subjective indications of illness that are perceived by the patient.
A nurse is gathering objective data when admitting a patient. Which assessment finding reported by the patient is considered objective?
- A. Complains of nausea
- B. States "I hurt all over."
- C. Complains of feeling anxious
- D. Appears to be anxious
Correct Answer: D
Rationale: Objective data can be seen, heard, measured, or felt by the examiner. It is information that is observable and measurable and can be verified by more than one person. Anxiety is the only objective assessment finding. All other options are examples of subjective data.
During a physical assessment the nurse notes that a patient has bright red blood in the feces. What does the nurse recognize as the most likely cause of this bleeding?
- A. Bleeding in the upper intestinal tract
- B. Bleeding in the lower intestinal tract
- C. Bleeding in the entire intestinal tract
- D. Consumption of cranberry juice
Correct Answer: B
Rationale: Bright red blood in the feces indicates active bleeding from the lower portion of the intestinal tract.