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Test Bank for Physical Examination and Health Assessment 9th Edition by Carolyn Jarvis, Ann Eckhardt / All Chapters 1-32 / Full Complete$11.49
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1. After jcompleting jan jinitial jassessment jof ja jpatient, jthe jnurse jhas jcharted jthat jhis jrespirations jare jeupneic
jand jhis jpulse jis j 58 j beats j per j minute. jThese jtypes j of j data jwould j be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: jA
Objective jdata jare jwhat jthe jhealth jprofessional jobserves jby jinspecting, jpercussing, jpalpating, jand
jauscultating jduring jthe jphysical jexamination. jSubjective jdata jis jwhat jthe jperson jsays jabout jhim jor jherself
jduring jhistory jtaking. jThe j terms j reflective j and j introspective j are j not j used j to j describe j data.
MSC: jClient jNeeds: jSafe j and jEffective jCare jEnvironment: j Management j of jCare
2. A jpatient jtells jthe jnurse jthat jhe jis jvery jn e r vNo uUsR, jSisIN
naGuTsB
ea.CteOdM
, jand jfeels jhot. jThese jtypes jof jdata jwould jbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: jC
Subjective jdata jare jwhat jthe jperson jsays jabout jhim jor jherself jduring jhistory jtaking. jObjective jdata jare
jwhat jthe jhealth j professional j observes j by j inspecting, j percussing, j palpating, j and j auscultating j during
j the j physical jexamination. j The j terms j reflective j and j introspective j are j not j used j to j describe j data.
MSC: jClient jNeeds: jSafe j and jEffective jCare jEnvironment: j Management j of jCare
4. When jlistening jto ja jpatients jbreath jsounds, jthe jnurse jis junsure jof ja jsound jthat jis jheard. jThe jnurses
jnext jaction jshould jbe jto:
a. Immediately jnotify jthe jpatients j physician.
b. Document jthe jsound jexactly j as jit jwas j heard.
c. Validate jthe jdata j by jasking j a j coworker jto jlisten jto jthe j breath jsounds.
d. Assess jagain jin j20 jminutes j to jnote jwhether j the j sound jis j still jpresent.
NURSINGTB.COM
ANS: jC
When junsure jof ja jsound jheard jwhile jlistening jto ja jpatients jbreath jsounds, jthe jnurse jvalidates jthe jdata jto
jensure jaccuracy. jIf jthe j nurse j has j less j experience j in j an j area, jthen j he jor j she j asks j an j expert j to j listen.
DIF: jCognitive j Level: jAnalyzing j (Analysis)
MSC: jClient jNeeds: jSafe j and jEffective jCare jEnvironment: j Management j of jCare
5. The j nurse jis j conducting j a j class j for j new j graduate j nurses. j During j the j teaching j session, jthe j nurse
j should j keep jin j mind j that jnovice j nurses, j without j a jbackground j of jskills j and jexperience j from j which j to
jdraw, j are j more j likely jto jmake jtheir jdecisions jusing:
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