Nokea
A health care provider documents that a patient has a scleral icterus. How does the nurse describe the color of the patient's sclera?
- A. Red
- B. Blue
- C. Green
- D. Yellow
Correct Answer: D
Rationale: Scleral icterus means the color of the sclera is yellow. The jaundice is due to coloring of the sclera with bilirubin that infiltrates all tissues of the body.
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Which are infectious diseases?
- A. Measles
- B. Pneumonia
- C. Hay fever
- D. Tuberculosis
- E. Osteoarthritis
- F. Acquired immunodeficiency syndrome
Correct Answer: A,B,D,F
Rationale: Infectious diseases result from the invasion of microorganisms into the body. Examples of infectious diseases include acquired immunodeficiency syndrome (AIDS), tuberculosis, measles, and pneumonia. Hay fever is a manifestation of an allergic reaction, and osteoarthritis is an example of a degenerative disease.
During a physical assessment the patient complains of difficulty in passing stools. What should the nurse document that the patient is experiencing?
- A. Dyspnea
- B. Cyanosis
- C. Constipation
- D. Ecchymosis
Correct Answer: C
Rationale: Constipation is difficulty in passing stools or an incomplete or infrequent passage of hard stools. There are many causes, both organic and functional.
The nurse observes that an older adult patient has no hair on the lower legs. The nurse should assess further for the sufficiency of arterial ____.
Correct Answer: flow
Rationale: Reduced arterial flow causes lack of hair on the lower extremities due to inadequate blood flow.
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 condition in which there is a lack of appetite resulting in the inability to eat is known as ____.
Correct Answer: anorexia
Rationale: Anorexia is a lack of appetite resulting in the inability to eat. It can occur in many disease conditions.