The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?

Severe obesity

Severe dehydration

Connective tissue disorders such as scleroderma

Childhood growth spurts

Answer and Explanation

The Correct Answer is B

A.   Severe obesity may not affect skin turgor but may cause other skin-related issues like stretching.
B.   Severe dehydration is the most likely cause of decreased skin turgor, as dehydration reduces the amount of interstitial fluid, causing the skin to lose elasticity.
C.   Connective tissue disorders such as scleroderma may affect skin appearance, but they typically cause hardening rather than decreased turgor.
D.   Childhood growth spurts generally do not affect skin turgor unless other conditions are present, such as dehydration or malnutrition.

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Correct Answer is B

Explanation

A. Lymph nodes are usually described as enlarged or swollen, not "lumped." This term is not typically used in the description of lymphadenopathy.
B. In cases of acute infection, lymphadenopathy is most often unilateral and localized to the area of infection. For example, if there is a throat infection, the lymph nodes on the same side of the neck are more likely to be enlarged.
C. Lymph nodes that are soft and nontender are more indicative of chronic conditions such as lymphoma or metastasis. In acute infections, lymph nodes tend to be firm and tender.
D. Firm but freely movable nodes may be indicative of chronic conditions or noninfectious causes. Acute infection typically leads to tender, swollen lymph nodes that may feel rubbery or hard but are usually movable.

A. Palpate the thyroid while the patient holds their breath B. Palpate the thyroid while the patient is swallowing C. Auscultate the thyroid with the bell of the stethoscope D. Auscultate the thyroid with the diaphragm of the stethoscope

Correct Answer is C

Explanation

A. Palpation of the thyroid helps assess its size, consistency, and tenderness but does not aid in detecting a bruit.
B. Swallowing helps assess the mobility of the thyroid but does not aid in auscultating for a bruit.
C. The bell of the stethoscope is used to detect low-pitched sounds, such as a bruit, which might be heard if there is increased blood flow through the thyroid gland, as seen in hyperthyroidism or Graves' disease.
D. The diaphragm is used to detect high-pitched sounds, such as lung or heart sounds. The bell is better for detecting a bruit.

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The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an examination of a female patient, the nurse notes lymphadenopathy and suspects an acute infection. How do acutely infected lymph nodes typically appear?

Correct Answer is B

Explanation

A patient's thyroid gland is enlarged, and the nurse is preparing to auscultate the gland for the presence of a bruit. What technique should the nurse use to assess for a bruit?

Correct Answer is C

Explanation

A nurse is auscultating heart sounds and hears a murmur. What should be included in the nurse's documentation? Select all that apply.

The nurse palpates a swollen inguinal lymph node. Which assessment should the nurse perform next?

A nurse is assessing a client who has chronic respiratory insufficiency. Which of the following findings should the nurse expect to find because of the long- term inadequate tissue perfusion?

During auscultation of the lungs, the nurse expects decreased breath sounds to be heard in which situation?

Which of the following is the most important muscle in the normal respiratory process of an adult?

A nurse is examining a patient and finds a lesion that is a linear arrangement along a unilateral nerve route. The nurse would document this finding as

The nurse has just completed a lymph node assessment on a healthy 40-year-old female patient. Which of the following is an expected finding?