Before completing the physical examination, the nurse determines that the client is awake, alert, and oriented. This information would be important for which part of the general survey?

Apparent state of health

Facial expression

Level of consciousness

Posture, gait, motor activity, and speech

Answer and Explanation

The Correct Answer is C

A. Apparent state of health: This generally reflects overall health rather than specific mental or cognitive status.

B. Facial expression: Facial expression provides insight into mood and emotional state but does not specifically assess consciousness or orientation.

C. Level of consciousness: Being awake, alert, and oriented is directly related to the level of consciousness, which is a key aspect of assessing cognitive and mental function.

D. Posture, gait, motor activity, and speech: These aspects are relevant for physical activity and motor skills, not specifically for consciousness or cognitive orientation.

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Correct Answer is C

Explanation

A. Subjective: Subjective data refers to information reported by the patient directly, which is not applicable in this case since the client cannot communicate.

B. Tertiary: This term is not commonly used in the context of data sources in health assessments.

C. Secondary: Secondary data is information provided by someone other than the patient, such as a family member or caregiver, which is applicable here since the daughter is providing the information.

D. Primary: Primary data is directly obtained from the patient, not from a secondary source like the daughter.

A. It filters harmful substances from the body. B. It drains capillary blood from the circulation. C. It produces protective antibodies. D. It manufactures T lymphocytes.

Correct Answer is A

Explanation

A. It filters harmful substances from the body: The lymphatic system plays a crucial role in filtering lymph fluid and removing harmful substances, such as pathogens and toxins, through lymph nodes.

B. It drains capillary blood from the circulation: The lymphatic system does not directly drain capillary blood; instead, it collects interstitial fluid and returns it to the bloodstream.

C. It produces protective antibodies: Antibodies are produced by B lymphocytes in the immune system, not directly by the lymphatic system itself.

D. It manufactures T lymphocytes: While the lymphatic system is involved in the maturation and function of T lymphocytes, their manufacture occurs in the bone marrow and thymus rather than the lymphatic system itself.

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Before completing the physical examination, the nurse determines that the client is awake, alert, and oriented. This information would be important for which part of the general survey?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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