A condition in which a patient experiences bluish discoloration of the skin and mucous membranes caused by an increase of deoxygenated hemoglobin in the blood is known as ____.
Correct Answer: cyanosis
Rationale: Cyanosis is a bluish discoloration of the skin and mucous membranes caused by an increase of deoxygenated hemoglobin in the blood.
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During a physical assessment the nurse notes a patient has profuse secretions of sweat. What should the nurse document that the patient is experiencing?
- A. Dyspnea
- B. Cyanosis
- C. Diaphoresis
- D. Ecchymosis
Correct Answer: C
Rationale: Diaphoresis is the secretion of sweat, especially the profuse secretion associated with an elevated body temperature, physical exertion, exposure to heat, and mental or emotional stress.
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?
- A. Individualized
- B. Focused
- C. Specialized
- D. Systematic
Correct Answer: B
Rationale: When the nurse observes a change in the patient's condition, the assessment is focused.
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?
- A. Acute
- B. Functional
- C. Chronic
- D. Remission
Correct Answer: D
Rationale: Remission means there has been partial or complete disappearance of the clinical and subjective characteristics.
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?
- A. Pituitary
- B. Adrenals
- C. Pancreas
- D. Thyroid
Correct Answer: C
Rationale: Diabetes mellitus results from dysfunction of the pancreas.
A nurse is caring for a patient with congestive heart failure. During the physical assessment the nurse notes the patient is experiencing difficulty breathing. What should the nurse document that the patient is experiencing?
- A. Dyspnea
- B. Cyanosis
- C. Diaphoresis
- D. Ecchymosis
Correct Answer: A
Rationale: Dyspnea is shortness of breath or difficulty in breathing that may be caused by certain heart and lung conditions, strenuous exercise, or anxiety.
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