NUR 218 Exam 2 Questions 100% Solved.
Objective data can be gathered from the patient during which aspects of the physical assessment
process? (Select all that apply.)
a. Patient interview
b. Health history
c. General survey
d. Physical examination
e. Laboratory testing - answera, b, c, d, e...
d. Daily ambulatory distance - answer✔Abdominal girth
Increasing abdominal girth may be due to ascites, which is potentially life-threatening and could
cause respiratory arrest if the ascitic fluid is not drained. Dentition condition and benign
murmurs are not directly associated with liver disease. The patient's condition may affect
ambulatory distance; however, it is not the most important assessment finding listed.
The nurse notes the presence of ptosis when assessing an adult patient's eyes. Which potential
cause would be considered of most concern, requiring further evaluation as soon as possible?
a. Loss of skin elasticity
b. Levator muscle weakness
c. Congenital ocular abnormality
d. Oculomotor cranial nerve III paralysis - answer✔Oculomotor cranial nerve III paralysis
Oculomotor nerve paralysis may indicate the presence of a larger neurologic problem that
requires further investigation as soon as possible. Loss of skin elasticity and muscle weakness
may be due to aging, and congenital ptosis does not require immediate attention in an adult.
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