The nurse just noted from the medical record that the patient has a lesion that is confluent in nature. On examination, the nurse expects to find:

Lesions that run together.

Annular lesions that have grown together.

Lesions arranged in a line along a nerve route.

Lesions that are grouped or clustered together.

Answer and Explanation

The Correct Answer is A

A.   Confluent lesions merge into each other, forming a larger area of affected skin.
B.   Annular lesions are ring-shaped, not confluent, so this option does not match the description.
C.   This describes a linear arrangement, such as with shingles, not confluent lesions.
D.   Grouped or clustered lesions are not confluent but are typically close together, such as in herpes simplex infections.

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Correct Answer is A

Explanation

A. Tachycardia is a common sign of hyperthyroidism, as elevated thyroid hormones increase heart rate and metabolic rate.
B. Dyspnea is not typically associated with hyperthyroidism; more commonly, hyperthyroid patients experience tachypnea (increased rate of breathing), but not necessarily dyspnea.
C. Constipation is more commonly associated with hypothyroidism, where metabolic slowing occurs.
D. Atrophied nodular thyroid gland is not typical of hyperthyroidism; a goiter (enlarged thyroid) is more commonly seen.

A. Tactile fremitus B. Crepitus. C. Adventitious sounds. D. Friction rub

Correct Answer is B

Explanation

A. This is a vibration felt on the chest wall when a patient speaks, often used to assess lung sounds. It is not associated with the crackling sensation described here.
B. The coarse, crackling sensation felt on the skin surface when palpating is crepitus, which occurs when air escapes into the subcutaneous tissue, often due to trauma, infection, or the presence of a pneumothorax.
C. These are abnormal lung sounds, such as crackles, wheezes, or rhonchi, heard with a stethoscope during auscultation, not felt on the chest wall during palpation.
D. A friction rub is a grating or scraping sound heard with a stethoscope, typically due to inflammation of the pleural surfaces. It is not a sensation felt on the chest wall.

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The nurse just noted from the medical record that the patient has a lesion that is confluent in nature. On examination, the nurse expects to find:

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Naxlex Comprehensive Predictor Exams

The nurse suspects that a patient has hyperthyroidism, and the laboratory data indicate that the patient's T4 and T3 hormone levels are elevated. Which of these findings would the nurse most likely find on examination?

Correct Answer is A

Explanation

During palpation of the anterior chest wall, the nurse notices a coarse, crackling sensation over the skin surface. On the basis of these findings, the nurse suspects:

Correct Answer is B

Explanation

The nurse has just completed a lymph node assessment on a healthy 40-year-old female patient. Which of the following is an expected finding?

The nurse percusses a client with COPD and expects to hear:

A patient's thyroid gland is enlarged, and the nurse is preparing to auscultate the gland for the presence of a bruit. What technique should the nurse use to assess for a bruit?

In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

A patient's laboratory data reveal an elevated thyroxine (T4) level. What gland should the nurse assess?

Which of the following is the most important muscle in the normal respiratory process of an adult?

A client is brought to the emergency department by ambulance after being involved in a motor vehicle accident. The nurse finds that he has decreased breath sounds over the left lung fields. What might the nurse suspect is the cause?

A nurse is auscultating heart sounds and hears a murmur. What should be included in the nurse's documentation? Select all that apply.