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,You are performing a comprehensive health assessment on a 68-year-old female. What
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normal assessment findings would the nurse expect to find in this elderly patient? Skin tenting
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Thin, fragile skin ii ii
Actinic keratosis ii
Solar lentigo ii
Nevi less than 0.6 cm ii ii ii ii
The liver plays a key role · Producing bile
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· Producing clotting factors
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· Metabolizing carbohydrates, proteins, fats, and drugs
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· Detoxifying harmful chemicals
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The gallbladder and biliary system perform...
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· Transport bile to the intestine to aid in digestion · Concentrate bile
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· Collect and store bile
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Characteristics of fecal occult blood (FOB) include... ii ii ii ii ii ii
· It can originate from any part of the digestive tract.
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· It is not observed by the patient.
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· It may be a warning sign of colorectal cancer.
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You are doing an assessment on a patient who has diabetes and chronic kidney
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disease. What tests may the healthcare provider order to assess kidney function? Creatinine
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· Glomerular filtration rate (GFR) ·
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Blood urea nitrogen (BUN)
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You auscultate the abdomen. What will you auscultate for the presence of bruits?
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·
· Aorta
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A patient reports that he has recently traveled outside the country and is feeling
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Suspecting hepatitis, the nurse should ask about which of the following symptoms?
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· Fatigue
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· Nausea
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· Poor appetite · Abdominal pain
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ii ill.
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The nurse is auscultating bowel sounds. Which of the following steps are correct? ·
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Auscultate in all four abdominal quadrants.
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· Assess intensity, pitch, and frequency of bowel sounds.
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When palpating the bladder, the nurse knows that which of the following is true?
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· The patient should void before the exam
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· A distended bladder will be palpable above the symphysis pubis
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, · An empty bladder is not palpable.
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· Tenderness or pain during palpation may indicate bladder infection.
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Patient education for colon cancer should include which of the following?
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· Maintaining a healthy weight
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· Routine colonoscopies begin at age 45
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A patient comes to the emergency room complaining that he has been vomiting for
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the past 24 hours with black vomitus/emesis. You know that black vomitus may
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indicate:
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Blood acted on by gastric digestion. ii ii ii ii ii
A patient reports that he has been severely vomiting for the last 24 hours. He states
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that the vomiting is very strong and he describes it as projectile. Projectile
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vomiting without nausea is a sign of:
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Brain pathology or head trauma. ii ii ii ii
The nurse assesses the patient's pain as a dull, gnawing, cramping, or burning pain
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that is poorly localized. The nurse suspects that the pain is:
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Visceral.
You are inspecting the abdomen. Where will you stand to do a full inspection of the
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abdomen?
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Stoop down at the patient's side and stand at the patient's feet.
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You are auscultating bowel sounds. How many clicks or gurgles per minute are
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considered normal bowel sounds?
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5 to 34. ii ii
You are auscultating arterial sounds in the abdomen. Turbulent, blowing sounds
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heard over a partially or totally obstructed artery are called:
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Bruits.
A patient presents with complaints of feeling bloated. You percuss all four
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quadrants of the abdomen. The expected high-pitched, hollow-quality, drum-like
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