NUR 634 MIDTERM EXAM Question and
Answer (2026/2027) | Newest Version |
A+ Verified
• Subjective Data -✓✓ -symptoms from the client's point of view and include:
feelings, perceptions, and concerns
-what the patient tells you
• Objective Data -✓✓ -what the health professional observes by inspecting,
palpating, percussing, and auscultating during the physical examination
-observed signs
• Assessment -✓✓ -the clinical reasoning process that interprets the patient's
history and physical examination, singles out identified problems, and movement
from each problems to its action plan
• Plan -✓✓ -incorporates patient education, changes in medications, needed
tests, referrals to other clinicians, and return visits for counseling and support
-requires good interpersonal skills and sensitivity to the patients goals, economic
means, competing responsibilities, and family struggles/dynamics
• Percussion -✓✓ -a diagnostic procedure designed to determine the density of a
body part by the sound produced by tapping the surface with the fingers
-use of the striking or plexor finger (usually the 3rd) to deliver a rapid tap or blow
against the distal pleximeter finger (usually the distal 3rd finger of the left hand
laid against the surface) to evoke a sound wave
-the 5 sounds are resonant, flat, dull, hyper resonant, and tympanic
, -Resonant sounds are low pitched, hollow sounds heard over normal lung tissue.
-Flat are normally heard over solid areas such as bones. thigh
-Dull or thudlike sounds are normally heard over dense areas such as the heart or
liver. Dullness replaces resonance when fluid or solid tissue replaces air-
containing lung tissues, such as occurs with pneumonia, pleural effusions, or
tumors.
-Hyperresonant sounds that are louder and lower pitched than resonant sounds
are normally heard when percussing the chests of children and very thin adults.
Hyperresonant sounds may also be heard when percussing lungs hyperinflated
with air, such as may occur in patients with COPD, or patients having an acute
asthmatic attack. An area of hyperresonance on one side of the chest may
indicate a pneumothorax.
-Tympanic sounds are hollow, high, drumlike sounds. Tympany is normally heard
over the stomach, but is not a normal chest sound. Tympanic sounds heard over
the chest indicate excessive air in the chest, such as may occur with
pneumothorax.
• Attributes of a Symptom -✓✓ -seven attributes
-OPQRST & Associated manifestations (anything else accompanying it)
-onset, provocative/palliative, quality, region/radiation, severity, timing
• Talkative Challenging Patient Intervention -✓✓ -give 5-10 minutes
uninterrupted
-focus on and ask questions to what seems most important to patient
-summarize concerns and focus on #1 concern today
-avoid impatience
Answer (2026/2027) | Newest Version |
A+ Verified
• Subjective Data -✓✓ -symptoms from the client's point of view and include:
feelings, perceptions, and concerns
-what the patient tells you
• Objective Data -✓✓ -what the health professional observes by inspecting,
palpating, percussing, and auscultating during the physical examination
-observed signs
• Assessment -✓✓ -the clinical reasoning process that interprets the patient's
history and physical examination, singles out identified problems, and movement
from each problems to its action plan
• Plan -✓✓ -incorporates patient education, changes in medications, needed
tests, referrals to other clinicians, and return visits for counseling and support
-requires good interpersonal skills and sensitivity to the patients goals, economic
means, competing responsibilities, and family struggles/dynamics
• Percussion -✓✓ -a diagnostic procedure designed to determine the density of a
body part by the sound produced by tapping the surface with the fingers
-use of the striking or plexor finger (usually the 3rd) to deliver a rapid tap or blow
against the distal pleximeter finger (usually the distal 3rd finger of the left hand
laid against the surface) to evoke a sound wave
-the 5 sounds are resonant, flat, dull, hyper resonant, and tympanic
, -Resonant sounds are low pitched, hollow sounds heard over normal lung tissue.
-Flat are normally heard over solid areas such as bones. thigh
-Dull or thudlike sounds are normally heard over dense areas such as the heart or
liver. Dullness replaces resonance when fluid or solid tissue replaces air-
containing lung tissues, such as occurs with pneumonia, pleural effusions, or
tumors.
-Hyperresonant sounds that are louder and lower pitched than resonant sounds
are normally heard when percussing the chests of children and very thin adults.
Hyperresonant sounds may also be heard when percussing lungs hyperinflated
with air, such as may occur in patients with COPD, or patients having an acute
asthmatic attack. An area of hyperresonance on one side of the chest may
indicate a pneumothorax.
-Tympanic sounds are hollow, high, drumlike sounds. Tympany is normally heard
over the stomach, but is not a normal chest sound. Tympanic sounds heard over
the chest indicate excessive air in the chest, such as may occur with
pneumothorax.
• Attributes of a Symptom -✓✓ -seven attributes
-OPQRST & Associated manifestations (anything else accompanying it)
-onset, provocative/palliative, quality, region/radiation, severity, timing
• Talkative Challenging Patient Intervention -✓✓ -give 5-10 minutes
uninterrupted
-focus on and ask questions to what seems most important to patient
-summarize concerns and focus on #1 concern today
-avoid impatience
