Redness or inflammation of the skin or mucous membranes resulting from dilation and congestion of superficial capillaries is termed:

pruritus

erythema

Turgor

Exudate

Answer and Explanation

The Correct Answer is B

A. Pruritus. – Pruritus refers to itching, not redness or inflammation.

B. Erythema. – Erythema describes redness of the skin or mucous membranes due to capillary dilation, commonly seen in infections, sunburn, or allergic reactions.

C. Turgor. – Turgor refers to skin elasticity and is used to assess hydration status. It does not indicate redness or inflammation.

D. Exudate. – Exudate refers to fluid drainage from wounds or infections, not skin redness.

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Correct Answer is C

Explanation

A. Past health history. – Past health history focuses on previous medical conditions, surgeries, and treatments, not current lifestyle habits.

B. Environmental history. – Environmental history pertains to exposure to environmental factors such as occupational hazards or pollutants, not lifestyle habits.

C. Psychosocial history. – Psychosocial history includes information about the patient’s lifestyle, habits (e.g., smoking, alcohol use), social relationships, stress levels, and coping mechanisms.

D. Family history. – Family history focuses on genetic and hereditary diseases present in the patient’s family, not personal habits and lifestyle.

A. assess for level of consciousness and orientation B. check for pitting edema C. assess the skin D. listen to lung sounds

Correct Answer is A

Explanation

A. Assess for level of consciousness and orientation – Level of consciousness (LOC) and orientation are crucial in evaluating neurological status, overall health, and potential signs of deterioration. This assessment provides immediate information about the patient’s cognitive function and responsiveness.

B. Check for pitting edema – Assessing for pitting edema is important but is not the first priority unless the patient has signs of fluid overload or heart failure.

C. Assess the skin – Skin assessment is essential but should be performed after ensuring the patient's neurological stability.

D. Listen to lung sounds – While lung auscultation is an important part of the assessment, it follows after assessing consciousness and orientation.

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Redness or inflammation of the skin or mucous membranes resulting from dilation and congestion of superficial capillaries is termed:

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Naxlex Comprehensive Predictor Exams

During the nursing interview, several histories are taken. The history that involves data concerning habits and lifestyle patterns is called:

Correct Answer is C

Explanation

The nurse has been assigned to care for a 62 year-old man. After introducing herself to the patient and explaining that she will be performing a nursing assessment, what is the first area to be assessed after taking vital signs?

Correct Answer is A

Explanation

Although the signs and symptoms of both infection and inflammation include erythema, edema, and pain, the major difference is that inflammation:

As the assessment continues the nurse notes an abnormal swishing sound with auscultation of the carotid artery. The term for this sound is:

The technique used in physical examination where the examiner feels the texture, size, consistency and location of certain parts of the body with the hands s

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:

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:

The study of all factors involved in the development of the disease or the cause of the disease is termed:

Discoloration of an area of the skin or mucous membranes caused by extravasation of blood into subcutaneous tissue is termed:

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