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health assesment red
wednesday health assessment
| Question | Answer |
|---|---|
| An accessory glandular structure for the male genital organs is the: | prostate |
| A male patient with possible fertility problems asks the nurse where sperm is produced. The nurse knows that sperm production occurs in the: | testes |
| A newborn baby boy is about to have a circumcision. The nurse knows that indications for circumcision include: | cultural and religious beliefs |
| The nurse if performing a genital examination on a male patient and notices urethral drainage. When collecting urethral discharge for microscopic examination and culture, the nurse should: | compress glans between the examiner’s thumb and forefinger and collect any discharge. |
| Which of these statements about the sphincters if correct: | the external sphincter is under voluntary control |
| The nurse is caring for a newborn infant. Thirty hours after birth, the infant passes a dark green meconium stool. The nurse recognizes that this is important because: | this stool would indicate anal patency |
| While performing a rectal examination, the nurse notices a firm, irregularly shaped mass. What should the nurse do next: | report the finding and refer the patient to a specialist for further examination |
| During a speculum inspection of the vagina, the nurse would expect to see what at the end of the vaginal canal: | Cervix |
| A woman who is 22 weeks pregnant has a vaginal infection. She tells the nurse that she is afraid that this infection will hurt the fetus. The nurse knows that which of these statements is true: | a thick mucus plug forms that protects the fetus from infection |
| A 65-year –old woman is in the office for routine gynecologic care. She had a complete hysterectomy 3 months ago after cervical cancer was detected. The nurse knows that which of these statements is true with regard to this visit: | the nurse should plan to lubricate the instruments and the examining hand well to avoid a painful examination |
| Which of these statements is true regarding the arterial system: | arteries can expand greatly to accommodate a large blood volume increase |
| A 65-year-old patient is experiencing pain in his left calf when he exercises that disappears after resting for a few minutes. The recognized that this description is most consistent with ____________ the left leg: | claudication due to venous abnormalities |
| Which of these veins are responsible for most of the venous return in the arm? | superficial |
| A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to use the great saphenous vein for the coronary bypass grafts. The patient asks, “What happens to my circulation when the veins are removed?” The nurse should reple: | “Because the deeper veins in your leg are in good condition, this vein can be removed without harming your circulation |
| During an assessment of an older adult, the nurse should expect to notice which finding as a normal physiologic change associated with aging process? | peripheral blood vessels growing more rigid with age, producing a rise systolic blood pressure. |
| A patient has positive Homans’ sign. The nurse knows that a positive Homans’ sign may indicate: | deep vein thrombosis |
| During an assessment, the nurse notices that a patient’s left arm is swollen from the shoulder down to the fingers, with nonpitting brawny edema. The right arm is normal. The patient had a left-sided mastectomy 1 year ago. The nurse suspects which prob | lymphedema |
| During an assessment, a patient tells the nurse that her fingers often change color when she goes out in cold weather. She describes these episodes as her fingers first turning white, then blue, then red with a burning, throbbing pain. The nurse suspect | Raynaud’s disease |
| The nurse is percussing the seventh right intercostal space at the mdiclavicular line over the liver. Which sound should the nurse expect to hear: | dullness |
| The nurse suspects that a patient has a distended bladder. How should the nurse assess for this condition: | percuss and palpate the midline area above the suprapubic bone |
| While examining a patient, the nurse observes abdominal pulsations between the xiphoid and umbilicus. The nurse would suspect that these are: | normal abdominal aortic pulsations |
| A patient has hypoactive bowel sounds. The nurse knows that a potential cause of hypoactive bowel sounds is: | |
| The nurse is listening to bowel sounds. Which of these statements is true of bowel sounds: | they are usually high-pitched, gurgling, irregular sounds |
| The nurse is performing percussion during an abdominal assessment. Percussion notes heard during the abdominal assessment may include: | resonance, dullness, and tympany |
| A patient is complaining of a sharp pain along the costovertebral angles. The nurse knows that this symptom is most often indicative of: | kidney inflammation |
| The nurse notices that a patient has had a black, tarry stool and recalls that a possible cause would be: | gastrointestinal bleeding |
| During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient’s abdomen. Before reporting this finding as “silent bowel sounds” the nurse should listen for at least: | 5 full minutes |
| A patient is suspected of having inflammation of the gallbladder, or cholecystitis. The nurse should conduct which of these techniques to assess for this condition: | test for Murphy’s sign |
| When palpating the abdomen of a 20-year-old patient, the nurse notices the presence of tenderness in the left upper quadrant with deep palpation. Which of these structures is most likely to be involved: | spleen |
| During an abdominal assessment, the nurse tests for a fluid wave. A positive fluid wave test occurs with: | ascites |
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