A very pertinent part of the physical examination on a patient with back pain is

inspection of the extremities.

auscultation of the lungs.

percussion of the flank areas of the back.

auscultation of bowel sounds.

Answer and Explanation

The Correct Answer is C

A.   While extremity inspection is important, it is not as directly related to assessing back pain as evaluating the back itself.

B.   Auscultating the lungs is essential in respiratory assessments but is not the priority when examining a patient with back pain.
C.   Percussion of the flank areas is a key part of the physical examination for back pain, particularly if there are concerns of kidney involvement or other internal issues causing discomfort.
D.   Bowel sounds are not directly related to back pain unless gastrointestinal issues are suspected.

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Correct Answer is A

Explanation

A. Allowing the patient to sit on the side of the bed helps to prevent sudden drops in blood pressure and allows the body to adjust to the change in position, reducing the risk of fainting or dizziness.
B. Using a wheelchair for mobility may not address the root cause of orthostatic hypotension and may limit the patient's independence.
C. Keeping the patient in a high Fowler's position could worsen the symptoms of orthostatic hypotension.
D. Rising quickly could lead to a sudden drop in blood pressure and increase the risk of a fall or injury.

A. auscultate lung and abdominal sounds. B. check for verbal and motor response. C. monitor daily weight. D. monitor intake and output.

Correct Answer is B

Explanation

A. While auscultating lung and abdominal sounds is important, it is not as urgent as checking neurological function in a head trauma patient.
B. Assessing verbal and motor responses is critical to evaluate the level of consciousness and neurological function in a patient with head trauma.
C. Monitoring daily weight is not an immediate concern for a patient with possible head trauma.
D. Monitoring intake and output is important but not the priority compared to assessing the neurological status in head trauma patients.

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A very pertinent part of the physical examination on a patient with back pain is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Because the older adult's blood vessels are nonelastic, they are prone to orthostatic hypotension. A priority intervention for a patient with orthostatic hypotension is to:

Correct Answer is A

Explanation

A patient was admitted with possible head trauma after a motor vehicle accident. The nursing implementation with the highest priority is to:

Correct Answer is B

Explanation

The nurse would record a pulse as bradycardic if the rate were:

A critically ill patient has faster and deeper, then slower, respirations. These are followed by a period of no breathing for 21 seconds with continuation of this cycle. This respiratory pattern is

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The nurse explains to a patient that the pulse oximeter can measure the arterial oxygen by:

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