Exam (elaborations)
Week 1 - Advanced Physical Assessment.
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Week 1 - Advanced Physical Assessment.
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Week 1 - Advanced Physical AssessmentWhich of the following data should be included under the general statement with the
physical examination findings? (Select All That Apply)
A. Heart sounds
B. Level of distress
C. Height
D. Chief complaint - ANS-Ans: Level of distress; height.
Observe the patient's general state of health, build, and sexual development. Obtain the
patient's height and weight. Note posture, motor activity, and gait; dress, grooming, and
personal hygiene; and any odors of the body or breath. Watch the patient's facial
expressions and note manner, demeanor, affect, and reactions to people and the
environment. Listen to the patient's speech and note the state of awareness or level of
consciousness (p. 126).
According to the lesson, subjective data is detectable by an observer and can be tested
against an acceptable standard?
True or False - ANS-Ans: False
Subjective data is apparent only to person affected; includes client's perceptions,
feelings, thoughts, and expectations. It cannot be directly observed and can be
discovered only asking questions. Objective data is detectable by an observer or can be
tested against an acceptable standard and includes observation of client behavior,
medical records, lab and diagnostic tests, data collected by physical exam.
According to the lesson, part of applying the diagnostic reasoning process requires that
data be prioritized based on the urgency of the signs or symptoms. Of the following
presenting complaints, which is the highest priority?
A. Extreme thirst
B. Acute onset of blurry vision
C. Shortness of breath
D. Fever of 102 degrees F - ANS-Ans: Shortness of breath
Part of applying the diagnostic reasoning process requires that data be prioritized based
on the urgency of the signs or symptoms. For example, immediate priority must be
given to signs or symptoms that reflect life-threatening issues, while other signs and
symptoms might be assigned a secondary priority even though they are urgent until the
emergent issues are addressed. The lowest level priority issues are those that don't risk
life and don't have a high likelihood of escalating in severity.
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