The nurse notes that a patient has an exaggerated lumbar curve. This is indicative of

lordosis

osteoporosis

kyphosis

Scoliosis

Answer and Explanation

The Correct Answer is A

A.   Lordosis, or an exaggerated inward curve of the lumbar spine, is commonly seen in conditions such as obesity, pregnancy, or spinal abnormalities.
B.   Osteoporosis typically leads to a more generalized loss of bone density, not a specific curvature.
C.   Kyphosis involves an exaggerated outward curve of the upper back, not the lumbar spine.
D.   Scoliosis is characterized by a lateral curvature of the spine, not an exaggerated lumbar curve.

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Correct Answer is C

Explanation

A. While extremity inspection is important, it is not as directly related to assessing back pain as evaluating the back itself.

B. Auscultating the lungs is essential in respiratory assessments but is not the priority when examining a patient with back pain.
C. Percussion of the flank areas is a key part of the physical examination for back pain, particularly if there are concerns of kidney involvement or other internal issues causing discomfort.
D. Bowel sounds are not directly related to back pain unless gastrointestinal issues are suspected.

A. bell of the stethoscope on top of the patient's gown. B. diaphragm of the stethoscope directly on the patient's skin. C. diaphragm of the stethoscope on top of the patient's gown. D. bell of the stethoscope directly on the patient's skin.

Correct Answer is B

Explanation

A. The bell is used to detect low-pitched sounds, but abnormal heart sounds are often high-pitched, requiring the diaphragm.
B. The diaphragm of the stethoscope is best for detecting high-pitched heart sounds, such as murmurs or abnormal rhythms.
C. The diaphragm on top of the gown would create interference and prevent proper auscultation of heart sounds.
D. The bell is used for lower-pitched sounds and is not the best choice for auscultating abnormal heart sounds.

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The nurse notes that a patient has an exaggerated lumbar curve. This is indicative of

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Naxlex Comprehensive Predictor Exams

A very pertinent part of the physical examination on a patient with back pain is

Correct Answer is C

Explanation

The nurse is informed that a patient had abnormal heart sounds during the night shift. When auscultating abnormal heart sounds, the nurse knows to listen to heart sounds with the:

Correct Answer is B

Explanation

A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?

The nurse would refrain from applying a blood pressure cuff on the affected arm of a patient who has a(n): (Select all that apply)

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A nurse is reinforcing teaching with the spouse of a client about how to take a blood pressure. Which of the following actions by the spouse indicates a need for further instruction?

The nurse who is assessing the patient with the Glasgow Coma Scale finds a patient who can open his eyes spontaneously, obeys all commands, and is oriented. The nurse documents a score of

The nurse taking an apical pulse would place the stethoscope at:

The nurse anticipates that if the stroke volume of a patient is reduced, the pulse will be: