Erickwhite

1. A patient tells the nurse that she has had abdominal pain for the past week. What would be the best response by the nurse? 1. “Can you point to where it hurts?” 2. “We’ll talk more about that later in the interview.” 3. “What have you had to eat in the last 24 hours?” 4. “Have you ever had any surgeries on your abdomen?” ANS: 1 A final summary of any symptom the person has should include, along with seven other critical characteristics, “Location: specific.” Ask ...

Question 1 When recording assessments during the construction of the problem-oriented medical record, the examiner should: Response Feedback: Once the examiner has a list of problems constructed, then an assessment is made for each unique problem. Question 2 What finding is unique to the documentation of a physical examination of an infant? Response Feedback: The size & characteristic of the fontanel are unique & important in the assessment of an infant. Data on l...

Question 1. Question : Once a practice problem has been identified the next step would be to use the PICOT format to ask a question about the problem. PICOT stands for: Student Answer: P --population, I-- intervention, C-- Concepts, O--operational definitions, T –Time (Incorrect! Population, intervention, comparison, outcome and time) P—precision instrument, I—intervention, C—control, O—operational definitions, T—Time (Incorrect! Population, intervention, comparison, o...

10. A 24-year-old travel agent comes to your clinic, complaining of pain and swelling in her vulvar area. She states that 2 days earlier she could feel a small tender spot on the left side of her vagina but now it is larger and extremely tender. Her last period was 1 year ago and she is sexually active. She uses the Depo-Provera shot for contraception. She denies any nausea, vomiting, constipation, diarrhea, pain with urination, or fever. Her past medical history is significant for ankle surgery...

The Cardiovascular System Let's start with some interesting facts about the heart. Did you know that your blood vessel system, comprised of arteries, veins, and capillaries, is over 60,000 miles long? The adult heart pumps approximately five liters of blood each minute, whereas the infant's heart pumps approximately 0.5 to 1.5 liters per minute. The average heart beats approximately 100,000 times per day. By the age of 70, the average heart will have beat more than 2.5 billion times! The...

When preparing to perform a physical examination on an infant, the examiner should: Question 1 options: have the parent remove all clothing except the diaper on a boy. instruct the parent to feed the infant immediately before the exam. encourage the infant to suck on a pacifier during the abdominal exam. ask the parent to briefly leave the room when assessing the infant’s vital signs. A patient’s laboratory data reveal an elevated thyroxine level. The nurse would proc...

1. A patient tells the nurse that she has had abdominal pain for the past week. What would be the best response by the nurse? 1. “Can you point to where it hurts?” 2. “We’ll talk more about that later in the interview.” 3. “What have you had to eat in the last 24 hours?” 4. “Have you ever had any surgeries on your abdomen?” ANS: 1 A final summary of any symptom the person has should include, along with seven other critical characteristics, “Location: specific.” Ask ...

FINAL HEAD TO TOE PHYSICAL EXAM DEMONSTRATION • General tips: Do not disrobe patients for any part of exam; we will assume this has been done. You will need a stethoscope, cotton ball (or other soft object), penlight or small flash light. Great if you have a reflex hammer no problem if you do not; use side of hand or stethoscope if you do not have one. • No need to state what you are doing during the exam unless indicated in the particular section below. If filming exam place web cam...

• Jacob, a 33YO construction worker, complains of a “lump on his back” over his scapula. It has been there for about a year & is getting larger. He says his wife has been able to squeeze out a cheesy-textured substance on occasion. He worries this may be cancer. When gently pinched from the side, a prominent dimple forms in the middle of the mass. What is most likely? A Sebaceous cyst • 80 YO retired farmer comes to your office for evaluation of a skin lesion. On the right temporal ar...

1. In order to bring the ventricular apex closer to the chest wall when assessing the point of maximal impulse (PMI), ask the patient to: turn to the left side 2. The tonsillar, submandibular, and submental nodes drain the lymphatic fluid from portions of the: mouth, throat, and face 3. When screening a patient for peripheral arterial disease (PAD), one risk factor would include a history of: smoking 4. Heart sounds produced by turbulence due to a temporary increase in blood flow in predispo...