Nokea
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.
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During a physical assessment the nurse notes that a patient's heart rate is 56 beats/min. What should the nurse document that the patient is experiencing?
- A. Dyspnea
- B. Cyanosis
- C. Diaphoresis
- D. Bradycardia
Correct Answer: D
Rationale: Bradycardia is a circulatory condition in which the myocardium contracts steadily but at a rate of less than 60 contractions per minute.
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.
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.
During a physical assessment the nurse listens for adventitious lung sounds. Crackles are classified as fine medium or coarse. When are these sounds most often auscultated?
- A. During expiration
- B. Following expiration
- C. During inspiration
- D. Following inspiration
Correct Answer: C
Rationale: Crackles are usually heard during inspiration.
When assessing a patient the nurse notes that the patient is unable to lie flat to breathe. When the nurse assists the patient into a sitting position the patient is able to breathe more easily. What should the nurse document that the patient is experiencing?
- A. Dyspnea
- B. Cyanosis
- C. Jaundice
- D. Orthopnea
Correct Answer: D
Rationale: Orthopnea is an abnormal condition in which a person must sit or stand to breathe deeply or comfortably. It occurs in many disorders of the respiratory and cardiac systems.