A mother has brought a 3 month old infant to the clinic for evaluation of a cold.  The mom tells the nurse practitioner that the child has a runny nose for a week.  When performing your assessment, you note the child has nasal flaring and sternal and intercostal retractions.  What is your next action? 

A patient is able to flex his right arm forward without difficulty or pain but is unable to abduct his arm because of pain and muscle spasms. What does the nurse suspect?

If every person’s income doubles, the Gini coefficient must fall because everyone is now richer.

When assessing for an S 4 heart sound, what part of the stethoscope should the nurse use and in what location?

Because personal and functional income distributions measure different things, a shift in national income from wages toward profits cannot affect inequality across households.

For Question 6, briefly explain your reasoning.

The Nurse practitioner is percussing the lungs of a patient with pneumonia.  The patient has decreased breath sounds on the right middle lobe. What percussion sound is anticipated over this area? 

A patient says that she has recently noticed a lump in the front of her neck below her  1cAdam’s apple 1d that seems to be getting bigger. During the assessment, what finding would lead the nurse to suspect that this may not be a cancerous thyroid nodule?

During an examination, the nurse finds that a patient has excessive dryness of the skin. How should the nurse document this finding?

Phlebotomy is also known as: