Exam 13: Physical Assessment

When collecting data related to the present illness,the nurse must obtain detailed and comprehensive data.What does this data help to establish?

Auscultating the heart sounds should result in a "lub-dup" sound when using the bell and the diaphragm of the stethoscope.What causes the "lub" sound?

A creamy,viscous,pale yellow or yellow-green fluid exudate that is the result of fluid remains of liquefied necrosis of __________ is known as purulent drainage.

There are four categories of factors that increase an individual's vulnerability to develop a disease: genetic,physiologic,age,and lifestyle.What is the term for these factors?

What is the third assessment technique in a standard physical examination?

When assessing a patient,the nurse notes that the patient has an unnatural paleness of color to the skin.How should the nurse document this finding?

Signs that are perceived by an examiner and can be seen,__________,measured,or felt are known as objective data.

A condition in which there is a lack of appetite resulting in the inability to eat is known as _______________.

What does the nurse recognize as the initial step in conducting an assessment of a patient?

A health care provider documents that a patient has a scleral icterus.What is the cause of this coloring?

Listening for bowel sounds should be done over all four quadrants of the abdomen using the diaphragm of the stethoscope.What is the normal rate of bowel sounds per minute?

What type of disease results in a structural change in an organ that interferes with its functioning?

A health care provider needs to insert a vaginal speculum into a patient for a vaginal examination.In what position should the nurse place the patient?

During a physical assessment,the nurse notes that a patient's heart rate is 56 beats/min.What should the nurse document that the patient is experiencing?

When assessing a patient,the patient complains of an uncomfortable sensation leading to an urge to scratch.The nurse notes the patient scratches frequently.How should the nurse document this finding?

Discoloration of an area of the skin or mucous membrane that is caused by the extravasation of blood into the subcutaneous tissues as a result of trauma to the underlying blood vessels or by fragility of the vessel walls is known as _________________.

A symptom of itching and an uncomfortable sensation leading to an urge to scratch is known as _____________.

Symptoms that are perceived by the patient are known as _____________ data.

The signs and symptoms of both infection and inflammation include erythema,edema,and pain.What is considered the major difference between infection and inflammation?

As part of an assessment,the nurse asks the patient for subjective information related to the present illness.What are the subjective findings perceived by the patient?