Review, NSG 1135 Exam 4 With complete
solution Updated
A complete database ____________ - Correct Answers a complete health history and a full
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physical examination; it describes the current and past health state and forms a baseline against
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which all future changes can be measured
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II! An emergency database ____________ - Correct Answers rapid collection of data often
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II! obtained concurrently with lifesaving measures II! II! II! II!
II! A focused database _______________ - Correct Answers a limited or short-term problem; this
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II! database concerns mainly one problem, one cue complex, or one body system
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First-level priority problems are _________ - Correct Answers problems that are emergent, life-
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threatening, and immediate II! II!
II! Second-level priority problems are _________ - Correct Answers problems that require prompt II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! intervention to forestall further deterioration II! II! II! II!
II! Third-level priority problems are ____________ - Correct Answers problems that are
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II! important to the patient's health but can be addressed after more urgent health problems are
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II! addressed
II! What is systolic pressure? - Correct Answers the maximum pressure felt on the artery wall
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II! during the contraction of the left ventricle
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II! What is diastolic pressure? - Correct Answers the elastic recoil, or resting, pressure that the
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II! blood exerts constantly on the vessel wall between each contraction of the left ventricle
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,II! What is the pulse pressure? - Correct Answers the difference between the systolic and diastolic
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II! pressures, and reflects the stroke volume II! II! II! II! II!
II! What factors control blood pressure? - Correct Answers cardiac output, vascular resistance,
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II! volume, viscosity, elasticity of arterial walls
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II! What is the normal range for a patient's temperature measured using an oral thermometer? -
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II! Correct Answers 35.8 C to 37.3 C II! II! II! II! II! II! II! II! II! II!
II! What is the doppler technique? - Correct Answers amplifies Korotkoff sounds during blood
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II! pressure measurement II!
II! The tympanic membrane thermometer (TMT) _______________ - Correct Answers provides
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II! an accurate measurement of core body temperature
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II! An adult patient's pulse is 46 beats per minute. The term used to describe this rate is
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II! _____________ - Correct Answers bradycardia II! II! II! II! II! II! II! II! II!
II! Which technique would the nurse use to noninvasively assess arterial oxygen saturation? -
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II! Correct Answers Pulse oximeter II! II! II! II! II! II! II!
II! What is the most reliable indicator for chronic pain? - Correct Answers Patient self-report
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II! What occurs during transduction (the first phase of nociceptive pain)? - Correct Answers Pain
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II! signals move from the site of origin to the spinal cord.
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II! What type of pain is short and self-limiting and dissipates after the injury heals? - Correct
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II! Answers acute II! II! II! II! II!
, II! What is the source of deep somatic pain? - Correct Answers Bones and joints
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II! Aphasia is best described as ________________ - Correct Answers a language disturbance in
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II! speaking, writing, or understanding II! II! II!
II! A major characteristic of dementia is ________ - Correct Answers impaired short-term and
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II! long-term memory II!
II! Although a full mental status examination may not be required for every patient, the health care
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II! provider must address the four main components during a health history and physical
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II! examination. The four components are ______________ - Correct Answers appearance, II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! behavior, cognition, and thought processes II! II! II! II!
II! What is the mental status examination? - Correct Answers assesses mental health strengths
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II! and coping skills and screens for any dysfunction
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II! The dorsa of the hands are used to determine ____________________ - Correct Answers
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II! temperature
II! When performing percussion, the examiner_________________ - Correct Answers strikes the
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II! stationary finger at the distal interphalangeal joint II! II! II! II! II! II!
II! Deep palpation is used to ________________ - Correct Answers identify abdominal contents
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II! Amplitude is ______________ - Correct Answers the intensity (soft or loud) of sound
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II! Fine tactile discrimination is best achieved with the _______________ - Correct Answers
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II! fingertips