Exam 13: Physical Assessment

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?

An older adult patient is being assessed for skin turgor.The nurse identifies decreased skin turgor demonstrated by slow return of the skin to the previous position after being grasped and raised.What can the nurse conclude is responsible for this assessment?

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

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?

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

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

When assessing a patient with hepatitis,the nurse notes a yellow tinge to the patient's skin.What does the nurse understand as the most likely cause of the jaundice?

An abnormally rapid rate of breathing that is seen in many disease conditions is known as ___________________.

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

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?

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?

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

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

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

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

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 health care provider needs to assess a patient for a heart murmur.In what position should the nurse place the patient?

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