, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
Porth’s Pathophysiology 10th Edition Norris Test Bank
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1. At an international nursing conference, many d iscussions and breakout sessions focused
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on the World Health Organization (WHO) views on health. Of the following comment
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s made by nurses during a discussion session, which statements would be considered a
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good representation of the WHO definition? Select all that apply.
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A) Interests in keeping the elderly population engaged in such activities as book
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reviews and word games during social time
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B) Increase in the number of chair aerobics classes provided in the skilled car
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e facilities mf
C) Interventions geared toward keeping the elderly population diagnosed with diabe mf mf mf mf mf mf mf mf mf
tes mellitus under tight blood glucose control by providing in-
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home cooking classes mf mf
D) Providing transportation for renal dialysis patients to and from their hemodialysis
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sessions mf
E) Providing handwashing t eaching sessions to a group of young children mf mf mf mf mf mf mf mf mf
Ans: A, B, C, E
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Feedback:
The WHO definition of health is defined as “a state of complete physical, mental, and
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social well- mf
being and not merely the absence of disease and infirmity.” Engaging in book reviews
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facilitates mental and social well-being; chair aerobics helps facilitate physical well-
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being; and assisting with tight control of diabetes helps with facilitating physical well-
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being even though the person has a chronic disease. Handwashing is vital in the prevent
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ion of disease and spread of germs.
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2. A community health nurse is teaching a group of recent graduates about the large v
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ariety of factors that influence an individual's health or lack thereof. The nurse is r
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eferring to the Healthy People 2020 report from the U.S. Department of Health and
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Human Services as a teaching example. Of the following aspects discussed, which
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would be considered a determinant of health that is outside the focus of this report
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?
A) The client has a diverse background by being of Asian and Native American d
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escent and practices various alternative therapies to minimize effects of stress.
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B) The client has a family history of cardiovascular disease related to hyperc
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holesterolemia and remains noncompliant with t he treatment regime. mf mf mf mf mf mf mf
C) The client has a good career with exceptional preventative health care benefits.
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D) The client lives in an affluent, clean, suburban community with access to many
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health care facilities. mf mf mf
Ans: B mf
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using altern
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ative therapies to minimize effects of stress); achieving health equity and promoting he
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alth for all (which includes having good health care benefits); and promoting good heal
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th (which includes living in a clean community with good access to health care). A clie
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nt's noncompliance with treatments to control high cholesterol levels within the presenc
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e of a family history of CV disease does not meet the “attaining lives free of preventabl
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e disease and premature death” determinant.
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, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
3. A physician is providing care for a number of patients on a medical unit of a large, uni
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versity hospital. The physician is discussing with a colleague the differentiation betwee
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n diseases that are caused by abnormal molecules and diseases that cause disease. Whic
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h of the following patients most clearly demonstrates the consequences of molecules th
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at cause disease?
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A) A 31-year- mf
old woman with sickle cell anemia who is receiving a transfusion of packed re
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d blood cells mf mf
B) A 91-year- mf
old woman who has experienced an ischemic stroke resulting from familial h
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ypercholesterolemia
C) A 19-year- mf
old man with exacerbation of his cystic fibrosis requiring oxygen therapy a
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nd chest physiotherapy mf mf
D) A 30-year- mf
old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV po
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sitive.
Ans: D mf
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle
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cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the
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effects of abnormal molecules.
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4. A member of the health care team is researching the etiology and pathogenesis of a n
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umber of clients who are under his care in a hospital context. Which of the following
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aspects of clients' situations bN
mf esUt R
chSaI
raN
ctG
mf erTizBe.
s pCaOt hMo g e n e s is rather than etiology?
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A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
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B) A client who has increasing serum ammonia levels due to liver cirrhosis
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C) A client who was admitted with the effects of methyl alcohol poisoning
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D) A client with multiple skeletal injuries secondary to a motor vehicle accident
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Ans: B
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Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the in
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creasing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic
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injuries are examples of etiologic factors.
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, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
5. A new myocardial infarction patient requiring angioplasty and stent placement has arri
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ved to his first cardiac rehabilitation appointment. In this first session, a review of the
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pathogenesis of coronary artery disease is addressed. Which statement by the patient ve
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rifies to the nurse that he has understood the nurse's teachings about coronary artery di
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sease?
A) “All I have to do is stop smoking, and then I won't have any more heart attacks.”
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B) “My artery was clogged by fat, so I will need to stop eating fatty foods lik
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e French fries every day.” mf mf mf mf
C) “Sounds like this began because of inflammation inside my artery t hat made it mf mf mf mf mf mf mf mf mf mf mf mf
easy to form fatty streaks, which lead to my clogged artery.”
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D) “If I do not exercise regularly to get my heart rate up, blood pools in the veins c
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ausing a clot that stops blood flow to the muscle, and I will have a heart attack.”
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Ans: C mf
Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the pa
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thogenesis of the disorder relates to the progression of the inflammatory process from a
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fatty streak to the occlusive vessel lesion seen in people with coronary artery disease.
