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NUR 203 EXAM 1 With Complete Solution 100% Pass
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NUR 203 EXAM 1 With Complete Solution 100% PassThe nurse is performing a health assessment on client. Which of the following would be
most important for the nurse to do? - Answer Interpret the information about the client in
context
Data that nurses collect during a physical assessment vary depending on a patient's -
Answer acuity, health history, and current symptoms
Which of the following steps is most important according to a group of students who
have just been instructed on the steps of the nursing process by the instructor? Answer
Assessment- If the data collection is poor or incomplete, then improper nursing
decisions are derived which negatively impacts the other steps of the process.
A client is admitted to the health care facility with a family history of diabetes mellitus.
The nursing health assessment for this client should focus on collection of data in which
of these areas? Answer Physiologic, psychological, sociocultural, developmental, and
spiritual data
A 26-year-old male nurse is performing an assessment on a newly admitted 14-year-old
girl to the pediatric unit. The nurse realizes that an effective assessment framework that
also offers greater modesty to the client is the? head to toe
A nurse is performing a health assessment. How does the data gathered from the
patient will be utilized? as a basis for the nursing process
medical exam vs nursing assessment-Answer ME- treatment of disease process
NP- human response to the disease
The nurse is requested to assess a region of breached skin on an older adult client who
lives in a long-term care institution. The nurse notices an erosion of the skin erythema
, with a minor quantity of serosanguineous drainage above the sacrum. The lesion
appears blister-like. From which stage of pressure ulcer would the nurse believe this
finding is indicative of? ANS stage 2
Secondary Skin Lesion - develops from primary lesion or changes in primary lesion
ex. keloid
ABCDE's of melanoma - asymmetrical?
boarders irregular?
changes in color?
diameter >6mm
evolution
Which clinical manifestation should the nurse expect to find in a client with edema? -
Decreased skin mobility
During assessment, the nurse would expect which part of the body to indicate central
cyanosis in a client with a severe asthma attack? - Oral mucosa
Lichenification - Answer thickening and roughening of the skin and accentuated skin
markings
what accessory structures are in the dermis layer of skin? - Answer blood vessels,
nerves, sebaceous glands, lymphatic vessels, hair follicles, and sweat glands
Phases of pressure ulcers - Answer I: intact firm skin with redness
II: ulceration involving the dermis
III: full-thickness skin loss
IV: necrosis with damage to underlying muscle
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