While doing an anal assessment post a woman’s vaginal childb…
While doing an anal assessment post a woman’s vaginal childbirth, the nurse notes the peri-anal area of a patient is darker than the surrounding skin with a skin sac that is shiny and blue. The patient reports pain during bowel movements and notices some spots of blood as she wipes occasionally. What would this history and exam findings most likely indicate?
Read DetailsA nurse is performing a physical exam on a cancer patient wi…
A nurse is performing a physical exam on a cancer patient with history of nausea and vomiting after receiving chemotherapy. The nurse notes lethargy, dark circles around the patient’s eye orbits, dry oral mucosa, and deep fissures in the tongue. These findings reflect which medical condition?
Read DetailsThe nurse is taking a client’s 2-step blood pressure accordi…
The nurse is taking a client’s 2-step blood pressure according to the American Heart Association guidelines. The nurse identifies the brachial pulse is no longer palpable at 120 mm Hg. How high should the nurse pump up the blood pressure cuff when performing step two in the blood pressure assessment?
Read DetailsDuring an examination of a patient’s abdomen, the nurse note…
During an examination of a patient’s abdomen, the nurse notes that the abdomen is rounded and firm to the touch. The nurse suspects gaseous distention as the patient denies “passing flatus yesterday or today”. During percussion, the nurse notes a drum-like quality of sound across the quadrants. Tympany upon percussion indicates?
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