The nurse uses a systematic method for collecting data on all body systems including normal functioning and any noted changes. This system is:

nursing assessment

nursing interview

health history

review of systems

Answer and Explanation

The Correct Answer is D

A. Nursing assessment – A nursing assessment is the broader process of gathering patient information, including subjective and objective data, but does not specifically refer to a body system review.

B. Nursing interview – A nursing interview is a method used to gather subjective data from the patient, but it does not systematically review all body systems.

C. Health history – A health history includes past medical conditions, surgeries, and family history but does not systematically assess all body systems.

D. Review of systems – The review of systems (ROS) is a structured approach where the nurse systematically collects data about normal function and any changes in each body system.

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Correct Answer is A

Explanation

A. Exudate – Exudate is fluid rich in proteins and cells that escapes from blood vessels due to inflammation or injury.

B. Pus – Pus is a thick, yellowish-white exudate containing dead cells and bacteria, specifically associated with infection.

C. Drainage – Drainage is a general term for any fluid leaving the body, including exudate, blood, or serous fluid.

D. Discharge – Discharge is a broader term referring to any material exiting the body, including normal secretions and infectious material.

A. peripheral pulses that can be assessed include brachial radial, ulnar femoral, popliteal, dorsalis pedis and posterior tibia B. assess the radial pulse rate by counting the pulsations for 60 seconds C. On a person with good cardiac function and distal perfusion, capillary refill should take less than 6 seconds D. the strength of the pulse can be measured using the following scale: 0, 1+, 2+ and 3+

Correct Answer is ["A"]

Explanation

A. Peripheral pulses that can be assessed include brachial, radial, ulnar, femoral, popliteal, dorsalis pedis, and posterior tibial. – These are key arterial pulse points used to assess circulation and vascular health.

B. Assess the radial pulse rate by counting the pulsations for 60 seconds. – Counting for a full minute provides the most accurate heart rate measurement, especially if irregularities are present.

C. On a person with good cardiac function and distal perfusion, capillary refill should take less than 6 seconds. – Normal capillary refill time (CRT) is ≤2 seconds. A refill time >2 seconds suggests poor perfusion.

D. The strength of the pulse can be measured using the following scale: 0, 1+, 2+, and 3+. –. The standard pulse grading scale ranges from 0 to 4+.

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The nurse uses a systematic method for collecting data on all body systems including normal functioning and any noted changes. This system is:

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Naxlex Comprehensive Predictor Exams

Fluid, cells or other substances that have been slowly discharged from body cells or blood vessels, through small pores or breaks in the cell membrane are called:

Correct Answer is A

Explanation

Which would be included in an assessment of the peripheral vascular system? (select all that apply)

Correct Answer is ["A"]

Explanation

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