The nurse palpates a downward small protrusion the helix of a patient's ear known as Darwin's tubercle. How should the nurse document this finding?
a. A tumor
b. Within normal limits
c. A lump filled with fluid
d. An abnormal palpable calcification
ANS: B
A downward protrusion of the helix, called Darwin's tubercle, is a normal finding. A. C. D. Darwin's tubercle is not a tumor, a lump filled with fluid, or an abnormal calcification.
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The cultural pattern highly valued in American society that often results in nurses of the dominant
culture establishing unrealistic outcomes for clients of other cultural groups is a. interdependence. b. present orientation. c. using direct confrontation to solve problems. d. suspending one's own needs in favor of external obligations.
A client with acromegaly is admitted to the hospital with complaints of partial blindness that began suddenly. What does the nurse suspect is occurring with this client?
A) Glaucoma B) Corneal abrasions C) Retinal detachment D) Pressure on the optic nerve
Acute respiratory distress syndrome (ARDS) is a life threatening condition characterized by which of the following?
a. severe orthopnea c. bradypnea b. severe dyspnea d. eupnea
A person comes to the healthcare clinic and reports night sweats and fever. The healthcare professional obtains a chest x-ray which shows a mediastinal mass. What other assessment or diagnostic test does the professional provide as a priority?
a. Listen to heart sounds. b. Assess the patient’s skin. c. Arrange for familial DNA testing. d. Test blood for anemia.