Exam 2 / HA 1215/ Galveston College/2022 Answered.

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Exam 2 / HA 1215/ Galveston College/2022 1. A patient's laboratory data reveal an elevated thyroxin (T4) level. The nurse would proceed with an examination of the ___________ gland. 2. The nurs... e is aware that the four areas in the body where lymph nodes are accessible are the: 3. A woman comes to the clinic and states, "I've been sick for so long! My eyes have gotten so puffy, and my eyebrows and hair have become coarse and dry." The nurse will assess for other signs and symptoms of: 4. During an examination, the nurse knows that the best way to palpate the lymph nodes in the neck is described by which statement? 5. During a well-baby checkup, a mother is concerned because her 2-month-old infant cannot hold her head up when she is pulled to a sitting position. Which response by the nurse is appropriate? 6. A mother asks when her newborn infants eyesight will be developed. The nurse should reply: 7. A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. 8. The nurse is preparing to assess the visual acuity of a 16-year-old patient. How should the nurse proceed? 9. During an examination of the eye, the nurse would expect what normal finding when assessing the lacrimal apparatus? 10. A 2-week- old infant can fixate on an object but cannot follow a light or bright toy. The nurse would: 11. By 2 to 4 weeks an infant can fixate on an object. By the age of 1 month, the infant should fixate and follow a bright light or toy. 12. A patient comes to the emergency department after a boxing match, and his left eye is swollen almost shut.. He has bruises on his face and neck. He says he is worried because he can't see well from his left eye. The physician suspects retinal damage. The nurse recognizes that signs of retinal detachment include: 13. A 68-year-old woman is in the eye clinic for a checkup. She tells the nurse that she has been having trouble reading the paper, sewing, and even seeing the faces of her grandchildren. On examination, the nurse notes that she has some loss of central vision but her peripheral vision is normal. These findings suggest that she may have: 14. A patient comes into the emergency department after an accident at work. A machine blew dust into his eyes, and he was not wearing safety glasses. The nurse examines his cones by shining a light from the side across the cornea. What findings would suggest that he has suffered a corneal abrasion? 15. In performing an examination of a 3-year-old child with a suspected ear infection, the nurse would.. 16. The nurse is preparing to perform an otoscopic examination of a newborn infant. Which statement is true regarding this examination? 17. The mother of a 2-year-old toddler is concerned about the upcoming placement of tympanostomy tubes in her sons ears. The nurse would include which of these statements in the teaching plan? 18. The nurse is performing an assessment on a 65-year-old man. He reports a crusty nodule behind the pinna it intermittently bleeds and has not healed over the past 6 months. On physical assessment, the nurse finds an ulcerated crusted nodule with an indurated base. The preliminary analysis in this situation is that this: 19. The nurse is conducting a child safety class for new mothers. Which factor places young children at risk for ear infection? 20. A 17-year-old student is a swimmer on her high school swim team. She has had three bouts of Ottis external this season and wants to know what to do to prevent it. The nurse instructs her to: 21. During an examination, the patient states he is hearing a buzzing sound and says that is driving me crazy! The nurse recognizes that this symptom indicates: 22. During an examination, the nurse notices that the patient stumbles a little while walking, and, when she sits down, she holds on to the side of the chair. The patient states, It feels like the room is spinning! The nurse notices that the patient is experiencing: 23. The nurse notices that the mother of a 2-year-old boy brings him into the clinic quite frequently for various injuries and suspects there may be some child abuse involved. During an inspection of his mouth, the nurse should look for: 24. A pregnant woman states that she is concerned about her gums because she has noticed they are swollen and have started bleeding. What would be an appropriate response by the nurse? 25. A 40-year-old patient who has just finished chemotherapy for breast cancer tells the nurse that she is concerned about her mouth. During the assessment the nurse finds areas of buccal mucosa that are raw and red with some bleeding, as well as other areas that have a white, cheesy coating. The nurse recognizes that this abnormality is: 26. A patient has been diagnosed with strep throat. The nurse is aware that without treatment, which complication may occur? 27. During a checkup, a 22-year-old woman tells the nurse that she uses an over the counter nasal spray because of her allergies. She also states that it does not work as well as it used to when she first started using it. The best response by the nurse would be: 28. During an oral examination of a 4-year-old Native American child, the nurse notices that her uvula is partially split. Which of these statements is accurate? 29. A patient contacts the office and tells the nurse that she is worried about her 10-year-old daughter having breast cancer. She describes a unilateral enlargement of the right breast with associated tenderness. She is worried because the left breast is not enlarged. What would be the nurses best response? Tell the mother that: 30. A woman is in the family planning clinic seeking birth control information. She states that her breasts change all month long and that she is worried that this is unusual. What is the nurses best response? The nurse should tell her that: - 31. During an examination of a woman, the nurse notices that her left breast is slightly larger that her right breast. Which of these statements is true about this finding? 32. The primary muscles of respiration include the: 33. The nurse is observing the auscultation technique of another nurse. The correct method to use when progressing from one auscultatory site on the thorax to another is ________ comparison. 34. The nurse is auscultating the chest in an adult. Which technique is correct? - 35. The nurse knows that the normal finding when assessing the respiratory system of an older adult is:: 36. When assessing the respiratory system of a 4-year-old child, which of these findings would the nurse expect? 37. The nurse is reviewing the characteristics of breath sounds. Which statement about bronchovesicular breath sounds is true? Bronchovesicular breath sound are:. 38. The nurse is assessing the lungs of an older adult. Which of these changes are normal in the respiratory system of the older adult? 