Nokea
The nurse is obtaining a history of a patient's present illness. The PQRST system is used for the interview. What does the R stand for in this system?
- A. Random
- B. Region
- C. Result
- D. Recent
Correct Answer: B
Rationale: In the PQRST system, the R stands for region.
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When admitting a patient to the hospital the nurse notes the patient has mild sunburn. How should the nurse document this finding?
- A. Dyspnea
- B. Cyanosis
- C. Erythema
- D. Ecchymosis
Correct Answer: C
Rationale: Erythema is redness or inflammation of the skin or mucous membranes that is the result of dilation and congestion of superficial capillaries; erythema is seen in mild sunburn.
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.
A condition in which there is a temporary loss of consciousness associated with an increased rate of respiration tachycardia pallor perspiration and coolness of the skin is known as ____.
Correct Answer: syncope
Rationale: Syncope is a temporary loss of consciousness (partial or complete) associated with an increased rate of respiration, tachycardia, pallor, perspiration, and coolness of skin.
The signs and symptoms of both infection and inflammation include erythema edema and pain. What is considered the major difference between infection and inflammation?
- A. Inflammation is a result of bacteria.
- B. Inflammation is a protective response.
- C. Inflammation is a disease process.
- D. Inflammation produces tissue damage.
Correct Answer: B
Rationale: Inflammation is a protective response.
The nurse observes that an older adult patient has no hair on the lower legs. The nurse should assess further for the sufficiency of arterial ____.
Correct Answer: flow
Rationale: Reduced arterial flow causes lack of hair on the lower extremities due to inadequate blood flow.