Nokea
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.
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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.
What does the nurse recognize as the initial step in conducting an assessment of a patient?
- A. A body systems review
- B. The nursing health history
- C. Biographic data
- D. The present illness
Correct Answer: B
Rationale: The nursing health history is the initial step in the assessment process.
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.
An abnormally rapid rate of breathing that is seen in many disease conditions is known as ____.
Correct Answer: tachypnea
Rationale: Tachypnea is an abnormally rapid rate of breathing that is seen in many disease conditions.
Signs that are perceived by an examiner and can be seen ____ measured or felt are known as objective data.
Correct Answer: heard
Rationale: Objective data is a sign that can be seen, heard, measured, or felt by the examiner.