During pulmonary assessment, you observe the client to have a diaphragmatic excursion of 4 cms bilaterally. What is your best action?

A 52-year-old woman has a palpable breast lump. An attempt at FNA (fine needle aspiration) does not result in aspiration of fluid. A mammogram is read as normal. Her mother was diagnosed with breast cancer at age 45. She does not smoke but socially drinks alcohol. She currently uses low-dose estrogen contraception pills and takes 1200 mg of calcium daily. She began her menstrual periods at age 10 and she had her first child at age 24. Which of the following is the appropriate next step?

Risk from male breast cancer in higher in:

You are assessing a pediatric patient with croup. What clinical finding would you expect to discover?

During a routine physical examination of a 44-year-old woman, you note that she has an inverted left nipple. You decide to investigate because:

You review a chart of a patient seen 2 days ago by your colleague. You see a + bronchophony, you understand this is a(n) .

You have noted a thrill at the apex during systole during a physical exam on the patient’s anterior chest. This could indicate

The NP is aware that acute bronchitis is characterized by:

A 21-year-old college senior comes to the campus clinic because she has been increasingly short of breath for the past 3 days. She has a history of asthma, but the asthma had been well-controlled through medication. The patient has had symptoms of an upper respiratory infection and a fever as high as 100.8°F (38.2°C). She has been using her rescue inhaler more frequently for the past 24 hours. On physical examination of the lungs, what sound would you expect to hear?

In assessing a female you record Tanner stage 2, you know this reflects: