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NSG 3133 Physical Assessment Exam 1 Questions and Answers, Exams of Physiology

South CollegePhysiology

A comprehensive set of questions and answers related to physical assessment, covering key concepts such as health history, physical examination, nursing process, plan of care, and assessment techniques. It includes detailed explanations of subjective and objective data, various types of health assessments, and strategies for improving interview skills. Valuable for students studying nursing or healthcare, offering a structured approach to understanding physical assessment principles.

Typology: Exams

2024/2025

Available from 11/09/2024

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NSG 3133 PHYSICAL ASSESSMENT
EXAM 1 QUESTIONS AND VERIFIED
ANSWERS
Health history is a compilation of subjective data that offers information about
the patient's current health status.
A physical examination is a gathering of objective data utilizing a variety of
procedures.
Nursing Process - ANSWER 1: Assessment
2. diagnosis.
3- Planning
4- Implementation.
5- Evaluation.
Plan of Care - ANSWER 1: Gather health history.
2- Perform a physical examination.
3. Document data.
4- evaluate and understand data.
5- Develop therapy.
ANSWER: objective data observed, felt, heard, or measured.
Symptoms - Answer subjective data perceived and reported by the customer
assessment - ANSWER when the nurse collects relevant data and information
regarding the health care consumer's health
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Download NSG 3133 Physical Assessment Exam 1 Questions and Answers and more Exams Physiology in PDF only on Docsity!

NSG 3133 PHYSICAL ASSESSMENT

EXAM 1 QUESTIONS AND VERIFIED

ANSWERS

Health history is a compilation of subjective data that offers information about the patient's current health status. A physical examination is a gathering of objective data utilizing a variety of procedures. Nursing Process - ANSWER 1: Assessment

  1. diagnosis. 3 - Planning 4 - Implementation. 5 - Evaluation. Plan of Care - ANSWER 1: Gather health history. 2 - Perform a physical examination.
  2. Document data. 4 - evaluate and understand data. 5 - Develop therapy. ANSWER: objective data observed, felt, heard, or measured. Symptoms - Answer subjective data perceived and reported by the customer assessment - ANSWER when the nurse collects relevant data and information regarding the health care consumer's health

ANSWER when the nurse analyzes the assessment data to evaluate actual or prospective diagnoses, problems, or issues. ANSWER when the nurse produces a plan that prescribes tactics to achieve predicted, measurable goals. implementation - ANSWER when the nurse carries out the defined plan and organizes care delivery. Evaluation - ANSWER when the nurse assesses progress toward achieving goals and results. Establish a baseline. ANSWER: Why is data documentation important? thorough - ANSWER health assessment that includes a detailed history and physical examination at the start of care.

  • Health Promotion
  • Disease Prevention
  • evaluate for problems related with identified risk factors. Problem-based ANSWER health evaluation limited to a single problem or concern.
  • Typically utilized in walk-in clinics or emergencies. episodic - ANSWER health exam following up on previously recognized problems.
  • an ongoing state.
  • Regular clinic appointments. shift - ANSWER health assessment done each shift by the nurse to identify changes from baseline. screening - ANSWER health evaluation centered on disease detection
  • health fair or physician's office main - ANSWER health promotion reducing illness development by supporting a healthy lifestyle.

Duration - ANSWER: How long do symptoms last? OLDCARTS Characteristics - A description of symptoms. OLDCARTS Aggravating factors - ANSWER: What worsens symptoms? OLDCARTS Related: ANSWER: Are there any other symptoms present? OLDCARTS Treatment - ANSWER: What variables reduce symptoms? OLDCARTS ANSWER define the severity of symptoms. OLDCARTS psychological status - Respond to a range of issues, including:

  • Personal Status
  • Mental Health
  • Personal Habits
  • Family and social relationships
  • Diet and Nutrition Functional ability
  • Health Promotion Activities
  • The environment ANSWER history focuses on the client's current acute and chronic diseases, drugs, and allergies. prior health - ANSWER history emphasizing on childhood sickness, surgeries/hospitalizations, vaccines, previous exams, and obstetric history three - ANSWER: When obtaining family history, go back ___ generations...
  • include ages or age of death Include any ailments or causes of death.
  • biological parents, aunts, uncles, siblings, children, and spouse. Active listening - ANSWER is a technique for improving data collecting that focuses on patient replies and characteristics.

