General Survey

A nurse is documenting information in a client's medical record. Which of the following information did the nurse collect during the general survey? Select all that apply. A. Past medical history B. Current medication list C. Behavior and mood D. Height and weight E. Use of assistive devices

C. Behavior and mood D. Height and weight E. Use of assistive devices

A nurse is documenting a client's vital signs in the medical record following a general survey. Which of the following entries should the nurse place in the record? A. Fever 101 B. Pulse rate is tachycardic C. Oxygen saturation 96% on oxygen 2 L/min via nasal cannula D. Blood pressure 108/65 mm Hg

C. Oxygen saturation 96% on oxygen 2 L/min via nasal cannula

A nurse is preparing to conduct a general survey and assessment on a newly admitted client. Which of the following actions should the nurse plan to take? A. Have an informal conversation with the client before beginning the observation of the client. B. Complete all focused assessments prior to formulating thoughts regarding the client's general health status. C. Sit on the client's bedside with them to have close contact and maintain eye contact whenever possible. D. Engage in active listening with the client and allow the client to express concerns early in the assessment process.

D. Engage in active listening with the client and allow the client to express concerns early in the assessment process.

A nurse is caring for an adult who is comatose. Which of the following routes should the nurse use to obtain the most accurate core body temperature of the patient? A. Axillary B. Temporal C. Tympanic D. Rectal

D. Rectal

When conducting a general survey on a client, the nurse should assess which of the following? (3) A. Skin turgor B. Respiratory rate C. Pupils D. Speech E. Level of consciousness F. Temperature G. Pain H. Gait

D. Speech E. Level of consciousness H. Gait

While conducting a general survey on a client who is being admitted to a long-term facility, a nurse is assessing the client's emotional state. Which of the following findings should the nurse record as an unexpected finding? A. The client is sitting in a relaxed posture. B. The client is cooperative in answering the nurse's questions. C. The client tells the nurse that visits from their friends and family make them smile. D. The client reports they feel sad and lonely most of the time.

D. The client reports they feel sad and lonely most of the time.

A nurse assesses a client's respiratory rate and notes that it is below the expected reference range. The nurse should identify that which of the following findings can decrease a client's respiratory rate? A. The client has been a chronic smoker for 10 years. B. The client takes a narcotic pain medication for chronic pain. C. The client reports anxiety due to being in the hospital. D. The client has a history of anemia.

B. The client takes a narcotic pain medication for chronic pain.