Exam 13: Physical Assessment

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?

During a physical assessment,the nurse notes a patient has a bluish discoloration of the skin and mucous membranes.How should the nurse document this finding?

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

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

An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is known as ___________________.

The nurse assesses a patient for capillary refill after the fingernail is compressed for 5 seconds.What should the nurse expect the refill time to be?

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

During the nursing interview,several histories are taken.What is the history that involves data concerning habits and lifestyle patterns?

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

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

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?

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?

During a physical assessment,the nurse listens for adventitious lung sounds.Crackles are classified as fine,medium,or coarse.When are these sounds most often auscultated?

Any disturbance of a structure or function of the body is a pathologic condition.What is the term for this condition?

During a physical assessment,the patient complains of difficulty in passing stools.What should the nurse document that the patient is experiencing?

A health care provider documents that a patient is having purulent drainage from a wound.What does the nurse understand is most likely the cause?

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

The nurse uses a systematic method for collecting data on all body systems,including normal functioning and any noted changes.What is this method?

A health care provider documents that a patient has a scleral icterus.How does the nurse describe the color of the patient's sclera?

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