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Exam (elaborations)

NUR 303 Exam 3 Questions With Complete Solutions

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NUR 303 Exam 3 Questions With Complete Solutions

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NUR 303 Exam 3 Questions With Complete Solutions

1. A patient reports severe abdominal pain and pain in the right
shoulder that gets worse after eating fried foods. What question
does the nurse ask to gather more data about the possibility of
cholelithiasis?
1. "Has your abdomen been distended?"
2. "Have you experienced fever, chills, or sweating?"
3. "Have you vomited up any blood in the last 24 hours?"
4. "Has the color of your urine or stools changed?" correct
answers 4. "Has the color of your urine or stools changed?"

1. During a health history, a patient reports having difficulty
swallowing. Based on this report, which assessment technique
does the nurse use to collect more data about the patient's ability
to swallow?
1. Ask the patient to puff out her cheeks, purse her lips, and
blow out.
2. Observe the soft palate when the patient says "ahh."
3. Observe the patient while she swallows water from a paper
cup.
4. Wearing gloves, grasp the patient's tongue and palpate all
sides. correct answers 2. Observe the soft palate when the
patient says "ahh."

1. The nurse is listening to the patient's heart at the 2nd LSB.
Which area is being auscultated?
1. Erb's point
2. Mitral area
3. Aortic area
4. Pulmonic area correct answers 4. Pulmonic area

, 1. Which patient's description of pain is consistent with injury to
a bone?
1. "Deep, dull, and boring"
2. "Cramping even when not moving"
3. "Intermittent, sharp, and radiating"
4. "Tingling with pins and needles sensation with movement"
correct answers 1. "Deep, dull, and boring"

10. A patient reports having abdominal fullness and having
vomited several times yesterday and today. What question is
appropriate for the nurse to ask in response to this information?
1. "Has there been a change in the amount of the distention?"
2. "Did you have heartburn before the vomiting?"
3. "What did the vomitus look like?"
4. "Have you noticed a change in the color of your urine or
stools?" correct answers 3. "What did the vomitus look like?"

10. While inspecting the legs of a male patient, the nurse notices
that the skin is shiny and taut with little hair growth. Which
additional data would the nurse find to indicate that this patient
has peripheral arterial disease?
1. Pitting edema of one or both feet or legs
2. Increased circumference in the thighs bilaterally
3. Pale, cool legs with diminished-to-absent dorsalis pedis pulses
4. Pain when legs are dependent that is relieved when legs are
elevated correct answers 3. Pale, cool legs with diminished-to-
absent dorsalis pedis pulses

10. With the patient in a supine position, how does a nurse
assess the external rotation of the patient's right hip?

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