Advanced Physical Assessment Study guides, Class notes & Summaries

Test Bank Physical Examination and Health Assessment, 9th Edition by Carolyn Jarvis

Know that in a 47-year-old man ED is usually ___________ rather than testosterone psychologic Erectile dysfunction may be from psychogenic causes, especially if early morning erection is preserved. it may also reflect decreased testosterone, decreased blood flow in the hypogastric arterial system, impaired neural innervation, and diabetes When performing a breast exam, know what abnormal masses should do when the arm may be fixed to skin or underlying tissues (may cause dimpling of skin o...

Suspicious breast mass-A mobile mass that becomes fixed when the arm relaxes is attached to the ribs and intercostal muscles; if fixed when the hand is pressed against the hip, it is attached to the pectoral fascia. -Hard irregular poorly circumscribed nodules, fixed to the skin or underlying tissues, strongly suggest cancer Risk for Breast cancer--*Age* -family history of breast/ovarian CA - inherited genetic mutations, -personal history of breast cancer - high levels of endogenous ho...

Appendicitis 1. McBurney point tenderness 2. Rovsing sign 3. the psoas sign 4. the obturator sign --Appendicitis is twice as likely in the presence of RLQ tenderness, Rovsing sign, and the psoas sign --The pain of appendicitis classically begins near the umbilicus, then migrates to the RLQ. Older adults are less likely to report this pattern. --Localized tenderness anywhere in the RLQ, even in the right flank, suggests appendicitis. McBurney Point 1. McBurney point lies 2 inches from t...

Cause of saddle numbness and urinary retention Cauda equina syndrome Presentation of retinal detachment If sudden visual loss is unilateral and painless, Obtunded patient opens the eyes and looks at you but responds slowly and is somewhat confused. Alertness and interest in the environment are decreased. Cranial nerve for lateral gaze CN6: Abducens Adult Illnesses Medical: Illnesses such as diabetes, hypertension, hepatitis, asthma, and human immunodeficiency virus (HIV); hospitaliza...

The nurse practitioner (NP) is completing a comprehensive assessment of Anita, a new client in a primary care facility. Which assessment finding(s) reported by Anita are related to social determinants of health? Select all that apply. occasionally running out of food, being discriminated against in the workplace, has a great amount of smog in their community, having difficulty making the rent payment Focused assessment: - addresses focused concerns or symptoms -used for established clients d...

Facial skin No discoloration or lesions Head Midline, symmetrical, normal in size Lymph node palpation (9 locations) *Preauricular* - in front of ear *Post auricular* - behind ear *Occipital* - back of head Move forward - *tonsillar* Under jawline - *submandibular*, *Submental* *Anterior cervical* *Posterior cervical* *Supraclavicular* - above clavicles ---Do not feel any enlargement, equal bilaterally CN 5 *Trigeminal nerve* Motor component - palpate over the master muscl...

A patient tells the FNP that he is very nervous, that he is nauseated, and that he "feels hot". This type of data would be: A. objective B. subjective C. introspective D. reflective subjective The patient's record, laboratory studies, objective data and subjective data combine to for the: A. discharge summary B. data base C. admitting data D. financial statement data base The FNP is reviewing information about evidence-based practice (EBP). Which statement best reflects evid...

According to the holistic model, a narrow definition of holistic health includes: A. an optimal functioning of mind, body and spirit within the environment B. The absence of disease C. the response of the whole person to actual or potential problems D. the internal and external environment B. the absence of disease An example of subjective data is: A. Decrease range of motion B. crepitation in the left knee joint C. left knee has been swollen and hot for 3 days D. arthritis C. left ...

patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you localize the symptom to? A) Musculoskeletal B) Reproductive C) Urinary D) Endocrine A) Musculoskeletal Chest pain may be due to a musculoskeletal condition, such as costochondritis or intercostal muscle cramp. This would be worsened by motion of the chest wall. Pleuritic chest pain is also a sharp chest pain which increases with a deep breath. This type of pain ca...

Palmer Grasp Reflex the infant will flex all finger to grasp your finger. *If seen beyond 4 mo= pyramidal tract dysfunction. Persistance of a clinched hand over 2 mo=CNS damage *especially if fingers overlap the thumb. Plantar grasp reflex 6-8 mo Touch the sole at the base of the toes , the toes will curl. -reflex after 8 months suggest pyramidal tract dysfunction. Moro reflex (startle reflex) Birth to 4 persistence beyond 4 mo =cerebral palsy, asymmetric response = fx clavicle, humerus, ...