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Exam 1 304
Terms in this set (26)
To assess for early jaundice, you will assess:
sclera and hard palate
Checking for skin temperature is best accomplished by using:
the dorsal surface of the hands
Assessing a patient's skin turgor is done to assess which clinical finding?
You note a lesion during a skin assessment. Which is the best way to document this finding?
dark brown, raised lesion, with irregular border, on dorsum of right foot, 3 cm in size with no drainage
You examine the nail beds of a patient. Which finding indicates a normal angle?
You are assessing capillary refill. The room is warm. Which finding would be considered normal?
less than 1 second
Flattening of the angle between the nail and the base is:
described as clubbing
The "A" in the ABCDEF rule for skin cancer stands for:
A risk factor for melanoma is:
skin that freckles or burns before tanning
With older adults, how should the examiner proceed with the interview?
Consider the fatigue of the older person and break the interview into shorter segments.
When interviewing a patient who does not speak English, the examiner should?
use a qualified medical interpreter who is culturally literate
Which statement best describes interpretation as a communication technique?
Interpretation is based on the interviewer's inference from the data that have been presented
Which statement best reflects the magicoreligious causation of illness?
Belief in the struggle between good and evil is reflected in the regulation of health and illness
Which category is appropriate in a cultural assessment
Which factor is identified as priority influence on a patient's health status?
The first step to cultural competency by a nurse is to:
understand your own heritage and its basis in cultural values
Which culture would describe illness as hot and cold and imbalance?
The term culturally competent implies that the nurse:
Understands the cultural context of the patient situation
A patient says she is very nervous and nauseated, and she feels that she will vomit. This data would be what type of data?
You are reviewing assessment data of a 45-year-old male patient and note pain of eight on a scale of 10, labored breathing, and pale skin color on the electronic health record. This documentation is an example of:
Which would be included in the database for a new patient admission to a surgical unit?
All subjective and objective, and data gathered from a patient and the results of any laboratory or diagnostic studies completed
The concept of health and healing has evolved in recent years. Which is the best description of health?
Health depends on an interaction of mind, body, and spirit within the environment
During the assessment, which part of the hand is best for detecting vibration?
ulnar surface of the hand
The bell of the stethoscope is used:
For soft, low-pitched sounds
For a health assessment which assessments technique will you use first?
To assess a patient abdomen by palpation, how should the nurse proceed?
Start with light palpation to detect surface characteristics and to accustom the patient to being touched.
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