Exam 12: Physical Assessment

The nurse is assessing a patient for collection of subjective and objective data.What will this data provide the basis for making?

Redness or inflammation of the skin or mucous membranes that is the result of dilation and congestion of superficial capillaries is known as _________________.

A nurse is gathering subjective data when admitting a patient.Which assessment finding reported by the patient is considered subjective data?

A patient has edema of the lower extremities.The nurse is assessing whether it is pitting and to what degree.After pressing the skin against a bony prominence for 5 seconds,the nurse identifies 2+ pitting edema.When did the edema disappear?

The nurse is preparing to perform a physical assessment.What essential supplies should this nurse gather? (Select all that apply.)

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

During a physical assessment,the nurse observes a patient experiencing a sudden audible expulsion of air from the lungs.What should the nurse document that the patient is experiencing?

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

A circulatory condition in which the myocardium contracts steadily but at a rate of less than 60 contractions per minute is known as _________________.

A condition of debility,loss of strength and energy,and depleted vitality is known as _________________.

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 min-ute?

During a head-to-toe assessment,the nurse assesses the patient's abdomen.Which area should the nurse assess next?

A yellow tinge to the skin that may indicate obstruction in the flow of bile from the liver is known as ___________________.

A physician documents that a patient has a sallow complexion.How does the nurse interpret this information?

The nurse is performing auscultation of breath sounds on a respiratory patient.The sounds heard on inspiration and expiration are low-pitched,coarse,gurgling,and have a snoring sound.What best identifies these sounds?

During a physical assessment,the nurse notes a patient has a lack of appetite resulting in an inability to eat.What should the nurse document that the patient is experiencing?

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 _____________ ____________.

The nurse is discussing the origin of diabetes with a diabetic patient.What will the nurse discuss as the most appropriate explanation for the cause of this disease?

The patient should be assessed as soon as possible after admission.Who performs this initial assessment?