In order to effectively assess the oral mucosa, the examiner should have which
assessment tools available? (select all that apply)
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penlight, gloves, tongue depressor
For the assessment of the oral mucosa, the examiner needs to have
available gloves to prevent the possible transmission of infection, a
penlight to optimize visibility of the oral cavity, and a tongue depressor to
prevent the tongue from obstructing view of the posterior oral cavity and
, throat. A speculum and tuning fork are required when conducting a
physical examination of the ear.
A client has a rash on his chest associated with a burning pain. Even a light touch
causes this burning sensation to worsen. What type of pain is this?
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neuropathic pain
The characteristic burning quality without a history of an actual burn is
typical of neuropathic pain. As a rash is present, it is not idiopathic. There is
no indication that this is psychogenic pain. Nociceptive pain is related to
tissue damage with intact sensory nervous system
Which body mass index (BMI) indicates the adult client is overweight?
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26
The classifications for BMI are:
<18.5 Underweight
18.5-24.9 Normal
25.0-29.9 Overweight
30.0-34.9 Obesity Class I
35.0-39.9 Obesity Class II
≥40 Extreme obesity
The advanced practice nurse note a 4 cm by 3 cm, rough, elevated area of psoriasis.
What is this an example of?
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plaque
A plaque, by definition, is an elevated, firm, rough lesion with a flat top
surface larger than 1 cm in diameter, as seen in someone with, for example,
psoriasis.
The advanced practice nurse (APN) notes a 1.5-cm circular region of necrotic tissue
that is deeper than the epidermis on a client's sacrum. How should the APN document
this lesion?
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ulcer
An ulcer is skin loss extending past the epidermis with the involvement of
necrotic tissue. Keloids lack necrosis and consist of scar tissue. A fissure is
linear and erosions do not extend to the dermis.
A 60-year-old female client reports a 5-day history of constipation. She describes a
sensation of "burning" in her perianal area. This information is considered which part
of the assessment data?
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, subjective data
The client is describing a problem from her own perspective; therefore, this
data is considered subjective. The objective data set comprises the client
signs, or what the nurse observes in the assessment. The health history and
physical exam are also part of the objective data set.
To begin the clinical breast examination (CBE) for a man, what would the advanced
practice nurse (APN) ask him to do?
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sit with his arms hanging at his sides
Inspection begins the CBE. Ask the client to sit with his arms hanging
loosely at his sides. The technique is the same for men and women.
In a woman reporting a breast lump, what is it important to ask about?
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its relationship to menses
Hormonal changes of menstruation can result in breast tenderness,
swelling, and enlarged nodes that can be felt on palpation.
The effect of the chief complaint on the patient's lifestyle is recorded in which section
of the medical record?
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assessment tools available? (select all that apply)
Give this one a try later!
penlight, gloves, tongue depressor
For the assessment of the oral mucosa, the examiner needs to have
available gloves to prevent the possible transmission of infection, a
penlight to optimize visibility of the oral cavity, and a tongue depressor to
prevent the tongue from obstructing view of the posterior oral cavity and
, throat. A speculum and tuning fork are required when conducting a
physical examination of the ear.
A client has a rash on his chest associated with a burning pain. Even a light touch
causes this burning sensation to worsen. What type of pain is this?
Give this one a try later!
neuropathic pain
The characteristic burning quality without a history of an actual burn is
typical of neuropathic pain. As a rash is present, it is not idiopathic. There is
no indication that this is psychogenic pain. Nociceptive pain is related to
tissue damage with intact sensory nervous system
Which body mass index (BMI) indicates the adult client is overweight?
Give this one a try later!
26
The classifications for BMI are:
<18.5 Underweight
18.5-24.9 Normal
25.0-29.9 Overweight
30.0-34.9 Obesity Class I
35.0-39.9 Obesity Class II
≥40 Extreme obesity
The advanced practice nurse note a 4 cm by 3 cm, rough, elevated area of psoriasis.
What is this an example of?
,Give this one a try later!
plaque
A plaque, by definition, is an elevated, firm, rough lesion with a flat top
surface larger than 1 cm in diameter, as seen in someone with, for example,
psoriasis.
The advanced practice nurse (APN) notes a 1.5-cm circular region of necrotic tissue
that is deeper than the epidermis on a client's sacrum. How should the APN document
this lesion?
Give this one a try later!
ulcer
An ulcer is skin loss extending past the epidermis with the involvement of
necrotic tissue. Keloids lack necrosis and consist of scar tissue. A fissure is
linear and erosions do not extend to the dermis.
A 60-year-old female client reports a 5-day history of constipation. She describes a
sensation of "burning" in her perianal area. This information is considered which part
of the assessment data?
Give this one a try later!
, subjective data
The client is describing a problem from her own perspective; therefore, this
data is considered subjective. The objective data set comprises the client
signs, or what the nurse observes in the assessment. The health history and
physical exam are also part of the objective data set.
To begin the clinical breast examination (CBE) for a man, what would the advanced
practice nurse (APN) ask him to do?
Give this one a try later!
sit with his arms hanging at his sides
Inspection begins the CBE. Ask the client to sit with his arms hanging
loosely at his sides. The technique is the same for men and women.
In a woman reporting a breast lump, what is it important to ask about?
Give this one a try later!
its relationship to menses
Hormonal changes of menstruation can result in breast tenderness,
swelling, and enlarged nodes that can be felt on palpation.
The effect of the chief complaint on the patient's lifestyle is recorded in which section
of the medical record?
Give this one a try later!
