Chapter 29: Bedside Assessment of the Hospitalized Patient

Chapter 29: Bedside Assessment of the Hospitalized Patient

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. At the beginning of rounds when entering the room, what should the nurse do first?

a.	Check the intravenous (IV) infusion site for swelling or redness.
b.	Check the infusion pump settings for accuracy.
c.	Make eye contact with the patient, and introduce him or herself as the patient’s nurse.
d.	Offer the patient something to drink.

 

 

ANS:  C

When entering a patient’s room, the nurse should make direct eye contact, without being distracted by IV pumps and other equipment, and introduce him or herself as the patient’s nurse.

 

DIF:    Cognitive Level: Analyzing (Analysis)                              REF:   p. 799

MSC:  Client Needs: Safe and Effective Care Environment: Management of Care

 

2. During an assessment, the nurse is unable to palpate pulses in the left lower leg. What should the nurse do next?

a.	Document that the pulses are nonpalpable.
b.	Reassess the pulses in 1 hour.
c.	Ask the patient turn to the side, and then palpate for the pulses again.
d.	Use a Doppler device to assess the pulses.

 

 

ANS:  D

The nurse should be prepared to assess pulses in the lower extremities by Doppler measurement if they cannot be detected by palpation.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 802

MSC:  Client Needs: Safe and Effective Care Environment: Management of Care

 

3. During a morning assessment, the nurse notices that a patient’s urine output is below the expected amount. What should the nurse do next?

a.	Obtain an order for a Foley catheter.
b.	Obtain an order for a straight catheter.
c.	Perform a bladder scan test.
d.	Refer the patient to an urologist.

 

 

ANS:  C

If urine output is below the expected value, then the nurse should perform a bladder scan according to institutional policy to check for retention.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 803

MSC:  Client Needs: Safe and Effective Care Environment: Management of Care

 

4. What should the nurse assess before entering the patient’s room on morning rounds?

a.	Posted conditions, such as isolation precautions
b.	Patient’s input and output chart from the previous shift
c.	Patient’s general appearance
d.	Presence of any visitors in the room

 

 

ANS:  A

On the way to the patient’s room, the nurse should assess the presence of conditions such as isolation precautions, latex allergies, or fall precautions.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 799

MSC:  Client Needs: Safe and Effective Care Environment: Safety and Infection Control

 

5. The nurse has administered a pain medication to a patient by an IV infusion. The nurse should reassess the patient’s response to the pain medication within _____ minutes.

a.	5
b.	15
c.	30
d.	60

 

 

ANS:  B

If pain medication is given, then the nurse should reassess the patient’s response in 15 minutes for IV administration or 1 hour for oral administration.

 

DIF:    Cognitive Level: Applying (Application)                           REF:   p. 800

MSC:  Client Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapies