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A patient is seen in the emergency department with acute nausea and vomiting. The nurse obtains
information about the length of time that the patient has been nauseated, the approximate amount
of the emesis, and performs a physical assessment of the patient's abdomen. This will be
described as a/ana. comprehensive database.b. episodic assessment.c. follow-up database.d.
subjective assessment.
Give this one a try later!
Correct Answer: BRationale: An assessment that is focused on a problem of limited
scope is called an episodic (or problem-focused) assessment and is used when the
intention is to identify and treat a specific patient problem. A comprehensive database
, includes all detailed information about multidimensional aspects of the patient's health.
A follow-up database is used to evaluate the status of a previously identified problem.
Subjective assessments are an important aspect of all types of databases.
Following knee surgery, the patient has an elastic bandage applied to the surgical site. When
assessing the circulation to the lower leg, the first action the nurse will take is toa. visually inspect
the color of the foot.b. palpate the temperature of the foot.c. use a stethoscope to auscultate
ankle blood pressure.d. check the patient's pedal pulses using the fingertips.
Correct Answer: ARationale: Inspection is the first of the major techniques used in the
physical examination. Palpation and auscultation are used later in the examination.
As the nurse assesses the patient's neck, the patient says, "My neck is so stiff I can hardly move it."
This finding indicates the nurse should perform a(n)a. specific examination.b. screening
examination.c. focused examination.d. extensive examination.
A patient is seen in the emergency department with acute nausea and vomiting. The nurse obtains
information about the length of time that the patient has been nauseated, the approximate amount
of the emesis, and performs a physical assessment of the patient's abdomen. This will be
described as a/ana. comprehensive database.b. episodic assessment.c. follow-up database.d.
subjective assessment.
Give this one a try later!
Correct Answer: BRationale: An assessment that is focused on a problem of limited
scope is called an episodic (or problem-focused) assessment and is used when the
intention is to identify and treat a specific patient problem. A comprehensive database
, includes all detailed information about multidimensional aspects of the patient's health.
A follow-up database is used to evaluate the status of a previously identified problem.
Subjective assessments are an important aspect of all types of databases.
Following knee surgery, the patient has an elastic bandage applied to the surgical site. When
assessing the circulation to the lower leg, the first action the nurse will take is toa. visually inspect
the color of the foot.b. palpate the temperature of the foot.c. use a stethoscope to auscultate
ankle blood pressure.d. check the patient's pedal pulses using the fingertips.
Correct Answer: ARationale: Inspection is the first of the major techniques used in the
physical examination. Palpation and auscultation are used later in the examination.
As the nurse assesses the patient's neck, the patient says, "My neck is so stiff I can hardly move it."
This finding indicates the nurse should perform a(n)a. specific examination.b. screening
examination.c. focused examination.d. extensive examination.
