13th Edition Bickley Test Bank latest
updated
Bates’ Guide To Physical Examination and History Taking
13th Edition Bickley Test Bank
CHAPTER 1 Foundations for C q q qq qq qq
linical Proficiency MULTIPLE
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CHOICE
When considering priority setting of problems, the nur
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se keeps in mind that second-
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level priority problems include which of these aspe cts?
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After completing an initial assessment of a patient, the
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nurse has charted that his respirations are eupneic and h is
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pulse is 58 beats per minute. These types of data woul d b
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e:
Objective.
.
Reflective.
.
Subjective.
.
Introspective.
.
ANS: A qq
Objective data are what the health professional observes b
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y inspecting, percussing, palpating, and auscultating during t
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he physical examination. Subjective data is what the pers o
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n says about him or herself during history
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,taking. The terms reflective and introspective are not u
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sed to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF:
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p. 2 qq
MSC: Client Needs: Safe and Effective Care Environment: M
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anagement of Care qq qq
A patient tells the nurse that he is very nervous, is n
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auseated, and feels hot. These types of data would be
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:
Objective.
.
Reflective.
.
Subjective.
.
Introspective.
.
ANS: C qq
Subjective data are what the person says about him or he r
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self during history taking. Objective data are what the he alt
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h professional observes by inspecting, percussing, pal pa
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ting, and qq
auscultating during the physical examination. The terms qq qq qq qq qq qq
reflective and introspective are not usedA q q A q q q q
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, Bates’ Guide To Physical Examination and History Taking 13th
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Edition Bickley Test Bank latest updated qq qq qq qq qq
to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF:
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p. 2 qq
MSC: Client Needs: Safe and Effective Care Environment: M
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anagement of Care qq qq
The patients record, laboratory studies, objective d ata,
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q and subjective data combine to form the:
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Data base. qq
.
Admitting data. qq
.
Financial statement. qq
.
Discharge summary. qq
.
ANS: A qq
Together with the patients record and laboratory studies, t
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he objective and subjective data form the data base. The ot
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her items are not part of the patients record, laboratory stu
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dies, or data. qq qq
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment:
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Management of Care qq qq
When listening to a patients breath sounds, the nurse i
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s unsure of a sound that is heard. The nurses next acti on
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should be to:
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, Bates’ Guide To Physical Examination and History Taking 13th
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Edition Bickley Test Bank latest updated qq qq qq qq qq
Immediately notify the patients physician. qq qq qq qq
.
Document the sound exactly as it was heard. qq qq qq qq qq qq qq
.
Validate the data by asking a coworker to listen to qq qq qq qq qq qq qq qq qq
.the breath sounds. qq qq
Assess again in 20 minutes to note whether the
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. sound is still present.
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ANS: C qq
When unsure of a sound heard while listening to a patients
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breath sounds, the nurse validates the data to ensure accur a
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cy. If the nurse has less experience in an area, then he or s he
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asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment: M
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anagement of Care qq qq
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