jarvis physical examination and health assessment 9th edition test bank -Nurselytic

Correct Answer: B

Rationale: The correct answer is B: Respiratory failure. Patients with COPD have impaired lung function, making them at risk for respiratory failure due to inadequate oxygenation. This can occur due to exacerbation of COPD, infections, or other factors. Monitoring for signs of respiratory distress is crucial.

A: Pneumonia - While patients with COPD are at higher risk for pneumonia due to impaired lung function, respiratory failure is a more immediate and critical complication to monitor for in this scenario.

C: Hypoglycemia - COPD does not directly increase the risk of hypoglycemia, so monitoring for this complication is not a priority in this case.

D: Hypertension - Although some patients with COPD may have hypertension, it is not a common complication directly related to COPD. Monitoring for respiratory failure is more essential in this situation.

Correct Answer: A

Rationale:
Correct
Answer: A


Rationale:
1. Regular blood glucose monitoring helps in understanding patterns and making informed decisions.
2. Adjusting insulin based on blood glucose levels is crucial for effective diabetes management.
3. This statement shows the patient's understanding of the need for personalized insulin adjustments.
4. It promotes self-management and proactive approach to blood sugar control.

Summary:
B: Stopping insulin abruptly can lead to dangerous complications.
C: Skipping meals can disrupt blood sugar levels and is not recommended.
D: Waiting for high blood sugar to use insulin can result in uncontrolled levels and complications.

Correct Answer: B

Rationale: The correct answer is B: Inspection. This is because visual observation is typically the initial step in a physical assessment to gather information about the patient's overall appearance, skin color, posture, and any obvious abnormalities. Palpation (
A) involves touching and feeling for abnormalities, which usually follows inspection. Percussion (
C) is the technique of tapping on the body to assess underlying structures, and auscultation (
D) is listening to sounds produced by the body, both of which typically come after inspection and palpation. Inspecting the patient first allows the nurse to establish a baseline before moving on to more detailed assessment techniques.

Correct Answer: B

Rationale: The correct answer is B: Increased wheezing and shortness of breath. During an asthma exacerbation, bronchial airways become inflamed and narrowed, leading to increased wheezing and shortness of breath. This is a classic sign of worsening asthma. Other choices are incorrect because:
A) Decreased work of breathing is not expected in an asthma exacerbation as the patient usually struggles to breathe.
C) Improved oxygen saturation is unlikely as airway obstruction can lead to decreased oxygen levels.
D) Decreased sputum production is not a typical sign of asthma exacerbation; in fact, increased sputum production may occur due to airway inflammation.

Correct Answer: B

Rationale:
Step 1: The review of systems is a systematic approach to assessing the patient's overall health.

Step 2: It gathers information about symptoms across different body systems.

Step 3: This information helps identify potential health risks and guide health promotion practices.

Step 4:
Choice B is correct as it aligns with the purpose of the review of systems.
Summary:
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Choice A is incorrect because it focuses on physical findings only, not the comprehensive assessment.
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Choice C is incorrect as the review of systems is not primarily for teaching medical terms.
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Choice D is incorrect as it does not provide enough information for diagnosing specific medical problems.