Health Assessment Final Flashcards
When performing a genitourinary assessment, the nurse notices that the urethral meatus is ventrally positioned. What does this indicate?
Hypospadias
Dysmenorrhea is?
pain with menstration
During a health history, a patient tells the nurse that he has trouble in starting his urine stream. How should the nurse document this finding?
Hesitancy
A woman has just been diagnosed with HPV or genital warts. The nurse should counsel her to receive regular examinations because this virus makes her at a higher risk for what type of cancer?
Cervical
A 55-year-old man is experiencing severe pain of sudden onset in the scrotal area. It is somewhat relieved by elevation. On examination the nurse notices an enlarged, red scrotum that is very tender to palpation. Distinguishing the epididymis from the testis is difficult, and the scrotal skin is thick and edematous. What do these findings suggest?
Epididymitis
A 62-year-old man is experiencing fever, chills, malaise, urinary frequency, and urgency. He also reports urethral discharge and a dull aching pain in the perineal and rectal area. These symptoms are most consistent with which condition?
Prostatitis
Hematuria is a term used for
blood in the urine
A woman states that 2 weeks ago she had a urinary tract infection that was treated with an antibiotic. What should the nurse ask the woman?
“Do you have any unusual vaginal discharge or itching?”
A 62-year-old man states that his physician told him that he has an “inguinal hernia.” He asks the nurse to explain what a hernia is. Which response by the nurse is best?
“A hernia is a loop of bowel protruding through a weak spot in the abdominal muscles.”
A 22-year-old woman is being seen at the clinic for problems with vulvar pain, dysuria, and fever. On physical examination, the nurse notices clusters of small, shallow vesicles with surrounding erythema on the labia. Inguinal lymphadenopathy is also present. What do these findings indicate?
Dysuria
A 55-year-old man is in the clinic for a yearly checkup. He is worried because his father died of prostate cancer. The nurse knows which tests should be performed at this time? (Select all that apply.
Blood test for prostate-specific antigen (PSA)
Digital rectal examination (DRE)
A 52-year-old patient states that when she sneezes or coughs she “wets herself a little.” She is very concerned that something may be wrong with her. What does this finding suggest?
Stress incontinence
During an examination, the nurse notices that a male patient has a red, round, superficial ulcer with on his penis. On palpation, the nurse finds a nontender base that is 1 cm. What do these findings indicate?
Syphilitic chancre
A 22-year-old woman has been considering using oral contraceptives. As a part of her health history, what should the nurse ask?
“If you smoke, how many cigarettes do you smoke per day?”
Soft, pointed, fleshy papules that occur on the genitalia caused by human papillomavirus (HPV) are known as
genital warts.
During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema. What does this finding suggest?
genital herpes
A nurse is assessing a patient’s risk for contracting a sexually transmitted infection (STI). What is an appropriate question to ask this patient?
a. “Do you use a condom with each episode of sexual intercourse?”
b. “Do you have a sexually transmitted infection?”
c. “You know that it’s important to use condoms for protection, right?”
d. “You are aware of the dangers of unprotected sex, aren’t you?”
“Do you use a condom with each episode of sexual intercourse?”
Which organs are located in the right upper quadrant?
Ascending colon
Duodenum
Gallbladder
Right kidney
Liver
Pancreas
Transverse colon
Ureter
Spleen
Which organs are located in the Left upper quadrant?
Descending colon
Left kidney
Pancreas (body and tail)
Stomach
Transverse colon
Ureter
Which organs are located in the right lower quadrant?
Appendix
Ascending colon
Bladder
Cecum
Rectum
Ovary
Prostate
Small intestine
Ureter
Which organs are located in the left lower quadrant?
Bladder
Descending colon
Ovary
Prostate
Small intestine
Sigmoid colon
Ureter
The left lower quadrant contains all the following structures except?
Appendix
Signmoid colon
Descending colon
Appendix
Parietal pain is?
from inflammation in the parietal peritoneum (peritonitits) that is a steady, aching pain that is more precisely located
Which of the following complaints indicate that the patient may have cholecystitis?
RUQ pain
Nausea
Vomiting
Fever
RUQ pain
Nausea
Vomiting
What makes up the abdominal assessment inspection portion of the physical?
Skin
Umbilicus
Contour
Symmetry
Peristalsis
Pulsations
What are the 4 abdominal contours?
Flat
Scaphoid (stomach is concave)
Roundeed
Protuberant (distended)
Where can bruits be present in the GI tract?
The renal artery
The aorta
The iliac artery
The nurse is listening to bowel sounds. Which of these statements is true of bowel sounds?
they are normally high pitched, gurgling, cascading sounds that occur irregularly 5 to 20 times per min
During the change-of-shift report, the student nurse hears that a patient has hepatomegaly. What should the student recognizes that this term means?
abnormal enlargement of liver
During an assessment, the nurse notices that a patient’s umbilicus is enlarged and everted. It is positioned midline with no change in skin color. The nurse recognizes that the patient may have which condition?
umbilical hernia
The nurse is watching a new graduate nurse perform auscultation of a patient’s abdomen. Which statement by the new graduate shows a correct understanding of the reason auscultation precedes palpation of the abdomen?
Auscultation prevents distortion of bowel sounds that might occur after percussion and palpation.
During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes this finding could indicate a problem with what structure?
appendix
A nurse notices that a patient has abdominal ascites. What does this finding indicate?
fluid
The nurse is assessing a patient for possible peptic ulcer disease. Which condition or history often causes this disorder?
Peptic ulcer disease occurs with frequent use of nonsteroidal antiinflammatory drugs, alcohol use, smoking, and Helicobacter pylori infection.
The nurse is preparing to examine a patient who has been complaining of right lower quadrant pain. Which technique is correct during the assessment?
examine the tender area last
The nurse is reviewing the assessment of an aortic aneurysm. Which of these statements is true regarding an aortic aneurysm?
A pulsating mass is usually present.
Error
A hernia is a loop of bowel protruding through a weak spot in the abdominal muscles.”
During a health history, the patient tells the nurse, “I have pain all the time in my stomach. It’s worse 2 hours after I eat, but it gets better if I eat again!” Based on these symptoms, the nurse suspects that the patient has which condition?
duodenal ulcer
During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient’s abdomen. How long should the nurse listen before reporting absent bowel sounds?
5 minutes
The physician comments that a patient has abdominal borborygmi. What is the best description of this term?
hyperactive bowel sounds
The organ in the right upper quadrant of the abdomen is the
the gallbladder
During an abdominal assessment, the nurse tests for a fluid wave. What condition would produce a positive fluid wave test?
Ascities
What is syncope?
Losing consciousness and postural tone
What is near syncope?
Lightheaded/weak but no loss of consciousness
Vertigo is common with all of the following except:
a)inner ear conditions
B) brainstem tumor
c) diplopia
Diplopia (double vision)
What are the components of the mental status exam?
Appearance and behavior
Speech and language
Mood and affect
Thought process and content
Cognitive fuctions
What is alertness?
Alert patient opens eyes, looks at you and responds fully and appropriately
What is lethargy?
Patient appears drowsy but opens eyes, looks at you, responds to questions and falls asleep
What is obtunded mean on a neuro health assessment?
Patient opens eyes, looks at you, responds slowly, and is somewhat confused
