Homework answers / question archive / Maryville University - NURS 612 1)How do you palpate lymph nodes on the body depending on which lymph node it is?     Examine the lungs and chest area

Maryville University - NURS 612 1)How do you palpate lymph nodes on the body depending on which lymph node it is?     Examine the lungs and chest area

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Maryville University - NURS 612

1)How do you palpate lymph nodes on the body depending on which lymph node it is?

 

 

Examine the lungs and chest area. Describe why you ask a patient to do certain motions.

 

Case study: this is SHORT ANSWER. Will get chief complaint, HPI, subjective findings, objective findings, general overview of patient and skin, chest, and lungs.

 

1)Identify 4 abnormal findings.

2.What additional physical exam would you do?

3.         Give 4 differential diagnosis for patient.

 

Case study: this is SHORT ANSWER. Will get chief complaint, HPI, subjective findings, objective findings, general overview of patient and skin, chest, and lungs.

 

1.         What data deviate from normal findings, suggesting a need for further investigation?

 

2.         What additional questions could be asked by the examiner to clarify symptoms?

 

3.         What additional physical examination, if any, should the examiner complete?

 

4.         What type of problems do you anticipate this patient will have?

 

5.         Mario is a 16 year old male complaining of fatigue and weakness. Listed below are the data collected by the examiner doing an interview and examination.

 

 

 

SHORT QUESTIONS

1.         what data deviate from normal findings, suggesting a need for further investigation?

 

2.         What additional questions could be asked by the examiner to clarify symptoms?

 

3.         What additional examination data should be assessed?

 

4.         What type of problems do you think the patient may have?

 

SHORT ANSWERS

 

 

1.         ABCDE of moles and changes

 

2.         Education on sun exposure ( 5 ways to educate a patient)

 

3.         Most common skin cancers________

 

 

4.         Physical changes as a result of emphysema

 

 

1.         Which examination method is used to differentiate an enlarged lymph node from a cyst?

2.         Mrs. Alberts presents to the office with a complaint of swelling in her neck. What would you expect to feel if the lymph node was cancerous?

3.         The presence of nodular thyroid is a normal finding in?

4.         You are palpating a thyroid gland and note that it is enlarged bilaterally. What is your next step in the examination process?

5.         As the examiner palpates an enlarged lymph node, the patient complains of pain. This is an indication of?

 

7. What do red streaks indicate?

8. A painful lymph node that is painful, boggy, moveable indicates infection.

 

SHORT ANSWER

 

1.         A 19-year-old man has severe itching involving the fifth digit of his right hand. Where should the examiner expect to palpate enlarged and tender lymph nodes?

 

2.         Which of the following methods best describes how to assess a supraclavicular lymph nodes?

 

3.         Which of the following questions is most appropriate to ask a female patient with a suspected thyroid problem?

 

4.         During percussion, the patient holds his or her arms in front in order to?

 

MULTIPLE TYPE QUESTION

1.         You have just completed a skin assessment on Mr. Baker. During your assessment, you have transilluminated a skin lesion. During the physical examination, you know that skin lesions are transilluminated to distinguish:

a. vascular from nonvascular lesions.

 

b furuncles from folliculitis lesions.

.

 

c. fluid-filled lesions from solid cysts or masses.

 

d herpes zoster from varicella.

.

 

 

 

2.         Which nodes are also called Virchow nodes?

a.         Internal mammary

b.         Anterior axillary

c.         Deep cervical

d.         Supraclavicular

e.         Preauricular

 

3.         When enlarged, which lymph nodes are most likely to be a sign of malignancy?

a.         Occipital

b.         Anterior cervical

c.         Posterior cervical

 

d.         Femoral

e.         Supraclavicular

 

4 Normal supraclavicular lymph nodes are

a.         clustered in a capsule.

b.         firm and discrete.

c.         less than 3 cm in diameter.

d.         not palpable.

e.         matted.

 

5 Palpation of the scalene triangle for supraclavicular nodes should be done with

a.         fingers hooked over the clavicle next to the sternocleidomastoid muscle.

b.         fingers along the depression above the medial humeral condyle.

c.         the pads of three fingers in a superficial circular motion.

d.         tissue rolled gently against the chest wall, moving sideways.

e.         the pads of the fingertips along the anterior surface of the trapezius muscle.

