The nurse uses a systematic method for collecting data on all body systems including normal functioning and any noted changes. This system is:
nursing assessment
nursing interview
health history
review of systems
The Correct Answer is D
A. Nursing assessment – A nursing assessment is the broader process of gathering patient information, including subjective and objective data, but does not specifically refer to a body system review.
B. Nursing interview – A nursing interview is a method used to gather subjective data from the patient, but it does not systematically review all body systems.
C. Health history – A health history includes past medical conditions, surgeries, and family history but does not systematically assess all body systems.
D. Review of systems – The review of systems (ROS) is a structured approach where the nurse systematically collects data about normal function and any changes in each body system.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. After palpating the abdomen – Palpation may alter bowel sounds by stimulating peristalsis, leading to inaccurate findings.
B. After checking for kidney tenderness – Checking for kidney tenderness (costovertebral angle tenderness) is unrelated to bowel auscultation and should not precede it.
C. Before percussing the abdomen – Auscultation should be done before percussion and palpation to avoid artificially stimulating bowel sounds.
D. Before inspecting the abdomen – Inspection should always come before auscultation to visually assess the abdomen for distension, symmetry, and discoloration before listening.
Correct Answer is D
Explanation
A. Edema – Edema is the accumulation of fluid in tissues, not the flow or withdrawal of fluids.
B. Exudate –Exudate is a fluid that escapes from blood vessels due to inflammation or injury, but it does not specifically refer to the free flow of fluid.
C. Purulent – Purulent refers to thick, pus-containing fluid, which indicates infection but does not describe fluid drainage in general.
D. Drainage – Drainage refers to the free flow or withdrawal of fluids from a wound, cavity, or tube, including blood, pus, or serous fluid.
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