The nurse is collecting data during an initial assessment. The patient tells the nurse, "i have a tremendous headache and my stomach is upset." These findings are called:
symptoms
signs
assessments
Observations
The Correct Answer is A
A. Symptoms – Symptoms are subjective findings reported by the patient, such as headache or nausea, which cannot be measured directly by the nurse.
B. Signs – Signs are objective findings that can be observed or measured, such as a fever or rash.
C. Assessments – An assessment is the process of gathering data but is not a specific term for patient-reported issues.
D. Observations – Observations refer to what the nurse sees or detects rather than what the patient reports.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Etiology – Etiology refers to the study of the causes or origins of disease, including risk factors and contributing conditions.
B. Focused assessment – A focused assessment is a nursing evaluation targeted toward a specific complaint or condition, not the study of disease causes.
C. Epidemiology – Epidemiology is the study of disease patterns and spread within populations, rather than individual causes.
D. Diagnostics – Diagnostics refers to tests and procedures used to identify diseases, not the study of their causes.
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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