A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment.
On assessment the nurse might expect to see which finding?

Scleroderma.

Pedal erythema.

Anasarca.

Clubbing of the nails.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Scleroderma is a chronic autoimmune disorder characterized by hardening and tightening of the skin and connective tissues. While it affects the skin, it is unrelated to emphysema and bronchitis, making it an unlikely finding in this client.

Choice B rationale

Pedal erythema, or redness of the feet, can result from various causes, including infections, allergies, and circulatory issues. However, it is not commonly associated with emphysema and bronchitis, making it an unlikely finding in this client.

Choice C rationale

Anasarca is generalized body swelling due to fluid retention, often seen in severe heart failure, liver disease, and kidney failure. While this condition involves significant swelling, it is not typically linked to emphysema and bronchitis.

Choice D rationale

Clubbing of the nails is a common finding in chronic respiratory conditions like emphysema and bronchitis. It involves bulbous enlargement of the fingertips and nail curvature, resulting from prolonged low oxygen levels, making it a likely finding in this client.

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Correct Answer is C

Explanation

Choice A rationale

Rhonchi are low-pitched, coarse sounds typically heard during expiration, associated with secretions in large airways, not high-pitched continuous sounds.

Choice B rationale

Stridor is a high-pitched sound heard during inspiration, typically indicating upper airway obstruction.

Choice C rationale

Wheezes are continuous high-pitched whistling sounds heard during expiration, common in conditions like chronic obstructive pulmonary disease, where airway narrowing is present.

Choice D rationale

Crackles are discontinuous sounds heard during inspiration, usually associated with fluid in the lungs or alveolar opening, not continuous high-pitched sounds. .

A. More prone to injury and calcifications than other locations in the breast. B. Where most of the suspensory ligaments attach. C. The largest quadrant of the breast. D. The location of most breast tumors.

Correct Answer is D

Explanation

Choice A rationale

While the upper outer quadrant can be prone to injury and calcifications, this is not the primary reason for its importance in breast examinations. Calcifications can occur in various parts of the breast and are often detected through mammography rather than physical examination.

Choice B rationale

Suspensory ligaments, also known as Cooper's ligaments, provide structural support to the breast. They attach to the skin and the underlying pectoral fascia. However, these ligaments are distributed throughout the breast and are not confined to the upper outer quadrant.

Choice C rationale

The upper outer quadrant is not the largest quadrant of the breast. All quadrants have relatively similar sizes. Therefore, the size of the quadrant is not the reason for its importance in breast examinations.

Choice D rationale

The upper outer quadrant of the breast is the most common location for breast tumors. This is because a significant portion of the breast tissue, including the axillary tail (an extension of breast tissue into the armpit), is located in this quadrant. Therefore, careful examination of this area is crucial for early detection of breast cancer.

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A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment.On assessment the nurse might expect to see which finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is auscultating the breath sounds of a client who has chronic obstructive pulmonary disease.When the client exhales, the nurse hears continuous high-pitched whistling sound.The nurse should document this as?

Correct Answer is C

Explanation

In performing a breast examination, the nurse knows that examining the upper outer quadrant of the breast is especially important.The reason for this is that the upper quadrant is:

Correct Answer is D

Explanation

A patient is complaining of a black large spot in the center of their vision.The nurse determines this manifestation as central vision loss.Which eye disorder below is consistent with this symptom?

A nurse is performing an assessment on the fingers and toes of a patient.What finding is consistent with clubbing?

A nurse expects to hear which percussion sounds over muscles and tissues?

Which of the following is true in regards to hyperopia?

When inspecting a patient's eyes, the nurse assesses the presence of cranial nerve III (oculomotor nerve) by observing the eyelids open and close bilaterally.What other technique does a nurse use to test the function of this cranial nerve?

A student nurse is reviewing for an upcoming examination and recognizes in the ECG readings that the QRS wave represents which of the following?

The nurse is assessing the peripheral vascular system of a client.On inspection, the client's legs are cold and the client reports she no longer has hair growing on the legs.What does the nurse suspect the client is experiencing?

The nurse is examining an elderly client and notes an exaggerated curvature of the thoracic spine.The nurse should document this finding as which of the following?

A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment.
On assessment the nurse might expect to see which finding?