During the nursing interview several histories are taken. What is the history that involves data concerning habits and lifestyle patterns?
- A. Family history
- B. Environmental history
- C. Past health history
- D. Psychosocial history
Correct Answer: C
Rationale: The nurse identifies habits and lifestyle patterns under the past health history.
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When assessing a patient the nurse notes a yellow tinge to the patient's skin. How should the nurse document this finding?
- A. Dyspnea
- B. Cyanosis
- C. Jaundice
- D. Ecchymosis
Correct Answer: C
Rationale: Jaundice is a yellow tinge to the skin; it may indicate obstruction in the flow of bile from the liver.
A health care provider needs to assess a patient for a heart murmur. In what position should the nurse place the patient?
- A. Sims
- B. Prone
- C. Lithotomy
- D. Lateral recumbent
Correct Answer: D
Rationale: The lateral recumbent position aids in detecting heart murmurs.
The nurse is preparing to perform a physical assessment. What essential supplies should this nurse gather?
- A. Flashlight
- B. Gloves
- C. Red pen
- D. Thermometer
- E. Scissors
Correct Answer: A,B,D,E
Rationale: Items essential to the nurse's assessment are a penlight or flashlight, a stethoscope, a blood pressure cuff, a thermometer, gloves, gait belt, watch with second hand, scissors, black pen, and a tongue blade.
The nurse is discussing the origin of diabetes with a diabetic patient. What will the nurse discuss as the most appropriate explanation for the cause of this disease?
- A. Pituitary
- B. Adrenals
- C. Pancreas
- D. Thyroid
Correct Answer: C
Rationale: Diabetes mellitus results from dysfunction of the pancreas.
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.
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