bates physical assessment test bank

On admission to the hospital, an 85-year-old woman was found to have a fungating mass on her right breast. The mass is 9 cm in diameter, partially ulcerated, and associated with edema of the arm and obvious pain. The patient has no children and had lived alone until recently, when a neighbor became concerned for what appeared to be a progressive loss of memory and neglect of the house. A nephew living in another city eventually came to take care of the situation and arranged for the admission. The patient appears confused and withdrawn; her appearance is disheveled, but she seems to be independent in her ADLs. The medical history is negative for any serious illnesses. She was able to drive her own car until shortly before this admission. The nephew does not wish to authorize hospice �right now.� A positron-emission tomography scan was negative for metastatic disease. In addition to determining the cause of her delirium, which of the following is the best way to address the breast mass?

An elderly male with benign prostate hyperplasia (BPH) should be advised to avoid antihistamines. What is the reason for this?

Why is it important to consider intracranial hemorrhage when a patient presents with epistaxis?

A pregnant patient presents for a routine 16-week prenatal visit. Her BP has decreased from 119/78 mmHg at her 12-week visit to 110/69 mmHg. What hemodynamic factor accounts for the decrease in BP?

This contagious disease causes fever, headache, stiff neck, photophobia, nausea, vomiting, and altered mental status. What immunization prevents this?