Nokea
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.
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A creamy viscous pale yellow or yellow-green fluid exudate that is the result of fluid remains of liquefied necrosis of ____ is known as purulent drainage.
Correct Answer: tissues
Rationale: Purulent drainage is a creamy, viscous, pale yellow or yellow-green fluid exudate that is the result of fluid remains of liquefied necrosis of tissues.
The nurse is assessing a patient for collection of subjective and objective data. What will this data provide the basis for making?
- A. Care plan
- B. Medical diagnosis
- C. Nursing assessment
- D. Patient problem
Correct Answer: D
Rationale: Nurses rely on assessment of signs and symptoms to formulate a patient problem.
The nurse is developing a nursing care plan for a newly admitted patient. What is the first step the nurse will take in developing this care plan?
- A. Health history
- B. Review of systems
- C. Family history
- D. Nursing assessment
Correct Answer: D
Rationale: The nursing assessment is the critical step in forming the nursing care plan.
When performing a physical examination of a patient the nurse uses a technique that is particularly useful in identifying areas of tenderness or masses of the abdomen. What is this technique?
- A. Auscultation
- B. Deep palpation
- C. Light palpation
- D. Percussion
Correct Answer: B
Rationale: Deep palpation is used to detect tenderness or masses of the abdomen.
A health care provider documents that a patient has a sallow complexion. How does the nurse interpret this information?
- A. Yellow color to the skin
- B. Blue color to the skin
- C. Red color to the skin
- D. Gray color to the skin
Correct Answer: A
Rationale: Sallow is an unhealthy, yellow color; usually said of a complexion or skin.