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Risk factors for CAD revolve around cigarette smoking, diet high in fat, and lack of ex
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ercise.
6. A 77-year-
mf
old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pul
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monary d isease (COPD), and a respiratory t herapist (RT) is assessing the client for the
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first time. WhichNU ofRthSeIfN
mf olG
loTwBin.gCaO
spMects of the patient's current state of health would
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be best characterized as a symptom rather than a sign?
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A) The patient's oxygen saturation is 83% by pulse oxymetry.
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B) The patient notes that he has increased work of breathing when lying supine.
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C) The RT hears diminished breath sounds to the patient's lower lung fields
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bilaterally. mf
D) The patient's respiratory rate is 31 breaths/minute. mf mf mf mf mf mf
Ans: B
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Feedback:
Symptoms are subjective complaints by the person experiencing the health problem
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, such as complaints of breathing d ifficulty. Oxygen levels, listening to breath sound
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s, and respiratory rate are all objective, observable signs of disease.
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Porth’s Pathophysiology 10th Edition Norris Test Bank
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1. At an international nursing conference, many d iscussions and breakout sessions focused
mf mf mf mf mf mf mf mf mf mf
on the World Health Organization (WHO) views on health. Of the following comment
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s made by nurses during a discussion session, which statements would be considered a
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good representation of the WHO definition? Select all that apply.
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A) Interests in keeping the elderly population engaged in such activities as book
mf mf mf mf mf mf mf mf mf mf mf
reviews and word games during social time
mf mf mf mf mf mf mf
B) Increase in the number of chair aerobics classes provided in the skilled car
mf mf mf mf mf mf mf mf mf mf mf mf
e facilities mf
C) Interventions geared toward keeping the elderly population diagnosed with diabe mf mf mf mf mf mf mf mf mf
tes mellitus under tight blood glucose control by providing in-
mf mf mf mf mf mf mf mf mf
home cooking classes mf mf
D) Providing transportation for renal dialysis patients to and from their hemodialysis
mf mf mf mf mf mf mf mf mf mf
sessions mf
E) Providing handwashing t eaching sessions to a group of young children mf mf mf mf mf mf mf mf mf
Ans: A, B, C, E
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Feedback:
The WHO definition of health is defined as “a state of complete physical, mental, and
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
social well- mf
being and not merely the absence of disease and infirmity.” Engaging in book reviews
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
facilitates mental and social well-being; chair aerobics helps facilitate physical well-
mf mf mf mf mf mf mf mf mf mf
being; and assisting with tight control of diabetes helps with facilitating physical well-
mf mf mf mf mf mf mf mf mf mf mf mf
being even though the person has a chronic disease. Handwashing is vital in the prevent
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
ion of disease and spread of germs.
mf mf mf mf mf mf
2. A community health nurse is teaching a group of recent graduates about the large v
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
ariety of factors that influence an individual's health or lack thereof. The nurse is r
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eferring to the Healthy People 2020 report from the U.S. Department of Health and
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Human Services as a teaching example. Of the following aspects discussed, which
mf mf mf mf mf mf mf mf mf mf mf mf
would be considered a determinant of health that is outside the focus of this report
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?
A) The client has a diverse background by being of Asian and Native American d
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escent and practices various alternative therapies to minimize effects of stress.
mf mf mf mf mf mf mf mf mf mf
B) The client has a family history of cardiovascular disease related to hyperc
mf mf mf mf mf mf mf mf mf mf mf
holesterolemia and remains noncompliant with t he treatment regime. mf mf mf mf mf mf mf
C) The client has a good career with exceptional preventative health care benefits.
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D) The client lives in an affluent, clean, suburban community with access to many
mf mf mf mf mf mf mf mf mf mf mf mf
health care facilities. mf mf mf
Ans: B mf
Feedback:
In Healthy People 2020, the focus is to promote good health to all (such as using altern
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
ative therapies to minimize effects of stress); achieving health equity and promoting he
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alth for all (which includes having good health care benefits); and promoting good heal
mf mf mf mf mf mf mf mf mf mf mf mf mf
th (which includes living in a clean community with good access to health care). A clie
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
nt's noncompliance with treatments to control high cholesterol levels within the presenc
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e of a family history of CV disease does not meet the “attaining lives free of preventabl
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
e disease and premature death” determinant.
mf mf mf mf mf
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
3. A physician is providing care for a number of patients on a medical unit of a large, uni
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
versity hospital. The physician is discussing with a colleague the differentiation betwee
mf mf mf mf mf mf mf mf mf mf mf
n diseases that are caused by abnormal molecules and diseases that cause disease. Whic
mf mf mf mf mf mf mf mf mf mf mf mf mf
h of the following patients most clearly demonstrates the consequences of molecules th
mf mf mf mf mf mf mf mf mf mf mf mf
at cause disease?
mf mf
A) A 31-year- mf
old woman with sickle cell anemia who is receiving a transfusion of packed re
mf mf mf mf mf mf mf mf mf mf mf mf mf
d blood cells mf mf
B) A 91-year- mf
old woman who has experienced an ischemic stroke resulting from familial h
mf mf mf mf mf mf mf mf mf mf mf
ypercholesterolemia
C) A 19-year- mf
old man with exacerbation of his cystic fibrosis requiring oxygen therapy a
mf mf mf mf mf mf mf mf mf mf mf
nd chest physiotherapy mf mf
D) A 30-year- mf
old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV po
mf mf mf mf mf mf mf mf mf mf mf mf
sitive.
