You are performing a breast exam on an adult woman. You are inspecting the breasts for signs of retraction. What is the best position to observe for this?

Lying supine with arms at the sides.

Sitting with the hands pushing into the hips.

Lying supine with one arm elevated over her head.

Learning forward with hands outstretched.

Answer and Explanation

The Correct Answer is C

A.   This position is useful for inspecting the overall shape and size of the breasts, but it may not be the best for detecting retractions.
B.   This position can help identify changes in the breast tissue, but it may not be as effective as raising one arm overhead for detecting retractions.
C.   Raising one arm over the head tenses the muscles in the breast and chest, which can make any retractions more visible. Retraction is often characterized by dimpling or pulling of the skin, which may be more noticeable when the breast tissue is taut.
D.   This position can be helpful for examining the breasts for other abnormalities, but it may not be the best for detecting retractions.

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Correct Answer is ["A","C","D"]

Explanation

A. An elevated temperature is often associated with infections and inflammation, including bronchitis. While a temperature of 99°F is slightly above normal and may indicate a mild fever, it is not a primary hallmark of bronchitis but rather a common response to infection or inflammation.
B. Fatigue is a general symptom that can accompany many conditions, including bronchitis. It is related to the overall feeling of being unwell and is not specific to bronchitis. While fatigue can be present, it is not a definitive sign of bronchitis on its own.
C. This includes findings such as bronchial breath sounds and rhonchi (a type of coarse, rattling sound) noted in the right lower lobe, which are indicative of bronchitis. The presence of rhonchi and bronchial breath sounds suggest inflammation and mucus in the airways, characteristic of bronchitis.
D. The use of accessory muscles for breathing is a sign of respiratory distress, which can occur in bronchitis when the airways are inflamed and obstructed. This finding is consistent with bronchitis as it reflects the increased effort required to breathe due to airway inflammation and mucus production.
E. The blood pressure reading of 110/54 mm Hg is within normal limits and does not provide specific information about bronchitis. Blood pressure is not typically a primary indicator for diagnosing bronchitis.
F. Bowel sounds are related to gastrointestinal function and do not provide information specific to bronchitis. Active bowel sounds are normal and do not help in diagnosing bronchitis.

A. Pectus carinatum B. Barrel Chest C. Scoliosis D. Pectus excavatum

Correct Answer is B

Explanation

A. Often referred to as "pigeon chest," pectus carinatum is a condition where the chest protrudes outward. This deformity makes the chest appear to bulge forward, giving it a distinctive "pigeon-like" appearance.
B. Barrel chest is characterized by an increased anteroposterior (AP) diameter of the chest, giving it a rounded, barrel-like appearance. This can occur due to conditions such as chronic obstructive pulmonary disease (COPD) or emphysema.
C. Scoliosis is a lateral curvature of the spine, which can cause a noticeable asymmetry in the rib cage and back. It often presents as a side-to-side curve in the spine, which can lead to an uneven shoulder height and a visibly curved back when viewed from the side.
D. Known as "funnel chest," pectus excavatum is a condition where the breastbone (sternum) is sunken into the chest. This causes a noticeable depression in the middle of the chest and may appear as a concave or hollowed area.

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You are performing a breast exam on an adult woman. You are inspecting the breasts for signs of retraction. What is the best position to observe for this?

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Naxlex Comprehensive Predictor Exams

A nurse in an emergency department (ED) is admitting a client. Select 3 findings in the client's medical record that may be indicative of bronchitis.

Correct Answer is ["A","C","D"]

Explanation

Which abnormality is depicted in the image below?

Correct Answer is B

Explanation

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While ambulating the hall, the client begins to complain of shortness of breath and difficulty breathing. Which term should be documented in the client's medical record?

Which respiratory assessment finding will most likely indicate the client is exhibiting asthma?

A nurse is evaluating and assessing a client with a diagnosis of chronic emphysema. The client is receiving oxygen therapy at a flow rate of 5 L/min via nasal cannula. Which findings concern the nurse immediately?

In assessing the lymph nodes of the client's breast, which lymph node will the nurse palpate?

You are performing a breast exam on an adult woman. You are inspecting the breasts for signs of retraction. What is the best position to observe for this?

Upon assessment, the nurse noted a temperature of 102.1, respirations of 30 breaths per minute, oxygen saturation of 90% on room air, decreased expansion and dullness over the right lung, and crackles heard on the right lower lobe. Which condition should the nurse suspect?

The nurse is preparing to auscultate the breath sounds of a client for an asthma exacerbation. Which breath sounds does the nurse anticipate to find upon assessment?