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, Bates’GuideToPhysicalExaminationandHistoryTaking r r r r r r r r r
13thEditionBickleyTestBank& Rationales Chapters1-
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27|CompleteGuideA+ r r r l#
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CHAPTER 1 Foundations for Clinical Proficiency r r r r r l#
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1.
l# After completing an initial assessment of a patient, the nurse has ch art
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ed that his respirations are eupneic and his pulse is 58 beats per mi nute.
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T hese types of data would be:
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a. Objective. l#
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b. Reflective. l#
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c. Subjective. l#
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d. Introspective. ANS: ✔- ANS: A rr l# r l# r r
l# Objective data are what the health professional observes by inspectin r r r r r r r r r r
g, p ercussing, palpating,
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l# and auscultating during the physical examination. Subjective data is w
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r hat the person says about
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l# him or herself during history taking. The terms reflective and introspe
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c tiv e are not used to
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describe data. r l#
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2.
l# A patient tells the nurse that he is very nervous, is nauseated, and fe els h
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ot. These types of
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data would be: r r l#
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a. Objective. l#
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b. Reflective. l#
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c. Subjective. l#
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d. Introspective. l# ANS: ✔- ANS: C r l# r r l#
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Subjective data are what the person says about him or herself during h ist
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o ry taking. Objective
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data are what the health professional observes by inspecting, percussi n
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g, palpating, and
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auscultating during the physical examination. The terms reflective and i
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nt rospective are not used
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to describe data.
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3.
l# The patients record, laboratory studies, objective data, and subjecti ve
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data combine to form
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the: l#
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, a. Data base. r l#
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b. Admitting data. r l#
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c. Financial statement. r l#
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d. Discharge summary. r l# ANS: ✔- ANS: A r l# r r l#
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Together with the patients record and laboratory studies, the objectiv e a
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l# nd subjective data form
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l# the data base. The other items are not part of the patients record, labo ra
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to ry studies, or data.
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4.
l# When listening to a patients breath sounds, the nurse is unsure of a sou
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l# nd that is heard. The
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nurses next action should be to: r r r r r l#
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a. Immediately notify the patients physician. r r r r l#
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b. Document the sound exactly as it was heard. r r r r r r r l#
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c. Validate the data by asking a coworker to listen to the breath sounds
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d. Assess again in 20 minutes to note whether the sound is still present
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. ANS: ✔- ANS: C
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When unsure of a sound heard while listening to a patients breath sou nd
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s, the nurse validates the
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