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To elicit as much informationabout the pain as possible, the nurse should ask:AnswerSelected Answer: "Can you describe the pain?"- Question 21 out of 1 points Which source of information helps the nurse formulate nursing diagnoses for a specific client?AnswerSelected Answer: Essential assessment data- Question 31 out of 1 points The client is admitted to the health care facility with bowel obstruction secondary to colon cancer. The nurse obtains a health history, measures vital signs and auscultates for bowel sounds. Which step in the nursing process of the nurse performing?AnswerSelected Answer: Assessment- Question 41 out of 1 points Why should the nurse inspect first and then auscultate when performing an assessment of a pediatric patient?AnswerSelected Answer: Because the child may cry as the assessment proceeds, making auscultation difficult.- Question 50 out of 1 points The nurse is caring for a client who is experiencing dyspnea, crackles, dependent edema, hepatomegaly and jugular vein distention. What condition should the nurse suspect?AnswerSelected Answer: Pulmonary embolism- Question 61 out of 1 points An emergency department nurse suspects neglect in a 3-year-old boy admitted for failure to thrive. Signs of neglect in the child would include:AnswerSelected Answer: poor hygiene and weight loss- Question 70 out of 1 points A slightly obese patient with a history of allergy-induced asthma, hypertension and mitral valve prolapse is admitted to the acute care facility for elective surgery. The nurse obtains a complete health history and performs a thorough physical examination paying special attention to the cardiovascular and respiratory systems. When percussing the patient's chest wall, the nurse expects to elicit:AnswerSelected Answer: dull sounds- Question 81 out of 1 points When testing a patient's pupils for accommodation, the nurse should interpret which findings as normal?AnswerSelected Answer: Constriction and convergence- Question 91 out of 1 points Which statement regarding heart sounds is correct?AnswerSelected Answer: S1 is loudest at the apex and S2 is loudestat the base.- Question 101 out of 1 points When inspecting a patient with left-sided heart failure, the nurse expects to note:AnswerSelected Answer: Air hunger- Question 111 out of 1 points When obtaining the health history from a client with retinal detachment, the nurse expects the client to report:AnswerSelected Answer: light flashes and floaters in front of the eye- Question 121 out of 1 points The nurse uses the bell of the stethoscope to auscultate a patient's chest. Which statement about the bell and diaphragm of the stethoscope is true?AnswerSelected Answer: The diaphragm detects high-pitched sounds the best.- Question 131 out of 1 points When inspecting a client's skin, the nurse finds a vesicle on the client's arm. Which description applies to a vesicle?AnswerSelected Answer: Circumscribed, elevated and filled with serous fluid- Question 141 out of 1 points The nurse records a client's history and discovers several risk factors for coronary artery disease. Which cardiac risk factors are