Which disorder is depicted in the image below?

Lordosis

Scoliosis

Kyphosis

Funnel chest

Answer and Explanation

The Correct Answer is B

A. Lordosis is an exaggerated inward curvature of the lumbar spine.
B. Scoliosis is a lateral curvature of the spine, often characterized by an "S" or "C" shape when viewed from behind. This is the disorder depicted in the image.
C. Kyphosis is an exaggerated outward curvature of the thoracic spine, often leading to a hunchback appearance.
D. Funnel chest (pectus excavatum) is a condition where the breastbone sinks into the chest, creating a sunken appearance.

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Correct Answer is A

Explanation

A. To determine the heart rate from a rhythm strip, you can count the number of R-R intervals in a set time frame (typically 6 seconds) and multiply by 10 to convert to beats per minute. If the rhythm is regular, you can also use the 300 method by dividing 300 by the number of large squares between R waves. In this case, the rate is calculated to be 90 beats per minute.

B. A heart rate of 110 beats per minute would be classified as tachycardia and is not supported by the observed intervals.
C. A heart rate of 73 beats per minute would be a normal resting heart rate but does not match the calculation from the rhythm strip.
D. A heart rate of 50 beats per minute would indicate bradycardia, which is not reflected in this rhythm strip.

A. Auscultate the anatomic area with a stethoscope. B. Use Doppler ultrasonography to locate the pulse. C. Document absence of dorsalis pedis pulse. D. Ask a provider to assess the pulse.

Correct Answer is B

Explanation

A. Auscultating the area may not provide information about the dorsalis pedis pulse, which is a palpated pulse.

B. Using Doppler ultrasonography is the most appropriate next step to locate the dorsalis pedis pulse if it cannot be palpated, as it provides a non-invasive way to detect blood flow.

C. While documenting the absence of the pulse is necessary, it should be done after attempts to locate the pulse have been made.

D. It is not immediately necessary to ask a provider to assess the pulse; the nurse can use Doppler ultrasonography first to gather more information.

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Which disorder is depicted in the image below?

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Naxlex Comprehensive Predictor Exams

What is the rate on the rhythm strip in the image below?

Correct Answer is A

Explanation

The nurse is unable to palpate the dorsalis pedis pulse on an older adult client. What would be most appropriate for the nurse to do next?

Correct Answer is B

Explanation

How should the nurse interpret the rhythm depicted in the image?

A client has dysfunction of the cochlear division of the vestibulocochlear nerve (cranial nerve VIII). The nurse should determine that the client is adequately adapting to this problem if he or she states a plan to obtain which item?

Ms. Hartzel is a 33-year-old patient who presents to the office with complaints of enlarged lymph nodes in her neck. During your examination, which part of the hand is used to assess lymph node size?

A client who is found unresponsive has arterial blood gases drawn, and the results indicate the following: - pH is 7.12 (normal range: 7.35-7.45) - PaCO2 is 90 mm Hg (normal range: 35-45) - HCO3- is 22 mEq/L (normal range: 22-26) The nurse interprets the results as indicating which condition?

While performing an abdominal assessment on a patient, the nurse notes an abdomen shape similar to the rounded abdomen only greater. This contour is anticipated in pregnancy and seen in adults with ascites and obesity. What term should the nurse use to document this finding?

When a patient is unable to see objects at a distance, which term is used to document this finding?

During which part of a comprehensive physical assessment would the nurse auscultate after inspecting but before percussing?

A nurse is receiving a patient from the emergency room. To assess whether a client is having symptoms of abdominal problems, which symptom would the nurse ask the patient? For each data collection, choose whether the assessment is essential or non-essential.