Ans: D mf
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the
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effects of abnormal molecules.
mf mf mf
4. A member of the health care team is researching the etiology and pathogenesis of a n
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
umber of clients who are under his care in a hospital context. Which of the following
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
aspects of clients' situations bN
mf esUt R
chSaI
raN
ctG
mf erTizBe.
s pCaOt hMo g e n e s is rather than etiology?
mf mf m
f mf mf mf mf
A) A client who has been exposed to the Mycobacterium tuberculosis bacterium
mf mf mf mf mf mf mf mf mf mf
B) A client who has increasing serum ammonia levels due to liver cirrhosis
mf mf mf mf mf mf mf mf mf mf mf
C) A client who was admitted with the effects of methyl alcohol poisoning
mf mf mf mf mf mf mf mf mf mf mf
D) A client with multiple skeletal injuries secondary to a motor vehicle accident
mf mf mf mf mf mf mf mf mf mf mf
Ans: B
mf mf
Feedback:
Pathogenesis refers to the progressive and evolutionary course of disease, such as the in
mf mf mf mf mf mf mf mf mf mf mf mf mf
creasing ammonia levels that accompany liver disease. Bacteria, poisons, and traumatic
mf mf mf mf mf mf mf mf mf mf
injuries are examples of etiologic factors.
mf mf mf mf mf mf
, TEST BANK FOR PORTH'S PATHOPHYSIOLOGY 10TH EDITION BY NORRIS
5. A new myocardial infarction patient requiring angioplasty and stent placement has arri
mf mf mf mf mf mf mf mf mf mf mf
ved to his first cardiac rehabilitation appointment. In this first session, a review of the
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
pathogenesis of coronary artery disease is addressed. Which statement by the patient ve
mf mf mf mf mf mf mf mf mf mf mf mf
rifies to the nurse that he has understood the nurse's teachings about coronary artery di
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
sease?
A) “All I have to do is stop smoking, and then I won't have any more heart attacks.”
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
B) “My artery was clogged by fat, so I will need to stop eating fatty foods lik
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
e French fries every day.” mf mf mf mf
C) “Sounds like this began because of inflammation inside my artery t hat made it mf mf mf mf mf mf mf mf mf mf mf mf
easy to form fatty streaks, which lead to my clogged artery.”
mf mf mf mf mf mf mf mf mf mf mf
D) “If I do not exercise regularly to get my heart rate up, blood pools in the veins c
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
ausing a clot that stops blood flow to the muscle, and I will have a heart attack.”
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
Ans: C mf
Feedback:
The true etiology/cause of coronary artery disease (CAD) is unknown; however, the pa
mf mf mf mf mf mf mf mf mf mf mf mf
thogenesis of the disorder relates to the progression of the inflammatory process from a
mf mf mf mf mf mf mf mf mf mf mf mf mf m
fatty streak to the occlusive vessel lesion seen in people with coronary artery disease.
f mf mf mf mf mf mf mf mf mf mf mf mf mf mf
Risk factors for CAD revolve around cigarette smoking, diet high in fat, and lack of ex
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
ercise.
6. A 77-year-
mf
old man is a hospital inpatient admitted for exacerbation of his chronic obstructive pul
mf mf mf mf mf mf mf mf mf mf mf mf mf
monary d isease (COPD), and a respiratory t herapist (RT) is assessing the client for the
mf mf mf mf mf mf mf mf mf mf mf mf mf mf
first time. WhichNU ofRthSeIfN
mf olG
loTwBin.gCaO
spMects of the patient's current state of health would
mf mf mf mf mf mf mf mf mf mf
be best characterized as a symptom rather than a sign?
mf mf mf mf mf mf mf mf mf
A) The patient's oxygen saturation is 83% by pulse oxymetry.
mf mf mf mf mf mf mf mf
B) The patient notes that he has increased work of breathing when lying supine.
mf mf mf mf mf mf mf mf mf mf mf mf
C) The RT hears diminished breath sounds to the patient's lower lung fields
mf mf mf mf mf mf mf mf mf mf mf
bilaterally. mf
D) The patient's respiratory rate is 31 breaths/minute. mf mf mf mf mf mf
Ans: B
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Feedback:
Symptoms are subjective complaints by the person experiencing the health problem
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, such as complaints of breathing d ifficulty. Oxygen levels, listening to breath sound
mf mf mf mf mf mf mf mf mf mf mf mf
s, and respiratory rate are all objective, observable signs of disease.
mf mf mf mf mf mf mf mf mf mf
