Exam 30: Health Assessment and Physical Examination

A nurse is a preceptor for a nurse who just graduated from nursing school.When caring for a patient,the new graduate nurse begins to explain to the patient the purpose of completing a physical assessment.Which of the following statements made by the new graduate nurse requires the preceptor to intervene?

A febrile preschool-aged child presents to the after-hours clinic.Varicella is diagnosed on the basis of the illness history and the presence of small,circumscribed skin lesions filled with serous fluid.The nurse documents the varicellar lesions as which type of skin lesion?

In preparation for a rectal examination of a nonambulatory male patient,the patient is informed of the need to be placed in which position?

On admission,a patient weighs 250 pounds.The weight is recorded as 256 pounds on the second inpatient day.The nurse should evaluate the patient for

A nurse suspects an abnormal thyroid shape during the physical examination.The nurse offers the patient a glass of water and observes her drinking to

During a preschool readiness examination,the nurse prepares to perform visual acuity screenings.Given the children's age,the best equipment to test central vision is which of the following?

During a genitourinary examination of a 30-year-old male patient,the nurse identifies a small amount of a white,thick substance on the patient's uncircumcised glans penis.The nurse's next step is to

An elderly patient has been on high doses of antibiotics and is experiencing a sudden loss of hearing.The nurse should contact the health care provider and

A teen female patient reports intermittent abdominal pain for 12 hours.No dysuria is present.When performing an abdominal assessment,the nurse should

The patient is a 50-year-old African American male who has come in for his routine annual physical.Which of the following preventive screenings does the nurse recommend?

Objective physical data describe air moving through small airways over the lung's periphery.The expected inspiratory-to-expiratory phase of this normal vesicular breath sound is which of the following?

Having misplaced his stethoscope,a nurse borrows a colleague's stethoscope.He next enters the patient's room and identifies himself,washes his hands with soap,and states the purpose of his visit.He performs proper identification of the patient before he auscultates her lungs.Which critical health assessment step was not performed?

During an annual gynecological examination,a college student discusses her upcoming college break at a tropical location.After the student receives an oral contraceptive prescription,the nurse identifies the importance of skin cancer prevention education by discussing which evidence-based prevention health topic?

The nurse is urgently called to the gymnasium regarding an injured student.The student is crying in severe pain with a malformed fractured lower leg.The proper sequence for the nurse's initial assessment is

During a routine pediatric history and physical,the parents report that their child was a premature infant and was so small that he had to stay in the neonatal intensive care unit longer than usual.They state that the infant was yellow when born,and that he developed an infection that required "every antibiotic under the sun" to cure him.Considering the neonatal history,the nurse determines that it is especially important to perform a focused _____ examination.

The paramedics transport an adult involved in a motor vehicle accident to the emergency department.On physical examination,the patient's level of consciousness is reported as opening eyes to pain and responding with inappropriate words and flexion withdrawal to painful stimuli.The nurse correctly identifies the patient's Glasgow Coma Scale score as

During a routine physical examination of a 70-year-old patient,a blowing sound is auscultated over the carotid artery.The nurse notifies the medical provider of the unexpected physical finding known as

A nurse identifies Pediculosis humananus capitis.Considering the possible complications of treatment,the nurse knows to not use which of the following treatment products?

During a school physical examination,the nurse reviews the patient's current medical history.With a positive medical history of asthma,eczema,and allergic rhinitis,the nurse expects which physical finding on nasal examination?

The best term for breath sounds created by air moving through large lung airways is