Exam 13: Physical Assessment

What should the nurse begin by assessing when performing a head-to-toe assessment?

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.

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

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

An unpleasant sensation caused by noxious (extremely destructive or harmful)stimulation of the sensory nerve endings is ___________.

Various techniques are used by the nurse when performing a physical assessment.One of these techniques is percussion.What is percussion used to determine?

During a physical assessment,the nurse notes a patient has a loss of strength and energy.What should the nurse document that the patient is experiencing?

What should a patient interview being conducted by the nurse convey to the patient?

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

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

When performing a physical examination of a patient,the nurse uses a technique that is particularly useful in identifying areas of tenderness or masses of the abdomen.What is this technique?

A health care provider needs to assess extension of a patient's hip joint.In what position should the nurse place the patient?

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

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

The nurse is collecting data during an initial assessment.What can be seen,heard,measured,or felt and is objective?

A patient was admitted with a complaint of abdominal pain.Later,the nurse observed the patient demonstrating dyspnea.What type of assessment does this change in condition require?

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?

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?

When auscultating the chest,a nurse hears crackles in both lower lobes.To further assess this finding,the nurse should ask the patient to ______________.

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