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:

The nurse practitioner understands the following about hyperresonance in percussion of the lungs:

The NP upon examination notes a bilateral gray ring around the irises of the 80yo patient. The patient denies visual changes or pain. What does she document?

All of the following tests require the patient’s voice to perform correctly except?

When auscultating for vocal resonance in a client with possible consolidation of lung tissue, the nurse practitioner hears “a-a-a” when the client says “e-e-e.” This is called:

The 55 year old client tells you that she has smoked 2 packs of cigarettes per daysince she was 14 years old. How many pack-years should be recorded in the client’s history?

59-year-old man with a known history of COPD presents with worsening dyspnea. On examination he is afebrile. His breath sounds are decreased bilaterally. He is noted to have jugular venous distension (JVD) and 2+ pitting edema of the lower extremities. Which of the following is the most likely cause of his increasing dyspnea?

When performing a clinical breast examination, you remember to inspect the lymph nodes because …

What technique should be used to best auscultate the second heart sound?