The patient was admitted with a complaint of abdominal pain. Later the nurse observed the patient demonstrating dyspnea. This change in condition required an assessment called:
systemic
specialized
individualized
Focused
The Correct Answer is D
A. Systemic – A systemic assessment is a head-to-toe examination that evaluates all body systems. The patient’s condition change requires a more targeted approach.
B. Specialized – A specialized assessment refers to an in-depth evaluation of a specific condition, usually performed by a specialist.
C. Individualized – While all assessments should be individualized, this term does not specifically describe the type of assessment needed in response to a sudden change in condition.
D. Focused – A focused assessment is performed when there is a specific change in the patient’s condition, such as new-onset dyspnea. It concentrates on the affected system (e.g., respiratory system) to determine the underlying cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bruit – A bruit is an abnormal swishing sound heard over an artery due to turbulent blood flow, often caused by atherosclerosis or narrowing of the vessel.
B. Crackle – Crackles are abnormal lung sounds caused by fluid in the alveoli, not vascular turbulence.
C. Thrill – A thrill is a palpable vibration over a blood vessel or heart valve, indicating turbulent blood flow but is felt rather than heard.
D. Wheeze – A wheeze is a high-pitched respiratory sound caused by narrowed airways, not vascular abnormalities.
Correct Answer is A
Explanation
A. Jaundice – Jaundice results from elevated bilirubin levels, commonly due to liver disease, hemolysis, or bile duct obstruction. The yellow discoloration is most noticeable in the sclera.
B. Erythema – Erythema refers to redness of the skin, often due to inflammation or increased blood flow.
C. Ecchymosis – Ecchymosis refers to bruising caused by blood leakage under the skin.
D. Fetid – Fetid refers to a foul odor, not a discoloration of tissues.
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