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Chapter 03: Health History and Physical Examination Lewis et al.: Medical-Surical !ursin in Canada" 3rd Edition M#L$%PLE CH&%CE
1. A man is admitted to the hospital with difficulty breathing. What is the best approach to
obtain a health history? a. Obtain subjective data about the patient from his family members. b. Delay any subjective data collection, and focus only on his physical eamination. c. !chedule several short sessions with the patient to gather necessary subjective data. d. "se the physician#s medical history as the primary source of subjective data. A$!% &
'n an emergency situation, the nurse may need to as( only the most pertinent )uestions for a specific problem and obtain more information later. A comp lete health history will include subjective information that is not available in the health care provider#s medical history. *+!% 1 O23% 0
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7. When the nurse is gathering information of a personal nature, which best demonstrates an
acceptance of the patient#s behaviour? a. 8+ell me, do you drin( alcohol li(e ' do?9 b. 84any drugs used for hypertension cause seual dysfunction. 5ow is your seual functioning?9 c. 84ost of my friends have been divorced. Would you li(e to tell me about the problems with your divorce?9 d. 84any older people have limited financial resources for food and medications. 's this a concern for you?9 A$!% D
When as(ing personal or potentially sensitive )uestions, prefacing the )uestion with phrases such as 8many people9 indicates that the patient#s situation is normal. +herefore, the best response is the one in which the nurse as(s whether the patient actually has the problem of limited resources but does not imply any judgments about the patient in this regard. *+!% 1 O23% 7
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:. A patient is admitted to the orthopedic unit with a fractured right elbow following a s(iing
accident. During the initial nursing assessment, assess ment, what information is related to the functional health pattern regarding the patient#s fractured elbow and the treatment he has received? a. Activity
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'n a hospitali=ed patient, the health perception
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0. Which of the following findings is a positive po sitive sign in relation to a patient p atient with an enlarged
liver? a. 2lood pressure of 17>@> mm 5g b. *ulse of >7 beats per minute c. ellow6tinged sclera d. *ainful and swollen great right toe A$!% &
A positive finding is one that indicates that the patient has or had the particular problem or sign under discussion. 'n this eample, yellow6tinged sclera in a patient with an enlarged liver would indicate jaundice and be a positive sign. *+!% 1 O23% 1
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B. A patient reports that she has periodic fainting spells. 'n gathering more spe cific information,
the nurse as(s where these episodes most commonly occur. 'n what area is the nurse pursuing symptom investigation? a. !etting b. re)uency c. &hronology d. Associated manifestations A$!% A
'nformation about the setting is obtained by as(ing where the patient was and what the patient was doing when the symptom occurred. *+!% 1 O23% 0
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C. +he nurse records the following general survey of a patient% 8+he patient is a C>6year6old male
Asian attended by his wife and two daughters. Alert and oriented. Does not ma(e eye contact with the nurse and responds slowly, but appropriately, to )uestions. $o apparent disabilities or distinguishing features.9 What additional information should be added to this general survey? a. 2ody movements b. 'nta(e and output c. easons for contact with the health care system d. &omments of family members about his condition A$!% A
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@. ollowing (nee surgery, the patient has an elastic bandage applied to the surgical site. What
eamination techni)ue is used to assess the patient#s distal etremity pulses and temperature? a. *alpation b. 'nspection c. *ercussion d. Auscultation A$!% A
Distal etremity pulses and temperature can be assessed only by palpation. *+!% 1 O23% :
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>. What does a negative finding obtained ob tained from the patient during the initial n ursing history
indicate? a. +he patient is healthy. b. +he symptom related to the specific health problem presented is delayed. c. +he patient uses health promotion practices. d. A symptom normally associated with the patient#s health problem is absent. A$!% D
A negative finding is the absence of a sign or symptom that is usually associated with a problem, for eample, if a patient with advanced liver disease has no peripheral edema. *+!% 1 O23% 1
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;. As the nurse assesses the patient#s nec(, the patient tells the nurse that it is so stiff she can
hardly move it. +he nurse should net perform anE FFFFF eamination. a. emergency b. screening c. focused d. etensive A$!% &
+he focused eamination is needed when a patient has clinical manifestations that indicate a problem. *+!% 1 O23% 0
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1. When assessing using mediated percussion, which finger of which hand will the nurse use on
the patient#s body? a. 4iddle finger of dominant hand b. 'nde finger of dominant hand
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When performing mediated indirectE percussion, the e aminer uses the middle finger of the nondominant hand against the patient#s body for percussion. *+!% 1 O23% :
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11. Which functional health pattern is the nurse assessing when as(ing a patient how his or her
family feels about the patient being hospitali=ed? a. &ognitive
+he nurse is assessing the functional health pattern of role
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17. Which part of the stethoscope is best to use when the nurse is listening to low6pitched sounds? a. 2ell b. +ube c. Diaphragm d. +he largest area for auscultation A$!% A
+he bell of the stethoscope is best to listen to low6pitched sounds. +he diaphragm or largest partE is best used when assessing for high6pitched sounds. *+!% 1 O23% :
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1:. While the nurse is ta(ing a health history, the patient indicates that his father and grandfather
both had heart attac(s and were unable to be very active afterward. Which functional health pattern is reflected in this statement? a. 5ealth perception
+he information in the patient statement relates to ris( factors that may cause cardiovascular problems in the future. 'dentification of ris( factors falls into the health perception
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Medical Surgical Nursing in Canada 3rd Edition Lewis Test Bank Full Download: https://testb https://testbankreal.com/down ankreal.com/download/medical-su load/medical-surgical-nursing-in-ca rgical-nursing-in-canada-3rd-edition nada-3rd-edition-lewis-test-bank/ -lewis-test-bank/ c. Auscultation d. *ercussion A$!% 2
+he use of light, moderate, and deep palpation can yield information related to masses, pulsations, organ enlargement, tenderness or pain, swelling, muscular spasm or rigidity, elasticity, vibration of voice sounds, crepitus, moisture, and differences in teture. *+!% 1 O23% :
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