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NURS 607 Advanced physical assessment -Final examination 2024 ALREADY PASSED EXAM $18.99   Add to cart

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NURS 607 Advanced physical assessment -Final examination 2024 ALREADY PASSED EXAM

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NURS 607 Advanced physical assessment -Final examination 2024 ALREADY PASSED EXAM NURS 607 Advanced physical assessment -Final examination 2024 ALREADY PASSED EXAM NURS 607 Advanced physical assessment -Final examination 2024 ALREADY PASSED EXAM NURS 607 Advanced physical assessment -Final examinat...

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  • September 15, 2024
  • 48
  • 2024/2025
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  • nurs 607 advanced physic
  • NURS 607 Advanced physical
  • NURS 607 Advanced physical
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NURS 607 Advanced physical
assessment -Final examination 2024
ALREADY PASSED EXAM

,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 guarding.

C) Abdomen is soft and tender to palpation in the right upper quadrant with inspiration,

to the point of stopping inspiration, and there is no rebound or guarding.

D) Abdomen is soft and tender to palpation in the mid-epigastric area, without rebound

or guarding. - CORRECT ANSWERS-C) Abdomen is soft and tender to palpation in the

right upper quadrant with inspiration, to the point of stopping inspiration, and there is no

rebound or guarding.



When crackles, wheezes, or rhonchi clear with a cough, which of the following is a likely

etiology?



A) Bronchitis

B) Simple asthma

,C) Cystic fibrosis

D) Heart failure - CORRECT ANSWERS-A. Bronchitis



A patient with longstanding COPD was told by another practitioner that his liver was

enlarged and this needed to be assessed. Which of the following would be reasonable

to do next?



A) Percuss the lower border of the liver

B) Measure the span of the liver

C) Order a hepatitis panel

D) Obtain an ultrasound of the liver - CORRECT ANSWERS-A) Percuss the lower

border of the liver



Mr. Patel is a 64-year-old man who was told by another care provider that his liver is

enlarged. Although he is a life-long smoker, he has never used drugs or alcohol and has

no knowledge of liver disease. Indeed, on examination, a liver edge is palpable 4

centimeters below the costal arch. Which of the following would you do next?



A) Check an ultrasound of the liver

B) Obtain a hepatitis panel

C) Determine liver span by percussion

D) Adopt a "watchful waiting" approach - CORRECT ANSWERS-c. Determine liver

span by percussion

, You are palpating the abdomen and feel a small mass. Which of the following would you

do next?



A) Ultrasound

B) Examination with the abdominal muscles tensed

C) Surgery referral

D) Determine size by percussion - CORRECT ANSWERS-B) Examination with the

abdominal muscles tensed



Mr. Kruger is an 84-year-old man who presents with a smooth lower abdominal mass in

the midline which is minimally tender. There is dullness to percussion up to 6

centimeters above the symphysis pubis. What does this most likely represent?



A) Sigmoid mass

B) Tumor in the abdominal wall

C) Hernia

D) Enlarged bladder - CORRECT ANSWERS-D) Enlarged bladder



Which of the following is consistent with obturator sign?



A) Pain distant from the site used to check rebound tenderness

B) Right hypogastric pain with the right hip and knee flexed and the hip internally rotated

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