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 D
Explanation
A. 2-20 – This range is too low to be considered normal.
B. 4-32 – This range is broader than the commonly accepted normal range.
C. 2-10 – This range is too low and may indicate hypomotility.
D. 5-30 – The normal rate of bowel sounds is typically 5 to 30 sounds per minute, with variations depending on individual digestion and activity.
Correct Answer is D
Explanation
A. Infection. – Infection refers to the invasion of body tissues by microorganisms, while inflammation is the body’s response to injury or infection.
B. Ecchymosis. – Ecchymosis refers to bruising caused by blood leakage under the skin, not a protective response.
C. Erythema. – Erythema is redness of the skin due to increased blood flow, which is a symptom of inflammation but not the process itself.
D. Inflammation. – Inflammation is the body’s protective response to injury, infection, or irritation. It involves increased blood flow, immune cell activation, and chemical mediators to promote healing.
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