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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A: Tachypnea refers to rapid breathing, typically defined as a respiratory rate exceeding 20 breaths per minute.
B: Bradypnea is characterized by abnormally slow breathing, with a respiratory rate below the normal range.
C: Eupnea describes normal breathing, with a respiratory rate within the typical range for the patient's age and health status.
D: Apnea is the absence of breathing, not merely a decreased rate, and is considered a medical emergency.

A. Select a cuff that covers 50% of the client's upper arm. B. Place the blood pressure cuff 5 cm (2 in) above the client's antecubital space. C. Elevate the client's arm above the level of the heart. D. Align the artery indicator on the blood pressure cuff with the client's brachial artery.

Correct Answer is D

Explanation

A: The cuff should ideally cover about 80% of the circumference of the upper arm, not just 50%.

B: The cuff should be placed level with the client's heart, specifically aligned with the brachial artery for accurate measurement.
C: Elevating the arm above the level of the heart can lead to an inaccurately low reading.
D: Proper alignment with the brachial artery ensures that the sensor correctly detects the arterial pressure, crucial for accurate readings.

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Naxlex Comprehensive Predictor Exams

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