Physical examination related to the hematologic system of the adult patient should include inspection of which areas of the body? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Select all that apply. 1. Skin
2. Chest
3. Head and neck
4. Feet and leg musculature
5. Abdomen


1,2,3,5
Rationale 1: Changes in skin color often indicate erythrocyte disorders such as anemia.
Rationale 2: Structures in the chest, heart, and lymph nodes yield clues to hematologic system disorders; for example, tachycardia is a response to both infection and anemia.
Rationale 3: The structures of the head, particularly the eyes and mouth, provide useful evidence in the evaluation of the patient. The neck should be inspected for signs of lymph node enlargement or tenderness.
Rationale 4: Assessment of feet and leg musculature does not provide any specific clues to hematologic problems.
Rationale 5: Abdominal tenderness is a general complaint that might be indicative of splenomegaly or hepatomegaly, both indicators of increased blood destruction.

Nursing

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