39. During palpation of the anterior chest wall, the nurse notices a coarse, crackling sensation over the skin surface. On the basis of these findings, the nurse suspects: 40. A patient has been admitted tot he emergency department for a suspected drug over dose. His respirations are shallow, with an irregular pattern, with a rate of 12 respirations per minute. The nurse interprets this respiration pattern as which of the following? 41. A 40-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment. On assessment, the nurse might expect to see which findings 42. The nurse is assessing the skin of a patient who has acquired immunodeficiency syndrome (AIDS) and notices multiple patch like lesions on the temple and beard area that are faint pinkie color. The nurse recognizes these lesions as: 43. A 45-year-old farmer comes in for a skin evaluation and complains of hair loss on his head. His hair seems to be breaking off in patches, and he notices some scaling on his head. The nurse begins the examination suspecting: 44. The nurse is assessing for clubbing of the fingernails and expects to find: 45. A few days after a summer hiking trip, a 25-year-old man comes to the clinic with a rash. On examination, the nurse notes that the rash is red, macular, with a bull's eye pattern across his midriff and behind his knees. The nurse suspects: - 46. A 52-year-old woman has a papule on her nose that is rounded, pearly borders and a central red ulcer. She said she first noticed it several months ago and that is has slowly grown larger. The nurse suspects which condition? 47. A semiconscious woman is brought to the emergency department after she was found on the floor in her kitchen. Her face, nail beds, lips, and oral mucosa are a bright cherry-red color. The nurse suspects that this coloring is due to: 48. A patient has been admitted for severe psoriasis. The nurse expects to see what finding in the patient's fingernails? 49. Impetigo 50. acromegaly - abnormal enlargement of the extremities 51. describe the facial features of someone with Acromegly 52. A patient's laboratory data reveal an elevated thyroxine (T4) level. The nurse would proceed with an examination of the _______ gland. 53. During an assessment of an infant, the nurse notes that the fontanels are depressed and sunken. The nurse suspects which condition? 54. During an examination, the nurse finds that a patient's left temporal artery is tortuous and feels hardened and tender, compared with the right temporal artery. The nurse suspects which condition? 55. A mother ask when her newborn infant's eyesight will be developed. The nurse should reply: 56. A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The nurse should: 57. A 2-week-old infant can fixate on an object but cannot follow a light or bright toy. The nurse would: - Consider this a normal finding. 58. tympanostomy tubes 59. otitis externa 60. otitis media 61. breast dimpling 62. cancer causes firbrosis; which contracts the suspensory ligaments. 63. mastitis 64. pleuritic 65. hypoventilation 66. paroxysmal nocturnal dyspnea 67. myxederma 68. Thyroid 69. corneal abrasion 70. macular degeneration (MD) 71. retinal detachment 72. lacrimal apparatus 73. vertigo 74. tinnitus 75. uvula 76. strep throat 77. Candidiasis 78. How is breast cancer in men different than in women? 79. Auscultation of the heart - Positioning the client in three different ways allows for optimal assessment of heart sounds, as some extra or abnormal sounds are accentuated by the various positions. 1. Sitting, leaning forward 2. Lying supine 3. Turned toward the left side (best position for picking up extra heart sounds, as some extra heart sounds or murmurs. 80. bronchovesicular breath sounds 81. Auscultating Breath Sounds 82. While performing the otoscopic examination of a 3-year-old boy who had been pulling on his left ear, the nurse finds that his left tympanic membrane is bright red and the light reflex is not visible. The nurse interprets these findings to indicate a(n): 83. The mother of a two-year-old toddler is concerned about the upcoming placement of tympanovstomy tubes in her son's ears. The nurse would include which of these statements in the teaching plan? 84. The nurse is performing an assessment on a 65-year-old man. He reports a crusty nodule behind the pinna. It intermittently bleeds and has not healed over the past 6 months. On physical assessment, the nurse finds and ulcerated crusted nodule with an indurated base. The preliminary analysis in this situation is this: 85. The nurse is preparing to do an otoscopic examination on a 2-year-old child. Which one of these reflects the correct procedure? 86. What should the normal appearance of the tongue be? 87. When examining the mouth of an older patient, the nurse recognizes which finding is due to the aging process? 88. menarche 89. During an annual physical exam, a 43-year-old patient states that she doesn't perform monthly breast self-examinations (BSE). She tells the nurse that she believes that mammograms "do a much better job than I ever could to find a lump." The nurse should explain to her that: 90. The nurse is conducting class on BSE. Which of these statements indicates the proper BSE technique? 91. The nurse is preparing to teach a woman about BSE. Which statement by the nurse is correct? 92. While examining a 75-year-old woman, the nurse notices that the skin over her right breast is thickened and the hair follicles are exaggerated. This condition is known as: 93. A new mother calls the clinic to report that part of her left breast is red, swollen, tender, very hot and hard. She has a fever of 38 C'. She also has had symptoms of influenza, such as chills, sweating, and feeling tired. The nurse notices that she has been breastfeeding for 1 month. From her description, what condition does the nurse suspect: 94. A 54-year-old man comes to the clinic with a "horrible problem" he tells the nurse that he just discovered a lump on his breast and is fearful of cancer. The nurse knows which statement about breast cancer in men is true? 95. A 70-year-old patient is being seeing the clinic for sever exacerbation of his heart failure. Which of these findings is the nurse most likely to observe in this patient? 96. A mother has noticed that her son, who has been to a new babysitter, has some blisters and scabs on his face and buttocks. On examination, the nurse notices moist, thin-roofed vesicles with a thin erythematous base and suspects: - 97. The nurse is assessing the skin of a patient who has aquired immunodeficiency syndrome (AIDS) and notices multiple patchwork lesions on the temple and beard area that are faint pink in color. The nurse recognizes these as: [Show More]

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