Nokea
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.
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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.
Redness or inflammation of the skin or mucous membranes that is the result of dilation and congestion of superficial capillaries is known as ____.
Correct Answer: erythema
Rationale: Erythema is redness or inflammation of the skin or mucous membranes that is the result of dilation and congestion of superficial capillaries.
A patient has edema of the lower extremities. The nurse is assessing whether it is pitting and to what degree. After pressing the skin against a bony prominence for 5 seconds the nurse identifies 2+ pitting edema. When did the edema disappear?
- A. 10 to 15 seconds
- B. 20 to 25 seconds
- C. 30 to 35 seconds
- D. 40 to 45 seconds
Correct Answer: A
Rationale: The 2+ pitting edema is identified because the pitting edema disappears in 10 to 15 seconds.
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.
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.