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Case Study, Chapter 7, Beginning the Physical Examination: General Survey, Vital Signs, and Pain

 

1. The nurse is concerned that there have been significant variations in the documented blood pressure of a number of patients. The nurse feels it is appropriate to review the blood pressure monitoring techniques used by the new staff member who was responsible for taking the blood pressures.

 

a.   How can the nurse best evaluate the nurse’s monitoring technique?

b.   What areas should the nurse pay particular attention to?

 

 

2. The health care practitioner is taking a comprehensive history and physical assessment on a new patient to their practice. The patient is a 60-year-old male with a history of hypertension, COPD, obesity, and chronic low back pain.

a. What areas should the nurse explore related to the patient’s chronic low back pain?

b. What treatments would the nurse anticipate in the treatment of chronic low back pain?

c. What impact on daily activities does the nurse anticipate as it relates to chronic low back pain?

 

Case Study, Chapter 9, The Integumentary System

 

1. An elderly patient who has recently experienced a cerebral vascular accident that resulted in paralysis is being prepared for discharge to be cared for by family members. In order to best minimize the patient’s skin for injury related to skin integrity, the nurse is preparing family education regarding strategies to prevent pressure ulcers.

 

a.   What risk factors should the family be made aware of?

b.   What strategies should the nurse include in the education information?

 

 

2. A 45-year-old female has gone to a surgeon to discuss the possibility of a breast reduction surgery for her severe back pain. During the examination, the physician noticed a large, black mole on the calf of her right leg. When questioned about this, the patient states, “It has been there for years. However, it keeps getting larger and I have noticed that the color has changed to black in recent months. Do you think you could remove it at the same time as my breast reduction?” The surgeon performed a biopsy immediately. The results returned as malignant melanoma stage IIIb. The mole was surgically removed the next day. This patient was then immediately referred to an oncologist for treatment of her skin cancer.

a. What risk factors are associated with melanoma?

b. As part of the education involved with the care of this patient, the nurse should educate the patient and family members about ways to reduce the risk factor for melanoma by emphasizing which interventions?

SCIENCE
HEALTH SCIENCE
NURSING

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