The nurse is assessing a 75-year-old man. As the nurse begins the mental status portion of the assessment, the nurse expects that this patient:-may take a
... [Show More] little longer to respond, but his general knowledge and abilities should not have declined.
During an external genitalia examination of a woman, the nurse notices several lesions around the vulva. The lesions are pink, moist, soft, and pointed papules. The patient states that she is not aware of any problems in that area. The nurse recognizes that these lesions may be:-HPV or genital WARTs
A 40-year-old woman reports a change in mole size, accompanied by color changes, itching, burning, and bleeding over the past month. She has a dark complexion and has no family history of skin cancer, but she has had many blistering sunburns in the past. The nurse would:-refer the patient because of the suspicion of melanoma on the basis of her symptoms.
Which of the following veins are responsible for most of the venous return in the arm?-4.Superficial veins
A man who has had gout for several years comes to the clinic with a "problem with my toe." On examination, the nurse practitioner notes the presence of hard, painless nodules over the great toe; one had burst open with a chalky discharge. This finding is known as:-tophi.= They appear as hard, painless nodules (tophi) over the metatarsophalangeal joint of the first toe and they sometimes burst with a chalky discharge. Tophi are collections of sodium urate crystals resulting from chronic gout in and around the joint that cause extreme swelling and joint deformity.
The nurse is performing a well-child assessment on a 3-year-old child. The child’s vital signs are normal. Capillary refill time is 5 seconds. The nurse would: consider this a delayed capillary refill time and investigate further=Normal capillary refill time is less than 1 to 2 seconds. Note that these conditions can skew your findings: a cool room, decreased body temperature, cigarette smoking, peripheral edema, and anemia.
A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to use the great saphenous vein for the coronary bypass grafts. The patient asks, “What happens to my circulation when the veins are removed?” The nurse should reply:-“Because the deeper veins in your leg are in good condition, this vein can be removed without harming your circulation.”
A 65-year-old patient remarks that she just can’t believe that her breasts sag so much. She states it must be from lack of exercise. What explanation should the nurse offer her?-After menopause, the glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag.
The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse should reply by saying:-“The first sign of puberty is enlargement of the testes.”
A patient has bilateral pitting edema of the feet. While assessing the peripheral vascular system, the nurse's primary focus should be:- Venous function of the lower extremities
During an examination, the nurse notes severe nystagmus in both eyes of a patient. Which of the following conclusions is correct?-This may indicate disease of the cerebellum or brainstem.=End-point nystagmus at an extreme lateral gaze occurs normally. Assess any other nystagmus carefully. Severe nystagmus occurs with disease of the vestibular system, cerebellum, or brainstem [Show Less]