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The Nursing Physical Assessment

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TEST BANK FOR BATES’ GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING 13TH EDITION. ACTUAL PRACTICE QUESTIONS WITH 100% VERIFIED CORRECT ANSWERS. Abnormal Breath Sounds - correct answers.Adventitious, diminished Abnormal Findings for the HEENT - correct answers.Tenderness or lesions to head, face, neck, mouth; Asymmetry of facial features; Uneven or abnormally large or small pupils; Sinus tenderness; Hearing or vision loss Abnormal Heart Sounds - correct answers.Murmurs: blowing or swooshing sound occurring with blood flow in the heart (valve mechanics); Friction rub: high pitched, scratchy, like sandpaper; Prosthetic heart valves: click or ping; S3 and S4 Abnormal Neuro Findings - correct answers.Cerebral Function; Cranial nerves; Relexes; Sensory function; Motor & Cerebellar Function (Gait; Grips/pushes/pulls) Abnormal Skin Lesions: Abrasion - correct answers.Superficial damage to skin; generally not deeper than the epidermis; often occurs when exposed skin comes into moving contact with a rough surface Abnormal Skin Lesions: Contusion - correct answers.Bruise; Caused by blunt force trauma; injury where skin is discolored, but not broken Abnormal Skin Lesions: Rash - correct answers.Change in skin which affects its color, appearance, or texture; may be localized or may affect all skin; usually itchy; may blister AInspect head for - correct , shape, facial features, lesions Alert - correct answers.Vigilantly attentive, keen Aspects of the general survey - correct answers.Appearance/behavior/affect; body type/posture; Speech; Grooming/hygeine; Vital signs; Height/weight/bmi Assess hair based on - correct answers.Color, Quality (soft, shiny, brittle), quantity (thick, thinned), Texture (coarse, fine), distribution Assess Skin According to - correct answers.Size, Shape, Pattern, Color, Distribution, Texture, Exudate, Pain, Itching Assessing Neck - correct answers.Inspect for flexion and extension; inspect and palpate: lymph nodes, thyroid enlargement, carotid pulses, trachea position Assessment of Peripheral Perfusion - correct answers.Evaluate: Color, clubbing, capillary refill, JVD, Skin temperature, edema, ulcerations, hair distribution Assessment of Sensory Function - correct answers.Patient keeps eyes closed as you apply various stimuli; Have patient indicate when he/she feels sensation; Vary location and approach; Usually test upper and lower extremities and trunk Assessment Parameters for Older Adults - correct answers.Basic Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) Assessment: Lesions:Abnormal Lesions - correct answers.Primary: result of disease or irritation (ex. acne); secondary: develop from primary lesions as a result of continued illness, exposure, or infection (ex. crust that forms from ruptured postules) Ausculation - correct answers.Heart sounds: use diaphragm and bell of stethoscope, S1 & S2 (Lub-Dub); Carotid artery: use bell of stethoscope Ausculation of Breath Sounds - correct answers.Pitch, Quality, Duration, Location (visualize) Ausculation of Chest/Lung - correct answers.Use diaphragm of stethoscope; Instruct patient to breathe through mouth; Listen to all lobes (anterior and posterior)

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TEST BANK FOR BATES’ GUIDE TO PHYSICAL
EXAMINATION AND HISTORY TAKING 13TH
EDITION. ACTUAL PRACTICE QUESTIONS WITH
100% VERIFIED CORRECT ANSWERS.



Abnormal Breath Sounds - correct answers.Adventitious, diminished

Abnormal Findings for the HEENT - correct answers.Tenderness or lesions
to head, face, neck, mouth; Asymmetry of facial features; Uneven or
abnormally large or small pupils; Sinus tenderness; Hearing or vision loss

Abnormal Heart Sounds - correct answers.Murmurs: blowing or swooshing
sound occurring with blood flow in the heart (valve mechanics); Friction rub:
high pitched, scratchy, like sandpaper; Prosthetic heart valves: click or
ping; S3 and S4

Abnormal Neuro Findings - correct answers.Cerebral Function; Cranial
nerves; Relexes; Sensory function; Motor & Cerebellar Function (Gait;
Grips/pushes/pulls)

Abnormal Skin Lesions: Abrasion - correct answers.Superficial damage to
skin; generally not deeper than the epidermis; often occurs when exposed
skin comes into moving contact with a rough surface

Abnormal Skin Lesions: Contusion - correct answers.Bruise; Caused by
blunt force trauma; injury where skin is discolored, but not broken

Abnormal Skin Lesions: Rash - correct answers.Change in skin which
affects its color, appearance, or texture; may be localized or may affect all
skin; usually itchy; may blister

AInspect head for - correct answers.size, shape, facial features, lesions

Alert - correct answers.Vigilantly attentive, keen

, Aspects of the general survey - correct
answers.Appearance/behavior/affect; body type/posture; Speech;
Grooming/hygeine; Vital signs; Height/weight/bmi

Assess hair based on - correct answers.Color, Quality (soft, shiny, brittle),
quantity (thick, thinned), Texture (coarse, fine), distribution

Assess Skin According to - correct answers.Size, Shape, Pattern, Color,
Distribution, Texture, Exudate, Pain, Itching

Assessing Neck - correct answers.Inspect for flexion and extension; inspect
and palpate: lymph nodes, thyroid enlargement, carotid pulses, trachea
position

Assessment of Peripheral Perfusion - correct answers.Evaluate: Color,
clubbing, capillary refill, JVD, Skin temperature, edema, ulcerations, hair
distribution

Assessment of Sensory Function - correct answers.Patient keeps eyes
closed as you apply various stimuli; Have patient indicate when he/she
feels sensation; Vary location and approach; Usually test upper and lower
extremities and trunk

Assessment Parameters for Older Adults - correct answers.Basic Activities
of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL)

Assessment: Lesions:Abnormal Lesions - correct answers.Primary: result
of disease or irritation (ex. acne); secondary: develop from primary lesions
as a result of continued illness, exposure, or infection (ex. crust that forms
from ruptured postules)

Ausculation - correct answers.Heart sounds: use diaphragm and bell of
stethoscope, S1 & S2 (Lub-Dub); Carotid artery: use bell of stethoscope

Ausculation of Breath Sounds - correct answers.Pitch, Quality, Duration,
Location (visualize)

Ausculation of Chest/Lung - correct answers.Use diaphragm of
stethoscope; Instruct patient to breathe through mouth; Listen to all lobes
(anterior and posterior)

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