A nurse is collecting data from a patient who has dehydration. Which findings should the nurse expect?

Bradycardia

Bounding radial pulse

Urine output of 20mL/hr

Cool skin

Answer and Explanation

The Correct Answer is D

A. Percussion – Percussion involves tapping the body to assess underlying structures, not feeling for texture or consistency.

B. Auscultation – Auscultation is listening to body sounds (e.g., heart, lungs, and bowels) using a stethoscope, not feeling structures.

C. Inspection – Inspection is visual observation, not a tactile assessment.

D. Palpation – Palpation involves using the hands to assess the texture, size, consistency, and location of body structures, such as organs or lymph nodes.

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Correct Answer is D

Explanation

A. Chronic. – Chronic diseases are long-lasting and persistent, often requiring ongoing management, but they do not necessarily involve remission.

B. Acute. – Acute diseases have a sudden onset and typically resolve quickly, whereas remission refers to a temporary or permanent absence of disease symptoms.

C. Functional. – Functional diseases involve impaired body function without structural abnormalities, but this term does not describe the disappearance of symptoms.

D. Remission. – Remission occurs when a disease's signs and symptoms temporarily or permanently disappear, as seen in conditions like cancer or autoimmune disorders.

A. opening of the AV valves B. closing of the semilunar valves C. closing of the AV valves D. opening of the semilunar valves

Correct Answer is C

Explanation

A. Opening of the AV valves – The AV (atrioventricular) valves open silently during diastole; they do not create the "lub" sound.

B. Closing of the semilunar valves – The closing of the semilunar valves (aortic and pulmonary) produces the "dupp" sound, not the "lub."

C. Closing of the AV valves – The first heart sound (S1), or "lub," occurs when the mitral and tricuspid (AV) valves close at the beginning of systole.

D. Opening of the semilunar valves – The semilunar valves open silently during ventricular contraction; they do not produce the "lub" sound.

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A nurse is collecting data from a patient who has dehydration. Which findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The term used to describe a disease where there has been a partial or complete disappearance of clinical and subjective characteristics of the disease is:

Correct Answer is D

Explanation

Auscultation of the heart sounds will result in a lubb-dupp sound when using the bell and the diaphragm of the stethoscope. The lub part of the sound is caused by the:

Correct Answer is C

Explanation

An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is called:

When a disease results in a structural change in an organ that interferes with its functioning, this is a/an:

The protective response of body tissues to irritation, injury or pathogens is:

The most frequently used skill in the physical nursing assessment is:

An abnormally rapid heart rate above 100 beats per minute is called:

When the color of the sclera is yellow due to bilirubin that infiltrates all tissues of the body it is called:

Listening for bowel sounds is done over all four quadrants of the abdomen using the diaphragm of the stethoscope. The normal rate of bowel sounds per minute is:

When performing the nursing physical assessment, the nurse uses head-to-toe organization. When using this method, the nurse begins with a: