Mr. Donaldson is a 64-year-old patient with complaints of headaches. As the examiner, you are palpating his head during your physical examination. Which of the following would be your first step?

a. Palpate the patient's hair, noting texture, color, and distribution.
b. Palpate the temporomandibular joint.
c. Palpate the skull from front to back.
d. Palpate the temporal artery.


C
Palpate the skull in a gentle rotary movement first, progressing systematically from front to back.

Nursing

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A patient with narcolepsy is placed on a central nervous system stimulant. What is the central nervous system stimulant of choice to treat narcolepsy?

A) Atomoxetine (Strattera) B) Guarana C) Caffeine D) Modafinil (Provigil)

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Fibrocystic breasts are most commonly found in which age group?

a. teenage females b. postmenopausal women c. women between 20 and 30 years of age d. women between 30 and 50 years of age

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A patient who is displaying manic behavior enters the unit's dayroom and declares in a loud, threatening voice, "I have friends, and if you don't show me proper respect, you'll be sorry!" The nurse's initial response should be to approach

the patient, address him formally, and say in a: a. soft voice, "You will always have proper respect here. Let's sit over here and talk.". b. soft voice, "You are really frightening the other patients. Please go to your room.". c. firm voice, "You are out of control. I expect you to go to your room immediately.". d. firm voice, "You seem to be escalating again. I've brought an injection that will calm you and slow your thinking.".

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The patient can refill this prescription ________ times.

Fill in the blank(s) with the appropriate word(s).

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