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Nur 275 final/154 Questions and answers
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Nur 275 final/154 Questions and answers
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Nur 275 final/154 Questions and answersparents bring a child to the clinic and report a "rash" on her knee. On
assessment, the nurse practitioner notes the area to be a reddish-pink lesion
covered with silvery scales. What would the nurse practitioner chart? - -
Psoriasis
-common, contagious superficial skin infection -lesion, typically on the face,
that itches and burns-initial lesion is a small erythematous macule that
canges into vesicle or bulla with thin roof -lesion crusts with a characteristic
honey color from the exudates as the vesicles or bullae rupture -may have
regional lymphadenopathy - -impetigo
-An obese 34 year old man is undergoing a preoperative examination prior
to having bariatric surgery. The patient tells the nurse that he has a red sore
in his groin area that appears to be spreading. The nurse assesses the lesion
and finds a macular erythematous lesion with satellite pustules. What would
the nurse suspect? - -candida
-While inspecting the skin of an older adult client, the nurse notes multiple
small, flat, reddish-purple macules. The nurse documents this finding as
which of the following? - -Petechiae
-woods lamp - -used for fungal diagnosis
-While auscultating the heart at the third intercostal space, left sternal
border, the nurse notes a high-pitched, scratchy sound that increases with
exhalation with the client leaning forward. The nurse would document which
of the following? - -Pericardial friction rub
-During chest auscultation, the nurse hears a quiet murmur immediately
upon placing the stethoscope on the client's chest. The nurse interprets this
as which grade? - -2
-A nurse is performing a patient assessment in an urgent care clinic. The
most likely tool being used is the - -focused
-A nurse observes a client sitting in the tripod position. What is an
appropriate action by the nurse in response to this observation? - -Observe
for the use of accessory muscles
-What is the most important physical sign of acute pericarditis? - -
Pericardial friction rub
, -A 43-year-old store clerk comes to the office upset because she has found
an enlarged lymph node under her left arm. She states she found it
yesterday when she was feeling pain under her arm during movement. She
states the lymph node is about an inch long and is very painful. She checks
her breasts monthly and gets a yearly mammogram (her last was 2 months
ago); until now everything has been normal. She states she is so upset
because her mother died in her 50s of breast cancer. The client does not
smoke, drink, or use illegal drugs. Her father is in good health. Examination
shows a tense woman appearing her stated age. Visual inspection of her left
axilla reveals a tense red area with no surrounding scarring. On palpation,
the examiner feels a 2-cm tender movable lymph node underlying hot skin.
Other shoddy nodes are also in the area. Visualization of both breasts is
normal. Palpation of her right axilla and both bre - -Lymphadenopathy of
infectious origin
-When palpating the female breast for masses, the nurse distinguishes
which of the following characteristics as a potentially cancerous mass? - -
Single, firm, fixed nodule
-While examining a client, the nurse observes the client's chest to be barrel
shaped. The nurse would interpret this as indicating which of the following? -
-Emphysema
-A 62-year-old construction worker presents to the clinic reporting almost a
chronic cough and occasional shortness of breath that have lasted for almost
1 year. Although symptoms have occasionally worsened with a cold, they
have stayed about the same. The cough has occasional mucus drainage but
never any blood. He denies any chest pain. He has had no weight gain,
weight loss, fever, or night sweats. His past medical history is significant for
high blood pressure and arthritis. He has smoked two packs a day for the
past 45 years. He drinks occasionally but denies any illegal drug use. He is
married with two children. He denies any foreign travel. His father died of a
heart attack and his mother died of Alzheimer's disease. Examination reveals
a man looking slightly older than his stated age. His blood pressure is 130/80
and his pulse is 88. He is breathing comfortably with respirations of 12. His
head, eyes, ears, nos - -Chronic obstructive pulmonary disease (COPD)
-When percussing the posterior lung fields, which of the following findings is
expected? - -Resonance over all lung fields
-When describing the cardiac cycle to a group of students, the instructor
correlates heart sounds with events of the cycle. Which heart sound would
the instructor explain as being associated with systole? - -s1
-A 73-year-old woman comes to the office for evaluation of new onset of
tremors. She is not taking any medications, herbs, or supplements. She has
, no chronic medical conditions. She does not smoke or drink alcohol. She
walks into the examination room with slow, shuffling steps. She has
decreased facial mobility with a blunt expression without any changes in hair
distribution on her face. Based on this description, what is the most likely
reason for the client's symptoms? - -Parkinson's disease
-Upon inspection of a client's chest, a nurse observes an increase in the
anterior posterior diameter. The nurse recognizes this as a finding in which
disease process? - -Chronic obstructive pulmonary disease
-A young adult client has just had X-rays and computed tomography
scanning of the head and neck following a mountain bicycling accident. All
results are negative. What should the nurse assess for next? - -Range of
motion of the neck
-A client presents with chest pain described as a pressure and squeezing
sensation that is steady and severe. The nurse would suspect which system
as the most likely source? - -cardiac
-A nurse cares for a client who suffered a myocardial infarction two (2) days
ago. A high pitched, scratchy, scraping sound is heard that increase with
exhalation and when the client leans forward. The nurse recognizes this
sound as a result of what process occurring within the pericardium? - -
Inflammation of the pericardial sac
-Which subjective finding in a client with tuberculosis should a nurse
recognize as an indication of the onset of pleurisy? - -Knife-like pain that
worsens on inspiration
-A 36-year-old teacher presents to your clinic, complaining of sharp,
knifelike pain on the left side of her chest for the last 2 days. Breathing and
lying down make the pain worse, while sitting forward helps her pain. Tylenol
and ibuprofen have not helped. Her pain does not radiate to any other area.
She denies any upper respiratory or gastrointestinal symptoms. Her past
medical history consists of systemic lupus. She is divorced and has one child.
She denies any tobacco, alcohol, or drug use. Her mother has
hypothyroidism and her father has high blood pressure. On examination you
find her to be distressed, leaning over and holding her left arm and hand to
her left chest. Her blood pressure is 130/70, her respirations are 12, and her
pulse is 90. On auscultation her lung fields have normal breath sounds with
no rhonchi, wheezes, or crackles. Percussion and palpation are
unremarkable. Auscultation of the heart has an - -The pain from pericarditis
is usually sharp and knifelike and is located over the left side of the chest.
Change of position, breathing, and coughing often make the pain worse,
whereas leaning forward improves the pain. Pericarditis is often seen in
rheumatologic diseases such as systemic lupus and in patients with chronic
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