Test Bank For Policy-Based Profession, The An Introduction to Social Welfare Policy Analysis for Social Workers 7th Edition All Chapters - 9780137414994

TEST BANK FOR Evidence-
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Based Physical Examination for Health & Well-
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Being Assessment 2nd Edition
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ongthegfloorginghergkitchen.gHergface,gnailgbeds,glips,gandgoralgmucosagaregagbrightgcher
ryredgcolor.gThegnursegsuspectsgthatgthisgcoloringgisgduegto:ga.
Polycythemia.g
b.
Carbongmonoxidegpoisoning.g
c.
Carotenemia.
d.gUremia.
-gb

Agpatientghasgbeengadmittedgtogaghospitalgaftergthegstaffgingthegnursingghomegnoticedgag
pressuregulcerginghisgsacralgarea.gThegnursegexaminesgthegpressuregulcergandgdetermi
nesgthatgitgisgagstagegIIgulcer.gWhichgofgthesegfindingsgaregcharacteristicgofgagstagegIIgpr
essuregulcer?gSelectgallgthatgapply.ga.
Intactgskingappearsgredgbutgisgnotgbroken.gb.
Partialgthicknessgskingerosiongisgobservedgwithgaglossgofgepidermisgorgdermis.gc.gUl
cergextendsgintogthegsubcutaneousgtissue.gd.
Localizedgrednessginglightgskingwillgblanchgwithgfingertipgpressure.ge.gOp
engblistergareasghavegagred-pinkgwoundgbed.
f.
Patchesgofgeschargcovergpartsgofgthegwound.g-gb,ge

Whichgstatementgaboutgthegapicesgofgtheglungsgisgtrue?gThegapicesgofgtheglungs:ga.
gAregatgtheglevelgofgthegsecondgribganteriorly.gb.

Extendg3gtog4gcmgabovegtheginnergthirdgofgthegclavicles.gc.
Areglocatedgatgthegsixthgribganteriorlygandgthegeighthgribglaterally.gd.
Restgongthegdiaphragmgatgthegfifthgintercostalgspacegingthegmidclavicularglineg(MCL).g-gb

Whengauscultatinggtheglungsgofgangadultgpatient,gthegnursegnotesgthatglow-
pitched,gsoftgbreathgsoundsgaregheardgovergthegposteriorglowerglobes,gwithginspiration
gbeingglongergthangexpiration.gThegnurseginterpretsgthatgthesegsoundsgare:ga.

Normallygauscultatedgovergthegtrachea.gb.
Bronchialgbreathgsoundsgandgnormalgingthatglocation.gc.

,Vesiculargbreathgsoundsgandgnormalgingthatglocation.gd.gBronchovesic
ulargbreathgsoundsgandgnormalgingthatglocationg-gc

Whenginspectinggtheganteriorgchestgofgangadult,gthegnursegshouldgincludegwhichgassess
ment?
a.
Diaphragmaticgexcursion
gb.

Symmetricgchestgexpansion
gc.

Presencegofgbreathgsounds
d.
Shapegandgconfigurationgofgthegchestgwallg-gd


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ghavegskingcancer.gDuringgthegskingassessmentgthegnursegnoticesgseveralgareasgofgpig

mentationgthatglookggreasy,gdark,gandgstuckgonghisgskin.gWhichgisgthegbestgprediction?ga
.
Senileglentigines,gwhichgdognotgbecomegcancerousgb.
Actinicgkeratoses,gwhichgaregprecursorsgtogbasalgcellgcarci omagc.
n
Acrochordons,gwhichgaregprecursorsgtogsquamousgcellgcarcinomagd.g
Seborrheicgkeratoses,gwhichgdognotgbecomegcancerousg-gd

Thegnursegjustgnotedgfromgthegmedicalgrecordgthatgthegpatientghasgaglesiongthatgisgconfl
uentgingnature.gOngexamination,gthegnursegexpectsgtogfind:ga.
Lesionsgthatgrungtogether.gb.
Annularglesionsgthatghaveggrowngtogether.
c.
Lesionsgarrangedgingaglinegalonggagnervegroute.gd.gLesio
nsgthatgareggroupedgorgclusteredgtogether.g-ga

Agpatientghasghadgagterriblegitchgforgseveralgmonthsgthatgheghasgbeengcontinuousl
ygscratching.gOngexamination,gthegnursegmightgexpectgtogfind:ga.gAgkeloid.gb.gAgfi
ssure.gc.
Keratosis.gd.gLichenificat
ion.g-gd

Lichenificationgresultsgfromgprolonged,gintensegscratchinggthatgeventuallygthickensgthegs
kingandgproducesgtightlygpackedgsetsgofgpapules.gAgkeloidgisgaghypertrophicgscar.gAgfiss
uregisgaglineargcrackgwithgabruptgedges,gwhichgextendsgintogthegdermis;gitgcangbegdry
orgmoist.gKeratosesgareglesionsgthatgaregraised,gthickenedgareasgofgpigmentationgtha
t
appeargcrusted,gscaly,gandgwarty.

