13th Edition Bickley
Bates’ Guide To Physical Examination and History Taking 13thEditio
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n Bickley Test Bank ju ju ju
CHAPTER
1 Foundations for ClinicalProficiency
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MULTIPLE CHOICE ju
1. After completing an initial assessment of a patient, the nurse has charted that his respirationsar
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e eupneic and his pulse is 58 beats per minute. These types of data would be:
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, a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: A ju
Objective data are what the health professional observes by inspecting, percussing, palpating, an
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d auscultating during the physical examination. Subjective data is what the person says abouthim
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or herself during history taking. The terms reflective and introspective are not used to describe d
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ata.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types ofdat
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a would be:
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a Objective.
.
b Reflective.
.
c Subjective.
.
d Introspective.
.
ANS: C ju
Subjective data are what the person says about him or herself during history taking. Objective
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data are what the health professional observes by inspecting, percussing, palpating,and
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, Bates’ Guide To Physical Examination and History Taking 13thEditio
ju ju ju ju ju ju ju ju ju
n Bickley Test Bank ju ju ju
auscultating during the physical examination. The terms reflective and introspective are not used
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to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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3. The patients record, laboratory studies, objective data, and subjective data combine tof
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orm the: ju
a Data base. ju
.
b Admitting data. ju
.
c Financial statement. ju
.
d Discharge summary. ju
.
ANS: A ju
Together with the patients record and laboratory studies, the objective and subjective data formthe
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data base. The other items are not part of the patients record, laboratory studies, or data.
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DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard.T
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he nurses next action should be to:
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a Immediately notify the patients physician. ju ju ju ju
.
b Document the sound exactly as it was heard. ju ju ju ju ju ju ju
.
c Validate the data by asking a coworker to listen to the breath sounds.
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.
d Assess again in 20 minutes to note whether the sound is still present.
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.
ANS: C ju
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the dat
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a to ensure accuracy. If the nurse has less experience in an area, then he or she asks an expertto l
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isten.
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
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, MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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