3160 Exam 4 Review Part 2

Your pt reports liver tenderness (liver is in the RUQ). How would you BEST alter the order of palpation?

• Start with Left upper quadrant

• Start with Left lower quadrant

• Start with Right lower quadrant

• Start with Right upper quadrant

Which of the following assessments describes ankylosis?

• an arthritis patient's fingers shorten and become permanently tight

• a patient's radius becomes dislocated from the humerus at the elbow

• a patient's knee becomes stiff and difficult to move

• a grating, crackling noise heard in the patient's knee when moving

You should include the following statements when educating about colon cancer EXCEPT

• "You might need to obtain a fecal occult blood test if you are at risk"

• "Having a family history of colon cancer does not increase your risk"

• "Elderly patients have a higher risk for colon cancer"

• "Eating more whole wheats can reduce your risk of colon cancer"

Your patient has slight distention of the abdominal wall. This most likely describes what type of contour?

• protuberant

• scaphoid

• rounded

• concave

You ask your patient turn their head side-to-side. This is most likely assessing ROM of the

• thoracic spine

• cervical spine

• wrists

• ankles

The nurse is demonstrating proper ROM of assessment of the hip. The nurse is moving the leg away from the midline of the body. What is the nurse doing to the hip?

• Abducting

• flexing

• Adducting

• inverting

A way to assess hip ROM is to lie the patient flat and raise a leg with knee extended. Which image MOST depict this?

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Body Image Disturbance is an appropriate nursing diagnosis for a patient who

• has intermittent menstrual periods due to perimenopause/menopause

• has a positive murphy's sign due to gallbladder inflammation

• has had an injury to the musculoskeletal system causing a deformity

• is at an increased risk for fractures due to smoking

All of the following statements about assessment are true EXCEPT:

• best practice is ask a patient to empty their bladder BEFORE assessment

• the tale of spence should be included in breast palpation

• you should wash hands after patient contact

• When radial pulse, you can assess the left side BEFORE the right side

Which patient would you assess first?

• patient with a sharp pain in the RLQ of abdomen

• a patient who reports 48 hours since last bowel movement

• a patient who has IBS and is having frequent loose stools

• a patient who reports having acid reflux after eating spicy food