When performing a thorough physical assessment on a patient, the licensed practical nurse (LPN) begins collecting primary data. An example of primary data is that
The patient's daughter appears anxious about the patient's hospitalization.
The patient reports a history of chronic obstructive pulmonary disease.
The patient's spouse reports the patient has difficulty sleeping.
The patient's caregiver complains of feeling overwhelmed.
The Correct Answer is B
A: The daughter's anxiety is secondary information and not directly related to the patient's health status.
B: The patient's self-reported medical history is primary data as it comes directly from the patient and provides essential information for the assessment.
C: The spouse's report of the patient's difficulty sleeping is secondary information and not directly observed or reported by the patient.
D: The caregiver's complaint is secondary information and does not provide direct insight into the patient's health status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: Anisocoria refers to a condition where the pupils are of unequal sizes, which is not related to focusing ability.
B: Accommodation response involves the ability of the eye to change focus from distant to near objects, demonstrating the flexibility of the lens which is exactly what the instruction aims to test.
C: Direct pupil response relates to pupil constriction in response to light, not changes in focal distance.
D: Consensual reflex also refers to the reaction of both pupils to light and would not be assessed through changes in focal distance.
Correct Answer is B
Explanation
A: Hypoglycemia does not directly correlate with a lower heart rate.
B: A heart rate of 56/min may indicate bradycardia, which can lead to symptoms like dizziness due to decreased cardiac output and subsequently reduced cerebral perfusion.
C: A fever would typically increase the heart rate, not decrease it.
D: Cigarette smoking is more commonly associated with an increased heart rate due to stimulants like nicotine.
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