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NUR 101 Final

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Question
Answer
A pt is admitted with itching in the trunk and groin, multiple reddened wheels on the chest back and groin   Are yoy taking any new medication.  
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when explaining a self-breast exam to a 72 y/o woman, what info should the NUR include?   Choose the same day each month to examine your breast.  
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To spread the breast across the breast wall, you should ask the pt to do what?   Put one arm over head and a pillow under shoulder.  
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The NUR collects the following data during the breast examination, which one should be reported?   Slight dimpling noticed over both breast.  
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When you palpate the sinus, you are looking for?   Tenderness over forehead.  
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To palpate over cervical lymph nodes you palpate at the same time. Why?   Bilateral comparison.  
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The S1 heart sound can be auscultated best by listening in which location?   Mitral.  
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The pt notes 0.5 cm flat circular brown on the fore arm, the RN documents this skin as?   Macular flat, non raised lesion.  
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Which assessment would indicated pt is disoriented?   Doesn't know where he is now.  
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Which question asked during RN hx to assess cognitive function?   Have you noticed your ability to remember.  
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A pt has generative cerebral disorder, which health hx question helps to assess cerebral function?   Do you have any changes in balance.  
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The RN is assessing the spinal accessory nerve by asking the pt to do?   Shrug shoulders against the resistance.  
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The RN auscultates S3 and S4 in a 40 y/o pt. What should the nurse do first?   Review the pt's record for previous hx of extra heart sounds.  
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A 36 y/o pt, seeks care for sinusitis, where should the NUR palpate?   Above eyebrow.  
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