Exam 13: Physical Assessment

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During a physical assessment,the nurse notes a patient passes frequent loose liquid stools.What should the nurse document that the patient is experiencing?

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Cultural beliefs and personal characteristics determine __________ behavior in individuals and families.More than half of all health problems are the result of behavior and lifestyle.

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When assessing a patient,the nurse notes a yellow tinge to the patient's skin.How should the nurse document this finding?

(Multiple Choice)
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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?

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The nurse observes that an older adult patient has no hair on the lower legs.The nurse should assess further for the sufficiency of arterial ________.

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

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A condition in which there is a temporary loss of consciousness associated with an increased rate of respiration,tachycardia,pallor,perspiration,and coolness of the skin is known as _________________.

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A nursing assessment is a process of collecting data to establish a database.The information contained in the database is a basis for:

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

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A nurse needs to auscultate a patient's lung sounds.In what position should the nurse place the patient?

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The nurse is developing a nursing care plan for a newly admitted patient.What is the first step the nurse will take in developing this care plan?

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

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A patient has discoloration of an area of their mucous membrane caused by extravasation of blood into the subcutaneous tissue.What should the nurse document that the patient has?

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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?

(Multiple Choice)
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When admitting a patient to the hospital,the nurse notes the patient has mild sunburn.How should the nurse document this finding?

(Multiple Choice)
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A nurse is gathering objective data when admitting a patient.Which assessment finding is considered objective data?

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What is the term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease?

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An abnormal condition in which the heart contracts regularly but at a rate greater than 100 beats/min is known as ___________________.

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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?

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The nurse is obtaining a history of a patient's present illness.The PQRST system is used for the interview.What does the R stand for in this system?

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