Facilitation is a technique for improving data collection by utilizing verbal and nonverbal expressions to encourage patients to continue talking

  • "go on"
  • "then?"
  • "uh-huh"
  • head nodding, moving forward in the seat clarification - ANSWER, a way to improve data collection by gathering additional information
  • "what do you mean by that?" Restatement - ANSWER a strategy to improve data collecting by repeating what the patient says in various words to corroborate interpretation. You stated this... Is this correct? Reflection is a strategy that improves data collecting by repeating what the customer stated and encouraging elaboration or more information. Confrontation - ANSWER an approach to boost data gathering when inconsistencies are observed between patient reports and nursing observations.
  • Use tone of voice to suggest confusion or potential misunderstanding. interpretation - ANSWER an approach for improving data collecting by sharing conclusions made from data
  • Client can confirm, deny, or revise. summary - ANSWER a way to improve data collecting by compressing and organizing data to clear the sequence of events for customer
  • useful for clients that ramble or provide info that is not consecutive. Interview - ANSWER three stages of a _______:
  • Introduction
  • Discussion
  • Summary. Introduction - ANSWER portion of interview involves first impression, effectively addressing client, and preparing client for what to expect
  • purpose and time frame

Deep palpation: ANSWER pushing down to a depth of 4 cm with one or two hands.

  • used to determine the size and shape of an organ. Palmar - The surface of fingers and finger pads that are more sensitive than fingertips.
  • easier to determine position, texture, size, consistency, masses, fluid, and crepitus. The ulnar surface of the hand, from the fifth finger, is the most sensitive to vibration. ANSWER: The dorsal surface of the hand is superior for evaluating skin temperature. Bimanual - a technique used to entrap an organ or mass between fingertips to measure size and shape. percussion is a technique used to evaluate the size, boundaries, and consistency of internal organs, as well as detect pain or fluid in a bodily cavity. The direct-answer style of percussion involves striking a finger or hand against the patient's body.
  • frequently with one hand. indirect - ANSWER style of percussion utilizes both hands and is performed differently according on which body location Tapping - ANSWER ________ causes a vibration deep within the bodily tissue, followed by sound waves. tympanny - ANSWER A loud, high-pitched sound heard above the abdomen.
  • high pitch, drum-like. resonance - ANSWER a tone heard over normal lung tissue.
  • low pitch; hollow Hyperresonance is a tone perceived in overinflated lungs.
  • extremely loud, yet low pitch.
  • lengthy duration, booming ANSWER: a tone heard above the liver or in pregnancy (full bladder).
  • Medium intensity.
  • mid pitch, thud-like. Flatness - a tone heard across bones and muscle.
  • Soft intensity.
  • high-pitched, short Auscultation is a technique for listening to sounds within the body. Listen for intensity, pitch, length, and quality. When examining the heart, blood arteries, lungs, and intestines, the stethoscope cuts out extraneous sounds. directly - ANSWER the stethoscope must be placed ________ on skin since clothing obscure or change sounds. tympanic - Temperature acquired by inserting a probe into the ear.
  • affected by cerumen. temporal artery - Temperature recorded using infrared technology; high level of accuracy. axillary - ANSWER temperature is prevalent in newborns and youngsters; low level of accuracy Earpieces on a stethoscope might be firm or soft, but they should fit snugly and completely fill the ear canal. On a stethoscope, binaurals are metal tubes that connect the tubing to the earpieces. They allow the earpieces to be tilted toward the nose, projecting sound toward the tympanic membrane. The tubing of a stethoscope is no more than 12-18 inches (30-46 cm). Anything longer than 18 inches causes the sound mat to get distorted.
  • put over the joint. monofilament is a thin wire-like, flexible device attached to a handle that bends at 10g of pressure and is used to measure lower extremity sensation. ANSWER: What form of fungal infection has a bright yellow-green or blue- green color? Wood's lamp is a device used to detect fungal diseases of the skin or to detect corneal abrasions with fluorescent dye. Physical appearance - ANSWER: Does the patient appear healthy?
  • Are there any noticeable discoveries, like tremors or facial drooping?
  • Does it appear to be close to the claimed age? cleanliness - ANSWER - Note the color and condition of the skin.
  • Are there any variations or visible lesions?
  • Is the client clean and well-groomed, or unkempt (scruffy, messy)?
  • were any scents detected? ANSWER: Age-appropriate size and height.
  • nutritional status (well-nourished or obese).
  • bodily symmetry and position.
  • Is the client sitting up straight? How do I position my tripod? body movement - ANSWER: Can the client move all extremities?
  • usage of assistive gadgets.
  • Are there any limitations in range of motion?
  • Take note of any involuntary movements (tremors, tics). ANSWER: Observe alertness, facial expressions, and tone of voice.
  • Is the client maintaining eye contact?
  • Does the client converse appropriately?
  • Is the behavior appropriate? To calculate BMI, use the formula kg (w)/m^2 (h).

