Exam (elaborations)
NUR 634 shadow health
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NUR 634 shadow healthA brief statement of the reason the patient is seeking health care is called the: - ANS chief complaint
Which of the following is an "ABCD" characteristic of malignant melanoma? - ANS Irregular borders
Which question would be considered a "leading question"? - ANS "You don't get headaches often, do
you?"
A flat, nonpalpable lesion is described as a macule if the diameter is: - ANS less than 1 cm.
When you are questioning a patient regarding alcohol intake, she tells you that she is "only a social
drinker." Which initial response is appropriate? - ANS "What amount and what kind of alcohol do you
drink in a week?"
Mrs. Britton is a 34-year-old patient who presents to the office with complaints of skin rashes. You have
noted a 3-cm, rough, elevated area of psoriasis. This is an example of a: - ANS plaque
Painful vesicles are associated with: - ANS herpes zoster
A 29-year-old white woman appears jaundiced. An etiology of liver disease has been excluded. What
history questions should the nurse ask? - ANS Whether she eats a lot of yellow and orange vegetables.
Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This
information would most likely belong in the: - ANS personal and social history.
The thyroid gland is partially obscured by the: - ANS sternocleidomastoid
,To perform the Rinne test, place the tuning fork on the: - ANS mastoid bone.
You observe pupillary response as the patient looks at a distant object and then at an object held 10 cm
from the bridge of the nose. You are assessing for: - ANS accommodation.
Normal tympanic membrane color is: - ANS pearly gray.
Ask the patient to look directly at the light of the ophthalmoscope when you are ready to examine the: -
ANS macula.
According to the AUDIT scale , a person who receives a score of 14 is : - ANS Is in the high risk category
for alcohol abuse
Bulging of an amber tympanic membrane without mobility is most often associated with: - ANS middle
ear effusion.
You ask your patient to perform the DAST questionnaire, and note that he scored a "5". You understand
this means: - ANS the patient is at high risk for drug abuse
After you have the patient complete the AUDIT questionnaire, your tally the score and realize the
patient has scored a "9" . Your next communication with the patient should be: - ANS I see that you
completed the questionnaire, may I discuss the results with you?
You are conducting a brief negotiated interview with your young male patient after you have reviewed
his AUDIT questionnaire results. You discuss the safe drinking limits per day for his gender . You explain
to him that this number is: - ANS 4
You are discussing the amount of alcohol in different drinks with your patient. You explain to your
patient what constitutes a standard drink. You review that 12 oz of regular beer is equal to: - ANS 5 oz.
of table wine
, With consolidation in the lung tissue, the breath sounds are louder and easier to hear, whereas healthy
lung tissue produces softer sounds. This is because: - ANS air-filled lung tissue is an insulator of sound
The characteristic barrel chest of the older adult is due to a combination of factors including: - ANS
skeletal changes of aging.
You would expect to document the presence of a pleural friction rub for a patient being treated for: -
ANS pleurisy.
Both pleural effusion and lobar pneumonia are characterized by _____ percussion. - ANS dullness heard
on
Mr. L. has cyanotic lips and nail beds. His lips are pursed, and he has nasal flaring. You suspect he is
having cardiac or pulmonary difficulty. What additional sign would support this impression? - ANS
Clubbing of the fingers
Breath sounds normally auscultated over most of the lung fields are called: - ANS vesicular.
To begin counting the ribs and the intercostal spaces, you begin by palpating the reference point of the:
- ANS manubriosternal junction.
Which bronchial structure(s) is(are) most susceptible to aspiration of foreign bodies? - ANS Right
mainstem bronchus
What term would you use to document a respiratory rate greater than 20 breaths per minute in an
adult? - ANS Tachyapnea
The NP would document this assessment finding as: - ANS Pectus excavatum
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