NR 509 (NR 509)

• Techniques of examination o Inspect the breasts in four views: arms at sides, arms over head, arms pressed against hips, and leaning forward (skin appearance, size, symmetry, contour, nipple characteristics). o Palpate the breasts (consistency, tenderness, nodules, nipple for color, consistency, and quantity of any discharge). o Inspect the axillae (rash, irritation, infection, unusual pigmentation). o Palpate the axillary nodes (size, shape, delimitation, mobility, consistency, and a...

A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal pain. The pain is associated with nausea and vomiting and occurs 1 to 2 hours after eating greasy foods. Which one of the following physical examination descriptions would be most consistent with the diagnosis of cholecystitis? A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or masses. B) Abdomen is soft and tender to palpation in the right lower quadrant, without rebound or...

The nurse practitioner (NP) is completing a comprehensive assessment of Anita, a new client in a primary care facility. Which assessment finding(s) reported by Anita are related to social determinants of health? Select all that apply. ANS occasionally running out of food, being discriminated against in the workplace, has a great amount of smog in their community, having difficulty making the rent payment Focused assessment: ANS - addresses focused concerns or symptoms -used for estab...

1. A 23-year-old physician assistant (PA) student found that she felt nervous when called upon to examine men in her age group. On one occasion, she encountered a young male patient who appeared embarrassed to see her walk into the room. What should the PA do to minimize their mutual discomfort? a. Adjust lighting so it is tangential to the patient's body. b. Explain how the examination will proceed. c. Ask the patient where he comes from. d. Explain that she is a PA student. e. Prov...

The nurse is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins? ANS While I interview your daughter, will you step out to the waiting room and complete these family health history questionnaires. Which of these statements describe a chief complaint or reason for seeking care? Select all that apply. A. identifies duration of problem B. sympt...

Sophie brings in her husband nathan age 72 who is in a wheelchair. on his sacral area he has a deep crater with a full thickness skin loss involving necrosis of subcutaneous tissue that extends down to the underlying fascia. You would document this as a 1. Stage 1 pressure ulcer 2. Stage 2 pressure ulcer 3. Stage 3 pressure ulcer 4. Stage 4 pressure ulcer 3 Which of the following physical exam findings would lead you to suspect hyperlipidemia? 1. Increased liver size 2. Xanthoma of i...

An organized physical examination of the thorax Comprised of four steps ANS I: Inspection P: Palpation P: Percussion A: Auscultation Based on a working knowledge of thoracic anatomy and landmarks Important when ANS Performing EKG's Assisting with Thoracentesis Chest tubes Assessing/interpreting chest x-rays Anatomic landmarks Anatomy refresher The thorax can be divided into anatomic locations based on ANS imaginary lines

During the eye exam the NP should attempt to visualize the physiologic cup. Which of the following is true about the physiologic cup? It lies medial to the retinal vessels It appears light colored in dark-skinned clients It is best visualized with the blue light of the scope **Blurring of the nasal outline is normal On ophthalmic examination, there appears to a narrowing or blocking of the vessels. The significance of this finding is... **The client needs to be evaluated for chronic hy...

1. The nurse admits a client with intermittent colicky pain at the left lower quadrant of the abdomen. Which type of pain is the client referring to? a. Muscular pain b. Visceral pain c. Referred pain d. Parietal pain Ans: (B) Visceral pain occurs when hollow abdominal organs such as the intestine or biliary tree contract unusually forcefully or are distended or stretched. Solid organs such as the liver can also become painful when their capsules are stretched. Visceral pain may be ...

1. A patient tells the FNP that he is very nervous, that he is nauseated, and that he “feels hot”. This type of data would be: Answer: Subjective 2. The patient’s record, laboratory studies, objective data, and subjective data combine to form the? Answer: Data base