ISBN: 9780192631473 BATES’ GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING 13TH EDITION BICKLEY TEST BANK & RATIONALS WITH QUESTIONS AND ANSWERS WELL EXPLAINED AND 100% CORRECTLY VERIFIED BY EXPERTS AND GRADED A+ LATEST UPDATE

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CHAPTER 1FoundationsforClinicalProficiency
MULTIPLE CHOICE
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1. Aftercompletinganinitial assessmentofa patient,thenursehaschartedthat his respirations are IS IS S
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eupneic and his pulse is 58 beats per minute. These types of data would be:
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a Objective.
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b Reflective.
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c Subjective.
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d Introspective.
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Objective data are what the health professional observes by inspecting, percussing, palpating, and
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auscultatingduring the physical examination. Subjective data is what the person says about him or
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herselfduringhistorytaking.Thetermsreflectiveandintrospectivearenotusedtodescribedata.
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DIF:Cognitive Level: Understanding(Comprehension)REF: p. 2
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MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
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2. Apatienttellsthenursethatheisverynervous,isnauseated,and feelshot.Thesetypesof data
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would be:
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a Objective.
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b Reflective.
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c Subjective.
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d Introspective.
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ANS:C S
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Subjective data are what the person says about him or herself during history taking.
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Objectivedataarewhatthehealthprofessionalobservesbyinspecting,percussing,palpating, and
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auscultatingduringthephysicalexamination.Theterms reflectiveandintrospectivearenotused S
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todescribedata.
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DIF:Cognitive Level: Understanding(Comprehension)REF: p. 2
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MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
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3. Thepatientsrecord,laboratorystudies,objectivedata,andsubjectivedatacombineto
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formthe:
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a Database. S
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b Admittingdata.
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c Financialstatement. S
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d Dischargesummary. S
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ANS:A S
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Togetherwiththepatientsrecordandlaboratorystudies,theobjectiveandsubjectivedataform the data
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base. The other items arenot 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:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
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4. Whenlisteningtoapatientsbreathsounds,thenurseisunsureofasoundthatisheard. The
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nurses next action should be to:
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a Immediatelynotifythepatientsphysician. S
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b Documentthesoundexactlyasitwasheard. S
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c Validatethedatabyaskingacoworkertolistentothebreathsounds. S
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d Assessagainin20minutestonotewhetherthesoundisstillpresent. S
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.

ANS:C S
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When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the
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datatoensureaccuracy.Ifthenursehaslessexperienceinanarea,thenheorsheasksanexpert to listen.
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DIF:CognitiveLevel:Analyzing(Analysis)REF:p.2
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, MSC:ClientNeeds:SafeandEffectiveCareEnvironment:ManagementofCare
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