Healthy - ANSWER A client's BMI is between 18.5-24.9. This client is considered ______? overweight - ANSWER A client's BMI ranges from 25 to 29.9. This client is considered ______? Obese - the client's BMI is 30 or higher. Is this client considered ________? General inspection - ANSWER: Physical appearance

  • hygiene
  • Body structure and mobility.
  • emotional and mental state
  • Behavior The hypothalamus - which bodily structure regulates temperature? Korotkoff - ANSWER: The auscultation approach demands attentive listening for __________ sounds. Temperature - Which vital indicator rises throughout menstrual cycles at ovulation and remains elevated until menstruation stops due to progesterone secretion? 30 - ANSWER: A client should not eat or drink for at least ______ minutes before taking their oral temperature.
  • Delay by 10 minutes if they sublingual pocket - ANSWER: An oral temperature should be placed in the ________ ________ for 15-30 seconds. The place receives blood flow from the carotid artery. It indirectly reflects the core temperature. Which body structure is responsible for heat loss? The anterior hypothalamus. The posterior hypothalamus is important for heat production and conservation. 1 - 1.5 - ANSWER: To take a rectal temperature, the probe should be lubricated and put in the rectum _______ inches.

False high reading - ANSWER: arm below heart level.

  • The client's legs are crossed. The cuff is too tiny.
  • deflation is too sluggish.
  • not waiting 1-2 minutes before repeating the measurement. False low reading - ANSWER: Arm above heart level The cuff is too big.
  • not inflating the cuff sufficiently
  • deflating too quickly
  • pushing the stethoscope's diaphragm too tightly against the brachial artery ANSWER: The nurse must be motivated to become proficient in interacting with people from different cultures and backgrounds. ANSWER nurses begin a process of self-reflection about their own culture and reactions to patients from different backgrounds. cultural knowledge - ANSWER when nurses learn about beliefs, religions, values, traditions, and practices from other cultural backgrounds cultural skill - ANSWER the nurse's ability to collect and analyze appropriate culture data and provide a culturally oriented health assessment; modify communication style; develop relationships. ANSWER: Opportunities for nurses to interact with clients from culturally different backgrounds. Personal and psychological - ANSWER: Which cultural practices are important to you?
  • Which is your primary language?
  • Which name do you prefer?
  • Do you have any spiritual needs or worries regarding your health?
  • Are any foods taboo in your culture? 40% - ANSWER The optimal cuff width is ___ of the circumference of the limb to be utilized. Ex: cuff width = 7, circumference = 17.

WILL GIVE ACCURATE BP (17/x) = 6.8 (min. width)