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Exam (elaborations)

Fundamentals of Nursing

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Fundamentals of Nursing

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  • September 3, 2024
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Test Bank For Fundamentals of Nursing 8th Edition By Patricia
Potter; Anne Perry; Patricia Stockert; Amy Hall
9780323079334 Chapter 1-50 Complete Guide .
A ______ is a collection of information about a patients health status. - ANSWER:
health history

A ______ provides objective data about a patient's body systems. - ANSWER:
physical assessment

A ______ assessment includes health history and a complete physical, and is
normally done on admission. - ANSWER: comprehensive

A(n) _____ assessment is considered a shift assessment, and is conducted at least
once a shift. - ANSWER: ongoing partial

A _____ assessment is used to assess a specific problem. - ANSWER: focused

A(n) _______ assessment is used for assessing life-threatening or unstable situations.
- ANSWER: emergency

What are examples of biographical data? - ANSWER: name
birthday
address

What are the four primary assessment techniques? - ANSWER: inspection
palpation
percussion
auscultation

_____ is using sight, smell, and hearing to assess a patient. - ANSWER: inspection

_____ is using the hands and fingers to assess temp, turgor, texture, moisture, and
vibrations. - ANSWER: palpation

______ is the act of striking one object against another to produce sound. - ANSWER:
percussion

______ is the act of using a stethoscope to listen within the body for sounds. -
ANSWER: auscultation

What part of the hand is best to measure temp? - ANSWER: the dorsum (back)

What part of the hand is best to measure texture, vibration, fluid, or size of a mass? -
ANSWER: the palmar surfaces or the fingertips

, What position is easiest to assess the anus and rectum? - ANSWER: Knee-chest

What position is best used to assess the female genitalia and rectum? - ANSWER:
lithotomy

What are the ABCDEs of assessing skin lesions? - ANSWER: asymmetry
border
color
diameter
evolving

_____ is caused by dilation of superficial blood vessels. - ANSWER: Erythema

_____ is a blue or pale discoloration caused by inadequate oxygen. - ANSWER:
Cyanosis

_____ is a yellow color resulting from liver problems. - ANSWER: Jaundice

______, or paleness of the skin, results from a decrease in circulating blood or
hemoglobin. - ANSWER: Pallor

What is resonance? - ANSWER: a clear, hollow sound percussed over the lungs.

What is hyperresonance? - ANSWER: a loud booming sound percussed in
overinflated lungs

What is tympany? - ANSWER: a musical, drum like sound percussed over the
stomach and intestines.

What is a dull sound? - ANSWER: a muffled thud percussed over the lover and
spleen.

What is a flat sound? - ANSWER: a dead stop of sound percussed over muscles, bone,
and tumors.

What are ecchymosis? - ANSWER: A collection of blood in the subcutaneous tissue.
(bruise)

______ are small hemorrhages caused by capillary bleeding. - ANSWER: Petechiae

What is diaphoresis? - ANSWER: excessive perspiration

_____ is the elasticity of the skin. - ANSWER: turgor

Where is turgor tested? - ANSWER: under the clavicle

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