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NR 509 EXAM QUESTIONS AND VERIFIED CORRECT ANSWERS

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NR 509 EXAM QUESTIONS AND VERIFIED CORRECT ANSWERS NR 509 EXAM QUESTIONS AND VERIFIED CORRECT ANSWERS

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General Assessment Constitutional


If you are conducting an annual

physical examination, you are

more likely to conduct a detailed

and complete head-to-toe

examination than if you are

seeing an otherwise healthy

patient in an outpatient clinic for

a chief complaint of rhinitis.

The level of detail provided by

the physical examination should

relate to the specific purpose of

the visit or examination, the

health of the individual, and the

findings on the exam.

Regardless of the focus for the

exam, most physical assessments

begin with a general survey of

the patient's appearance, height,

and weight.

Your observations of the

patient's appearance begin as

soon as you encounter the

patient.

, When performing percussion,

you will tap on the surface to

help determine the underlying

structure. Note that only one

finger rests on the surface being

percussed, and that finger is

struck by one finger on the

opposite hand using a flicking

action of the wrist. For best

results, the striking finger should

strike the finger resting on the

surface quickly and firmly and

then immediately be removed to

prevent over dampening of the

sound produced by the

technique.

Chest Assessment



The last step of the physical

assessment of the chest includes

auscultation for both normal and

abnormal breath sounds, which

are categorized as bronchial,

bronchovesicular, vesicular, and

adventitious (crackles or rales

and wheezes or rhonchi).

Location of the sound also

determines if it is a normal or

abnormal finding.

Be able to identify each sound

but also to know where each

sound should, or should not, be

heard.

Skin Assessment



The American Cancer Society

(ACS) and the AAD recommend

full-body examinations for

patients over age 50 years or at

high risk, because melanoma

can appear in any location.

General Appearance



Is there clutching of the chest,

pallor, diaphoresis, labored

breathing, wheezing, or

coughing? Is there wincing,

diaphoresis, protectiveness of a

painful area, grimacing, or an

unusual posture favoring one

limb or region of the body?

Breath odors can reveal the

presence of alcohol or acetone

(diabetes), pulmonary infections,

uremia, or liver failure.

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