 

5.         Mrs. Franklin is a 68-year-old patient who presents to the office with a complaint that her nails do not seem to be growing. As the health care provider, you explain to her that the nails of older adults grow slowly because of:

a.         decreased circulation.

 

b.         dietary deficiencies.

 

c.         fungal infections.

 

d.         low hormone levels.

 

 

6.         Skin lesions are transilluminated to determine

a.         vascular from nonvascular lesions.

 

b.         furuncles from folliculitis lesions.

 

c.         fluid-filled lesions in solid cysts or masses.

 

d.         herpes zoster from varicella.

 

e.         macules from papules.

 

 

7 Which of the following is an ABCD characteristic of malignant melanoma?

a.         Asymmetric borders

 

b.         Borders well demarcated

 

c.         Color of lesion is uniform

 

d.         Diameter less than 6 mm

 

 

 

 

8.         Which of the following is a noncandidal fungal infection?

a.         Pityriasis rosea

 

b.         Psoriasis

 

c.         Tinea corporis

 

d.         Rosacea

 

 

9.         Ms. G is a 22-year-old secretary who comes to the clinic with headaches of 6 weeks’ duration. She tells the office assistant about her heavy schedule, including part-time work and evening classes. Her vital signs are normal. Which information is most appropriate to Ms. G’s history?

a.         Current medications

b.         Elimination patterns

c.         Immunization status

d.         Previous pregnancies

e.         Previous abdominal surgeries

 

 

 

10.       Which type of headache occurs at night, is precipitated by alcohol consumption, and occurs more often in men than in women?

a. Classic migraine

 

b Temporal arteritis

.

 

c. Muscular tension

 

d Hypertensive

.

 

e. Cluster

 

 

11.A 29-year-old woman presents to the urgent care center with a history of a severe headache of 2 hours’ duration. She describes it as bandlike and constricting. In interviewing the woman about her complaint, you would ask

 

a. whether she has experienced increased tearfulness.

 

b the date of her last menstrual period.

.

 

c. whether these headaches started in childhood.

 

d whether she is particularly stressed or overworked.

.

 

e. whether she is missing meals.

 

12.A bruit heard over the thyroid is suggestive of

a.         hypothyroidism.

 

b.         hyperthyroidism.

 

c.         thyroid cancer.

 

d.         thyroid cyst.

e.         thyroid nodule.

 

13.       Coarse, dry, and brittle hair is associated with which metabolic disorder?

a.         Hypothyroidism

 

b.         Diabetes mellitus

 

c.         Addison disease

 

d.         Cushing syndrome

 

e.         Fetal alcohol syndrome

 

 

14.       You are palpating a patient’s thyroid and find that its broadest dimension measures 4 cm. The right lobe is 25% larger than the left. These data indicate

a.         a congenital anomaly.

 

b.         a normal thyroid gland.

 

c.         a multinodular goiter.

 

d.         thyroiditis.

 

e.         a hypothyroid goiter.

 

15.       Both pleural effusion and lobar pneumonia are characterized by    percussion.

a.         tympany heard with

 

b.         dullness heard on

 

c.         resonance heard on

 

d.         hyperresonance heard on

e.         occasional hyperresonance heard on

 

16.       You would expect to document the presence of a pleural friction rub for a patient being treated for

a.         bronchitis.

 

b.         atelectasis.

 

c.         pleurisy.

 

d.         emphysema.

 

e.         Pneumonia.

 

 

17.       Your older clinic patient is being seen today as a follow-up for a 2-day history of pneumonia. The patient continues to have a productive cough, shortness of breath, and lethargy and has been spending most of the day lying in bed. You should begin the chest examination by

a.         percussing all lung fields.

 

b.         auscultating the lung bases.

 

c.         determining tactile fremitus.

 

d.         estimating diaphragmatic excursion.

e.         auscultating the apices.

 

18.       A 29-year-old patient presents with a new complaint of productive cough with purulent sputum. He also complains of right lower quadrant abdominal pain. You suspect pneumonia in the    lobe.

a.         right lower

 

b.         right middle

 

c.         right upper

 

d.         left upper

 

e.         left lower