A circulatory condition in which the myocardium contracts steadily but at a rate of less than 60 contractions per minute is known as ____.
Correct Answer: bradycardia
Rationale: Bradycardia is a circulatory condition in which the myocardium contracts steadily but at a rate of less than 60 contractions per minute.
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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. Dyspnea
- B. Cyanosis
- C. Diaphoresis
- D. Ecchymosis
Correct Answer: B
Rationale: Cyanosis is a bluish discoloration of the skin and mucous membranes caused by an increase of deoxygenated hemoglobin in the blood.
The nurse is assessing a patient for collection of subjective and objective data. What will this data provide the basis for making?
- A. Care plan
- B. Medical diagnosis
- C. Nursing assessment
- D. Patient problem
Correct Answer: D
Rationale: Nurses rely on assessment of signs and symptoms to formulate a patient problem.
A nurse is gathering subjective data when admitting a patient. Which assessment finding reported by the patient is considered subjective data?
- A. Complains of chest pain.
- B. Is experiencing dyspnea.
- C. Appears to be anxious.
- D. Expectorates red-tinged sputum.
Correct Answer: A
Rationale: Symptoms are subjective indications of illness that are perceived by the patient. Examples of symptoms are pain, nausea, vertigo, pruritus, diplopia, numbness, and anxiety. The nurse is unaware of symptoms unless the patient describes the sensation. Symptoms are referred to as subjective data. Chest pain is the only subjective assessment finding. All other options are examples of objective data.
When discussing diabetes with a patient the nurse describes this disease as falling into which group in terms of duration?
- A. Acute
- B. Organic
- C. Chronic
- D. Functional
Correct Answer: C
Rationale: Diabetes mellitus is an example of a chronic disease.
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?
- A. During expiration
- B. Following expiration
- C. During inspiration
- D. Following inspiration
Correct Answer: C
Rationale: Crackles are usually heard during inspiration.
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