Guidelines for Standard Precautions indicate that mask and eye protection or a face mask should be worn while performing:
trachea care and suctioning.
According to the guidelines for Standard Precautions, the caregiver's hands should be washed:
after touching any body fluids and contaminated items, regardless of whether gloves are worn.
Which patient is at the highest risk for development of latex allergy?
The patient who has had multiple procedures or surgeries
One recommendation to prevent latex allergy is to:
wash hands with mild soap after removing gloves and then dry thoroughly.
Which technique is used during both the history taking and the physical examination process?
The use of secondary, tangential lighting is most helpful in the detection of:
variations in contour of the body surface.
A nonambulatory 80-year-old male patient tells the female nurse that he feels like he is having drainage from his rectum. Which initial nursing action is appropriate?
Drape the patient and observe the rectal area.
You are conducting a head-to-toe examination as part of a patient's preventive health assessment. The room has adequate lighting, and you have access to both sides of the examining table. What position should you assume while conducting this examination?
Either side of the patient
Some cultural groups, such as Asians, might interpret direct eye contact during an examination as a
The degree of percussion tone is determined by the density of the medium through which the sound waves travel. Which statement is true regarding the relationship between density of the medium and percussion tone?
The less dense the medium, the louder the percussion tone.
When using mediate or indirect percussion, which technique is appropriate
Place the palmar surface of the nondominant hand on the body surface with the fingers slightly spread apart.
Which technique is commonly used to elicit tenderness arising from the liver, gallbladder, or kidneys?
You are auscultating a patient's chest. The sounds are not clear, and you are having difficulty distinguishing between respirations and heartbeats. What technique can you use to facilitate your assessment?
Isolate each cycle segment.
Observing the rise and fall of the abdomen usually facilitates calculation of respiratory rate in the:
Underestimation of blood pressure will occur if the cuff's bladder width covers:
more than two-thirds of the upper arm.
If a sufficiently large cuff is unavailable to fit an obese arm, which technique may be used to assess blood pressure?
Wrap a standard cuff around the forearm and place the stethoscope over the radial artery
The height-measuring attachment of the standing platform scale should be pulled out:
before the patient steps on the scale.
Which of the following occurs when firm pressure is used to apply the stethoscope's bell end-piece to the skin?
It functionally converts to a diaphragm end-piece.
A rubber or plastic ring should be around the bell end-piece of a stethoscope to:
ensure secure contact with the body surface
Which technique should be used to stabilize the stethoscope during auscultation?
The end-piece should be held between the second and third fingers.
You are using an ophthalmoscope to examine a patient's inner eye. You rotate the lens selector clockwise, then counterclockwise in order to compensate for:
A patient in the emergency department has a concussion to the head. You suspect the patient may also have a retinal hemorrhage. You are using the ophthalmoscope to examine the retina of this patient. Which aperture of the ophthalmoscope is most appropriate for this patient?
Which type of speculum should be used to examine a patient's tympanic membrane
The largest speculum that will fit comfortably in the ear
The patient tells you that his ears are "stopped up." An objective assessment of this complaint is achieved by using the
Tuning forks with a frequency of 500 to 1000 Hz are most commonly used to measure
hearing range of normal speech.
To perform a deep tendon reflex measurement, you should
briskly tap the tendon with the rubber end of the hammer.
A variant of the percussion hammer is the neurologic hammer, which is equipped with which of the following?
brush and needle
When monitoring serial measures, such as head circumference or abdominal girth, which procedure is best to ensure that the tape measure is placed in the same position each time?
Mark the borders of the tape at several intervals on the skin with a pen.
Transillumination functions on the principle that:
air, fluid, and tissue transmit light differentially.
When performing transillumination of a body cavity, the use of which of the following could be harmful to the patient?