Question

In: Nursing

1-Pupils should be black in color, equal in size, normally 3-7 mm in diameter and have...

1-Pupils should be black in color, equal in size, normally 3-7 mm in diameter and have smooth border.
-true
-false
2-cilyball whist In order to assess the client respiratory system especially if he or she is suspected to have extra fluid around or inside lungs, we ask the client to repeat such words as "blue moon" or "one, two, three'. The terminology used to describe this technique is
a. Respiratory auscultation.
b. Tactile fremitus.
C. Thoracentesis.
d. Respiratory excursion.
3-The presence of bluish colour in extremites denotes a chronic poor oxygen delivery to the peripheral tissues of the hands and feet.
-true
-false
4-During the nursing assessment, the data representing information concerning psychological history is.
A. How client and his family cope with disease and stress.
b.Educational level and financial status.
c. Promote, preventive, and restorative health practices.
d.Use of prescribed and over-the-counter medications.
5-When we take a focus history in abdominal assessment we should ask the patient about some medications affected on GIT especially Aspirin and steroid drugs, because it may cause which of the following.
a.GIT distension.
b. Pneumonia.
c. Gastric bleeding.
d. Hepatitis B.
6-The use of senses of sight, hearing and smell is the last technique of physical examination.
-true
-false
7-Electromyogram is a neurodiagnostic, graphic record of the electrical activity of muscle both at rest and during contraction, used to diagnose neuromusculoskeletal disorders.
-true
-false

Solutions

Expert Solution

Question 1.

- True

Pupil is a small hole found in the central part of the eye called as iris thorugh which the light passes into the retina.

Pupil is blsck in color as it absorbs all the light.

Size of the pupils varies in between 3 to 7 mm and size based in illumination and have smoothe border.

Question 2.  

b. Tactile fremitus

This is an low frequency vibration assessment to measure the amount of fluid, air and density of tissue in the lungs of patient by placing palms on the chest and asknig them to repeat words like Blue moon, one two three, ninty nine etc..

Question 3

-True

Cyanosis- Bluish discoluration of skin amd mucus membrane caused due to lack of oxygen supply. if it occurs in the peripheral tissues of the hands and feet. it is known as peripheral cyanosis.

Question 4

A. How client and his family cope with disease and stress.

All other option related to Socio-economic status, Personal care, history of medication and pattern of health care etc.

Question 5

c. Gastric bleeding.

Aspirin and steroid drug increases susceptibility of Gastro intestine mucosal erosion and bleeding.

Question 6

-True

Physical examination complrises of follwoing steps

a. Inspection

b. Palpation

c. Percussion

d. Auscultation

e. Neurological examination including senses of sight, hearing, touch, smell amd taste.

Question 7

- True

Eletromyogram is a test used to record electrical activity of muscle both at rest and during contraction.


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