, PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 8TH EDITION JARVIS TEST BANK
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Test Bank - Physical Examination and Health Assessment 8e (by Jarvis)
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Chapter 01: Evidence-Based Assessment 3 3 3
MULTIPLE CHOICE 3
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and hi
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s pulse is 58 beats per minute. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A 3
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating duri
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ng the physical examination. Subjective data is what the person says about him or herself during historytaking
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. The terms reflective and introspective are not used to describe data.
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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2. A patient tells the nurse that he is very nervN
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3 , and feels hot. These types of data would be:
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a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C 3
Subjective data are what the person says about him or herself during history taking. Objective data are what the heal
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th professional observes by inspecting, percussing, palpating, and auscultating during the physical examination.
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The terms reflective and introspective are not used to describe data.
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MSC: Client Needs: Safe and Effective Care Environment: Management of Care
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4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next ac
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tion should be to:
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a. Immediately notify the patients physician. 3 3 3 3
b. Document the sound exactly as it was heard. 3 3 3 3 3 3 3
c. Validate the data by asking a coworker to listen to the breath sounds.
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d. Assess again in 20 minutes to note whether the sound is still present.
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NURSINGTB.COM
ANS: C 3
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure ac
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curacy. If the nurse has less experience in an area, then he or she asks an expert to listen.
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