Nokea
During a physical assessment the nurse notes a patient has a lack of appetite resulting in an inability to eat. What should the nurse document that the patient is experiencing?
- A. Dyspnea
- B. Asthenia
- C. Anorexia
- D. Ecchymosis
Correct Answer: C
Rationale: Anorexia is a lack of appetite resulting in the inability to eat. This symptom can occur in many disease conditions.
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Symptoms that are perceived by the patient are known as ____ data.
Correct Answer: subjective
Rationale: Symptoms are subjective indications of illness that are perceived by the patient. Symptoms are referred to as subjective data.
Auscultating the heart sounds should result in a "lub-dup" sound when using the bell and the diaphragm of the stethoscope. What causes the "lub" sound?
- A. Opening of the AV valves
- B. Opening of the semilunar valves
- C. Closing of the AV valves
- D. Closing of the semilunar valves
Correct Answer: C
Rationale: The 'lub-dup' sound of the heart is caused by the closing of the AV and semilunar valves, respectively.
A yellow tinge to the skin that may indicate obstruction in the flow of bile from the liver is known as ____.
Correct Answer: jaundice
Rationale: Jaundice is a yellow tinge to the skin; it may indicate obstruction in the flow of bile from the liver.
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.
An abnormal condition in which the heart contracts regularly but at a rate greater than 100 beats/min is known as ____.
Correct Answer: tachycardia
Rationale: Tachycardia is an abnormal condition in which the heart contracts regularly but at a rate greater than 100 beats/min.