Fluid, cells or other substances that have been slowly discharged from body cells or blood vessels, through small pores or breaks in the cell membrane are called:

exudate

pus

drainage

Discharge

Answer and Explanation

The Correct Answer is A

A. Exudate – Exudate is fluid rich in proteins and cells that escapes from blood vessels due to inflammation or injury.

B. Pus – Pus is a thick, yellowish-white exudate containing dead cells and bacteria, specifically associated with infection.

C. Drainage – Drainage is a general term for any fluid leaving the body, including exudate, blood, or serous fluid.

D. Discharge – Discharge is a broader term referring to any material exiting the body, including normal secretions and infectious material.

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Correct Answer is A

Explanation

A. Prevent distortion of bowel sounds. – Palpation can stimulate peristalsis and alter bowel sounds, leading to inaccurate assessment findings.

B. Prevent distortion of vascular sounds. – While palpation might affect vascular sounds slightly, this is not the primary concern when assessing the abdomen.

C. Determine any areas of tenderness or pain. – While assessing for tenderness is important, auscultation precedes palpation primarily to avoid altering bowel sounds.

D. Allow the patient to relax and be comfortable. – While relaxation is beneficial, the sequence of assessment is based on maintaining accuracy in findings rather than patient comfort.

A. opening of the AV valves B. closing of the semilunar valves C. closing of the AV valves D. opening of the semilunar valves

Correct Answer is C

Explanation

A. Opening of the AV valves – The AV (atrioventricular) valves open silently during diastole; they do not create the "lub" sound.

B. Closing of the semilunar valves – The closing of the semilunar valves (aortic and pulmonary) produces the "dupp" sound, not the "lub."

C. Closing of the AV valves – The first heart sound (S1), or "lub," occurs when the mitral and tricuspid (AV) valves close at the beginning of systole.

D. Opening of the semilunar valves – The semilunar valves open silently during ventricular contraction; they do not produce the "lub" sound.

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Fluid, cells or other substances that have been slowly discharged from body cells or blood vessels, through small pores or breaks in the cell membrane are called:

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Naxlex Comprehensive Predictor Exams

The main reason that auscultation precedes palpation of the abdomen is to:

Correct Answer is A

Explanation

Auscultation of the heart sounds will result in a lubb-dupp sound when using the bell and the diaphragm of the stethoscope. The lub part of the sound is caused by the:

Correct Answer is C

Explanation

The nurse is meeting a patient for the first time. The initial step in initiating a nurse-patient relationship is for the nurse to:

The patient has been found to have edema of the lower extremities. The nurse is assessing whether or not it is pitting and to what degree. After pressing the skin against a bony prominence for 5 seconds, the nurse identifies 4+ pitting edema because the rebound time is:

Free flow or withdrawal of fluids from a wound or a cavity is termed:

You answer Ms. B's call light just after lunch. She complains of severe abdominal pain. What type of assessment should you perform?

While conducting an assessment of the patient, the nurse recognizes that after verifying biographical data, the initial step is:

The patient was admitted with a complaint of abdominal pain. Later the nurse observed the patient demonstrating dyspnea. This change in condition required an assessment called:

When performing the nursing physical assessment, the nurse uses head-to-toe organization. When using this method, the nurse begins with a:

The nurse uses a systematic method for collecting data on all body systems including normal functioning and any noted changes. This system is: