A nurse is receiving a patient from the emergency room.
To assess whether a client is having symptoms of abdominal problems, which symptom would the nurse ask the patient? For each data collection, choose whether the assessment is essential or non-essential.
leg pain
indigestion
headache
pruritus of the skin
nausea
vomiting
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"},"F":{"answers":"A"}}
Indigestion: This is a common symptom related to abdominal issues, and the nurse should assess it.
Nausea: Often indicates gastrointestinal distress and is important to evaluate.
Vomiting: A critical symptom that can signify a range of abdominal problems and warrants further assessment.
Non-essential:
Leg pain: Not typically associated with abdominal problems, making it non-essential for this assessment.
Headache: While it can be related to many conditions, it is not directly tied to abdominal problems.
Pruritus of the skin: Generally unrelated to abdominal symptoms, making it non-essential for this specific assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bradypnea (slow breathing) may occur in various conditions but is not a defining characteristic of cyanosis.
B. A pale reddish color in the skin is not consistent with cyanosis, which indicates a lack of oxygen in the blood.
C. Somnolence (drowsiness) may be present in some patients, but it is not a specific finding related to cyanosis.
D. Mottled blue color in the skin is a classic sign of cyanosis, indicating inadequate oxygenation of the blood, especially in the extremities or areas with poor circulation.
Correct Answer is D
Explanation
A. A pustule is a small elevation of the skin that contains pus, typically smaller than 0.5 cm.
B. A macule is a flat, discolored area of skin that is less than 0.5 cm in diameter, so it does not fit the description of elevated lesions larger than 0.5 cm.
C. A papule is an elevated, solid lesion that is less than 0.5 cm in diameter; lesions larger than this would not be classified as papules.
D. A patch is defined as a flat, non-palpable lesion larger than 0.5 cm, and psoriasis can present as patches. Thus, the lesions described fit this classification.
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