Nokea
An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is known as ____.
Correct Answer: orthopnea
Rationale: Orthopnea is an abnormal condition in which a person must sit or stand to breathe deeply or comfortably.
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When assessing a patient the nurse notes that the patient is unable to lie flat to breathe. When the nurse assists the patient into a sitting position the patient is able to breathe more easily. What should the nurse document that the patient is experiencing?
- A. Dyspnea
- B. Cyanosis
- C. Jaundice
- D. Orthopnea
Correct Answer: D
Rationale: Orthopnea is an abnormal condition in which a person must sit or stand to breathe deeply or comfortably. It occurs in many disorders of the respiratory and cardiac systems.
When assessing a patient the nurse notes that the patient has an unnatural paleness of color to the skin. How should the nurse document this finding?
- A. Skin pallor
- B. Pruritus
- C. Sallow skin
- D. Jaundice
Correct Answer: A
Rationale: Pallor is an unnatural paleness or absence of color in the skin; it may result from a decrease in hemoglobin and erythrocytes.
During a physical assessment the nurse notes a patient passes frequent loose liquid stools. What should the nurse document that the patient is experiencing?
- A. Dyspnea
- B. Cyanosis
- C. Diaphoresis
- D. Diarrhea
Correct Answer: D
Rationale: Diarrhea is the frequent passage of loose liquid stools. It generally results from increased motility in the colon. This is usually a sign of an underlying disorder. The characteristics of the diarrhea give evidence as to the source. Dark black, tarry stools can mean there is bleeding in the intestines. Bright red blood in the feces indicates active bleeding from the lower portion of the intestinal tract.
During a physical assessment the nurse notes a patient has a loss of strength and energy. What should the nurse document that the patient is experiencing?
- A. Dyspnea
- B. Cyanosis
- C. Asthenia
- D. Ecchymosis
Correct Answer: C
Rationale: Asthenia is a condition of debility, loss of strength and energy, and depleted vitality.
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.