1135 Review, 1135 Exam 2, 1135
Exam 3 Review, NSG 1135 Exam 4
with Complete Solutions
A complete database ____________ - ANSWER - a complete health history and a full
physical examination; it describes the current and past health state and forms a
baseline against which all future changes can be measured
An emergency database ____________ - ANSWER - rapid collection of data often
obtained concurrently with lifesaving measures
A focused database _______________ - ANSWER - a limited or short-term problem; this
database concerns mainly one problem, one cue complex, or one body system
First-level priority problems are _________ - ANSWER - problems that are emergent,
life-threatening, and immediate
Second-level priority problems are _________ - ANSWER - problems that require
prompt intervention to forestall further deterioration
Third-level priority problems are ____________ - ANSWER - problems that are
important to the patient's health but can be addressed after more urgent health
problems are addressed
What is systolic pressure? - ANSWER - the maximum pressure felt on the artery wall
during the contraction of the left ventricle
What is diastolic pressure? - ANSWER - the elastic recoil, or resting, pressure that
the blood exerts constantly on the vessel wall between each contraction of the left
ventricle
What is the pulse pressure? - ANSWER - the difference between the systolic and
diastolic pressures, and reflects the stroke volume
,Assessment of self-esteem and self-concept is part of the functional assessment.
Areas covered under self-esteem and self-concept include _____________ - ANSWER -
education, financial status, value-belief system
PQRSTU is a mnemonic that helps the clinician to remember to address
characteristics specific to _________________ - ANSWER - pain presentation
Structure and function of the skin - ANSWER - Largest organ system, guards the
body from environmental stresses (trauma, dirt, pathogens) and adapts it to other
environmental influences (heat,cold) and has 2 layers: outer epidermis and inner
dermis
What factors control blood pressure? - ANSWER - cardiac output, vascular
resistance, volume, viscosity, elasticity of arterial walls
What is the normal range for a patient's temperature measured using an oral
thermometer? - ANSWER - 35.8 C to 37.3 C
What is the doppler technique? - ANSWER - amplifies Korotkoff sounds during blood
pressure measurement
The tympanic membrane thermometer (TMT) _______________ - ANSWER - provides
an accurate measurement of core body temperature
An adult patient's pulse is 46 beats per minute. The term used to describe this rate
is _____________ - ANSWER - bradycardia
Which technique would the nurse use to noninvasively assess arterial oxygen
saturation? - ANSWER - Pulse oximeter
What is the most reliable indicator for chronic pain? - ANSWER - Patient self-report
, What occurs during transduction (the first phase of nociceptive pain)? - ANSWER -
Pain signals move from the site of origin to the spinal cord.
What type of pain is short and self-limiting and dissipates after the injury heals? -
ANSWER - acute
What is the source of deep somatic pain? - ANSWER - Bones and joints
Aphasia is best described as ________________ - ANSWER - a language disturbance in
speaking, writing, or understanding
A major characteristic of dementia is ________ - ANSWER - impaired short-term and
long-term memory
Although a full mental status examination may not be required for every patient,
the health care provider must address the four main components during a health
history and physical examination. The four components are ______________ -
ANSWER - appearance, behavior, cognition, and thought processes
What is the mental status examination? - ANSWER - assesses mental health
strengths and coping skills and screens for any dysfunction
The dorsa of the hands are used to determine ____________________ - ANSWER -
temperature
When performing percussion, the examiner_________________ - ANSWER - strikes the
stationary finger at the distal interphalangeal joint
Deep palpation is used to ________________ - ANSWER - identify abdominal contents
Amplitude is ______________ - ANSWER - the intensity (soft or loud) of sound
Fine tactile discrimination is best achieved with the _______________ - ANSWER -
fingertips
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