When conducting a physical assessment of the extremities, which of the following assessments would be the most correct?
Assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity.
Rebound tenderness in both the arms and legs, skin turgor, and moisture.
Assess the measurements in centimeters of each extremity, pulses, and varicosities.
Assess pulses, strength, range of motion, percussion, odor, and edema.
The Correct Answer is A
The correct answer is choice A. When conducting a physical assessment of the extremities, the most appropriate assessment would be to assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity. This comprehensive assessment can help to identify potential issues with circulation, strength, and skin integrity, and can also provide a baseline for ongoing assessments. Rebound tenderness in both the arms and legs, skin turgor, and moisture (choice B) are not typically assessed during a physical assessment of the extremities. Assessing the measurements in centimeters of each extremity, pulses, and varicosities (choice C) may be appropriate in certain situations, but it is not a comprehensive assessment of the extremities. Assessing pulses, strength, range of motion, percussion, odor, and edema (choice D) is also not a comprehensive assessment of the extremities and may not provide a complete picture of the client's condition. Therefore, the most appropriate assessment when conducting a physical assessment of the extremities is to assess pulses, capillary refill, strength, edema, skin, and compare with the other extremity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
SOAP is an acronym for subjective, objective, assessment, and plan, which are the four sections that should be present in the charting. The subjective section includes the client's report of symptoms or how they feel. The objective section includes the nurse's observations of the patient, such as vital signs and physical examination findings. The assessment section includes the nurse's analysis of the subjective and objective data to identify health problems, while the plan section includes the nurse's plan of care for the patient, including interventions and goals.
The problem section is not typically included in SOAP documentation but may be included in other formats such as SOAPIE or DAR.
Correct Answer is D
Explanation
. Objectively examining one's own bias, beliefs, values, and practices is the best way for nurses to develop an awareness of their own culture and bias. It is important for nurses to recognize that they have their own set of beliefs and values that may influence their perceptions and interactions with patients from different cultural backgrounds. Through selfreflection and self-awareness, nurses can identify their own biases and work towards addressing them. This will help nurses provide culturally competent care and build trusting relationships with their patients. Choices A and B are incorrect because they imply that personal biases cannot be changed, which is not true. Choice C may provide some insight into how other nurses practice cultural diversity, but it does not address the nurse's own personal biases and cultural background.
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