,Agphysicianghasgdiagnosedgagpatientgwithgpurpura.gAftergleavinggthegroom,gagnursin
ggstudentgasksgthegnursegwhatgthegphysiciangsawgthatgledgtogthatgdiagnosis.gThegnu
rsegshouldgsay,gThegphysiciangisgreferringgtogthe:ga.
Bluegdilationgofgbloodgvesselsgingagstar-
shapedglineargpatterngongtheglegs.gb.gFierygred,gstar-
shapedgmarkinggongthegcheekgthatghasgagsolidgcirculargcenter.gc.gConfluentgand
gextensivegpatchgofgpetechiaegandgecchymosesgongthegfeet.gd.

Tinygareasgofghemorrhagegthatgareglessgthang2gmm,ground,gdiscrete,gandgdarkgredgi
ngcolor.g-gc
Ag45-year-
oldgfarmergcomesgingforgagskingevaluationgandgcomplainsgofghairglossgonghisghead.gHisg
hairgseemsgtogbegbreakinggoffgingpatches,gandghegnoticesgsomegscalinggonghisghead.gTh
egnursegbeginsgthegexaminationgsuspecting:ga.
Tineagcapitis.gb.
Folliculitis.gc.
Toxicgalopecia.gd.gSeborrhe
icgdermatitis.g-ga


Thegnursegisgexamininggagpatientgwhogtellsgthegnurse,gIgsuregsweatgaglot,gespeciallygo
ngmygfacegandgfeetgbutgitgdoesntghavegangodor.gThegnursegknowsgthatgthisgconditiong
couldgbegrelatedgto:ga.
Eccrinegglands.gb.
gApocrinegglands.

gc.

Disordergofgthegstratumgcorneum.gd.gDiso
rdergofgthegstratumggerminativum.g-ga

Agnewbornginfantgisgingthegclinicgforgagwell-
babygcheckup.gThegnursegobservesgtheginfantgforgthegpossibilitygofgfluidglossgbecausegof
gwhichgofgthesegfactors?ga.

Subcutaneousgfatgdepositsgareghighgingthegnewborn.gb.g
Sebaceousgglandsgaregoverproductivegingthegnewborn.gc.
Thegnewbornsgskingisgmoregpermeablegthangthatgofgthegadult.gd.
Thegamountgofgvernixgcaseosagdramaticallygrisesgingthegnewborn.g-gc

Duringgangexamination,gthegnursegfindsgthatgagpatientghasgexcessivegdrynessgofgthegski
n.gThegbestgtermgtogdescribegthisgconditiongis:ga.
Xerosis.gb.
gPruritus.g

c.
Alopecia.gd.gSebo
rrhea.g-ga

, Agpatientgcomesgingforgagphysicalgexaminationgandgcomplainsgofgfreezinggtogdeathgwhil
egwaitinggforghergexamination.gThegnursegnotesgthatghergskingisgpalegandgcoolgandgattri
butesgthisgfindinggto:ga.
Venousgpooling.
b.

gPeripheralgvasodilation.gc.
Peripheralgvasoconstriction.gd.gDecr
easedgarterialgperfusion.g-gc

Agpatientgcomesgtogthegclinicgandgstatesgthatgheghasgnoticedgthatghisgskingisgreddergthan
normal.gThegnursegunderstandsgthatgthisgconditiongisgduegtoghyperemiagandgknowsgthatg
itgcangbegcausedgby:
a.
Decreasedgamountsgofgbilirubingingthegbloodgb.
Excessgbloodgingthegunderlyinggbloodgvessels
c.
Decreasedgperfusiongtogthegsurroundinggtissuesgd.gExce
ssgbloodgingthegdilatedgsuperficialgcapillariesg-gd

AgnewbornginfantghasgDowngsyndrome.gDuringgthegskingassessment,gthegnursegnoticesg
agtransientgmottlinggingthegtrunkgandgextremitiesgingresponsegtogthegcoolgtemperatureging
thegexaminationgroom.gTheginfantsgmothergalsognoticesgthegmottlinggandgasksgwhatgitgis
.gThegnursegknowsgthatgthisgmottlinggisgcalled:ga.
Cafgauglait.gb.
gCarotenemia

.gc.
Acrocyanosis.
gd.

Cutisgmarmorata.g-gd

Ag35-year-
oldgpregnantgwomangcomesgtogthegclinicgforgagmonthlygappointment.gDuringgthegassess
ment,gthegnursegnoticesgthatgsheghasgagbrowngpatchgofghyperpigmentationgonghergface.g
Thegnursegcontinuesgthegskingassessmentgawaregthatganothergfindinggmaygbe:ga.
Keratoses.gb.
gXerosis.gc.

Chloasma.
gd.

Acrochordons.g-gc


Duringgauscultationgofgtheglungsgofgangadultgpatient,gthegnursegnoticesgthegpresencegofg
bronchophony.gThegnursegshouldgassessgforgsignsgofgwhichgcondition?ga.