kley
PlusBay.Plus
,Bates’AGuideAToAPhysicalAExaminationAandAHistoryATaking,A13thAEditionAbyABic
kley
PlusBay.Plus
,Bates’AGuideAToAPhysicalAExaminationAandAHistoryATaking,A13thAEditionAbyABic
kley
Bates'AGuideAtoAPhysicalAExaminationAandAHistoryATakingA13thAEditionABickleyATestABan
kACHAPTERA1 ApproachAtoAtheAClinicalAEncounter
AfterAcompletingAanAinitialAassessmentAofAaApatient,AtheAnurseAhasAchartedAthatAhisAres
pirationsAareAeupneicAandAhisApulseAisA58AbeatsAperAminute.ATheseAtypesAofAdataA
wouldAbe:
a
Objective.
b
Reflective.
c
Subjective.
d
Introspective.
ANS:AA
ObjectiveAdataAareAwhatAtheAhealthAprofessionalAobservesAbyAinspecting,Apercussing,A
palpating,AandAauscultatingAduringAtheAphysicalAexamination.ASubjectiveAdataAisAwhatA
theApersonAsaysAaboutAhimAorAherselfAduringAhistoryAtaking.ATheAtermsAreflectiveAandA
introspectiveAareAnotAusedAtoAdescribeAdata.
DIF:ACognitiveA Level:A UnderstandingA(Comprehension)A REF:A p.A2
MSC:AClientA Needs:ASafeAandAEffectiveACareAEnvironment:A ManagementAofACare
• AApatientAtellsAtheAnurseAthatAheAisAveryAnervous,AisAnauseated,AandAfeelsAho
t.ATheseAtypesAofAdataAwouldAbe:
a
Objective.
b
Reflective.
c
Subjective.
d
Introspective.
ANS:AC
SubjectiveAdataAareAwhatAtheApersonAsaysAaboutAhimAorAherselfAduringAhistoryAtaking.A
ObjectiveAdataAareAwhatAtheAhealthAprofessionalAobservesAbyAinspecting,Apercussing,A
palpating,AandAauscultatingAduringAtheAphysicalAexamination.ATheAtermsAreflectiveAan
dAintrospectiveAareAnotAused
toAdescribeA data.
PlusBay.Plus
, Bates’AGuideAToAPhysicalAExaminationAandAHistoryATaking,A13thAEditionAbyABic
kley
DIF:ACognitiveA Level:A UnderstandingA(Comprehension)A REF:A p.A2
MSC:AClientA Needs:ASafeAandAEffectiveACareAEnvironment:A ManagementAofACare
• TheApatientsArecord,AlaboratoryAstudies,AobjectiveAdata,AandAsubjectiveAdat
aAcombineAtoAformAthe:
a
DataAbase.
b
AdmittingAdata.
c
FinancialAstatement.
d
DischargeAsummary.
ANS:AA
TogetherAwithAtheApatientsArecordAandAlaboratoryAstudies,AtheAobjectiveAandAsubjectiveAda
taAformAtheAdataAbase.ATheAotherAitemsAareAnotApartAofAtheApatientsArecord,AlaboratoryAstu
dies,AorAdata.
DIF:ACognitiveA Level:A RememberingA (Knowledge)AREF:A p.A2
MSC:AClientA Needs:ASafeAandAEffectiveACareAEnvironment:A ManagementAofACare
• WhenAlisteningAtoAaApatientsAbreathAsounds,AtheAnurseAisAunsureAofAaAsoundAthatA
isAheard.ATheAnursesAnextAactionAshouldAbeAto:
a
ImmediatelyA notifyAtheA patientsA physician.
b
DocumentAtheAsoundAexactlyAasAitAwasAheard.
c ValidateAtheAdataAbyAaskingAaAcoworkerAtoAl
istenAtoAtheAbreathAsounds.
d AssessAagainAinA20AminutesAtoAnoteAwhethe
rAtheAsoundAisAstillApresent.
ANS:AC
WhenAunsureAofAaAsoundAheardAwhileAlisteningAtoAaApatientsAbreathAsounds,AtheAnurseAval
idatesAtheAdataAtoAensureAaccuracy.AIfAtheAnurseAhasAlessAexperienceAinAanAarea,AthenAheAorA
sheAasksAanAexpertAtoAlisten.
DIF:ACognitiveA Level:AAnalyzingA(Analysis)AREF:A p.A2
MSC:AClientA Needs:ASafeAandAEffectiveACareAEnvironment:A ManagementAofACare
• TheAnurseAisAconductingAaAclassAforAnewAgraduateAnurses.ADuringAtheAteachin
gAsession,AtheAnurseAshouldAkeepAinAmindAthatAnoviceAnurses,AwithoutAa
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