latest 2022 nr 509 week 4 quiz advanced physical assessment chamberlain college of nursing |100 correct answers
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Chamberlain College Of Nursing
NR509: Advanced Physical Assessment
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, feet flat on the table and flexes his knees up. The nurse notes that
the right knee is significantly lower than the left. Which of these
statements is true of this finding?
:
This is a positive Allis sign and suggests hip dislocation.
The infant probably has a dislocated patella on the right.
This is a normal finding for the Allis test for an infant of this
age.
The infant should return to the clinic in 2 weeks to see if this
has changed.
Explanation: Finding one knee significantly lower than the other is a positive Allis sign
and suggests hip dislocation. Normally, the tops of the knees are at the
same elevation. The other statements are not correct.
Question 6. A patient drifts off to sleep when she is not being stimulated. The
nurse can arouse her easily when calling her name, but she remains
drowsy during the conversation. The best description of this
patient’s level of consciousness would be
:
lethargic.
obtunded.
stuporous.
semialert.
Explanation: Lethargic (or somnolent) is when the person is not fully alert, drifts off to sleep
when not stimulated, and can be aroused when called by name in a normal voice
but looks drowsy. He or she responds appropriately to questions or commands,
but thinking seems slow and fuzzy. He or she is inattentive and loses train of
thought. Spontaneous movements are decreased. See Table 5-3 for definitions of
, the other terms.
Question 7. A 65-year-old man is brought to the emergency department after he
was found dazed and incoherent, alone in his apartment. He has an
enlarged liver and is moderately dehydrated. When evaluating his
serum albumin level, the nurse must keep in mind that
:
serum albumin levels will increase as liver function decreases.
serum albumin levels are a sensitive measure of early protein
malnutrition.
low serum albumin levels may be caused by reasons other than
protein-calorie malnutrition.
the results of the serum albumin measurement along with the
patient’s hemoglobin level should be considered.
Explanation: Low serum albumin levels may be caused by reasons other than
protein-calorie malnutrition, such as an altered hydration status and
decreased liver function.
Question 8. The nurse is checking the range of motion in a patient’s knee and
knows that the knee is capable of which movement(s)?
:
Flexion and extension
Supination and pronation
Circumduction
Inversion and eversion
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