Nokea
When collecting data related to the present illness the nurse must obtain detailed and comprehensive data. What does this data help to establish?
- A. A patient problem
- B. A nursing care plan
- C. Appropriate interventions
- D. Nursing orders
Correct Answer: C
Rationale: The data collected related to the present illness must be detailed and comprehensive to allow planning of appropriate interventions.
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What does the nurse recognize as the initial step in conducting an assessment of a patient?
- A. A body systems review
- B. The nursing health history
- C. Biographic data
- D. The present illness
Correct Answer: B
Rationale: The nursing health history is the initial step in the assessment process.
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.
During a head-to-toe assessment the nurse assesses the patient's abdomen. Which area should the nurse assess next?
- A. Chest
- B. Arms
- C. Legs and feet
- D. Perineal area
Correct Answer: D
Rationale: When performing a head-to-toe assessment, the nurse begins with a neurologic assessment, then assesses the skin, hair, head, and neck, including the eyes, ears, nose, and mouth. The chest, back, arms, abdomen, perineal area, legs, and feet are examined in that order.
A condition of debility loss of strength and energy and depleted vitality is known as ____.
Correct Answer: asthenia
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.