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Ms. Grayley 40 yo presents for a physical and is concerned about breast cancer risk. Which of the following is not a risk factor??

When auscultating the heart sounds of a 72-year-old client with a history of hypertension, the nurse practitioner notes an S4. This finding could indicate:

Joe Tiger presents with complaints of pain in his leg when walking that is relieved with rest. You perform an ABI. Which result would be consistent with physical symptoms?

Breast cancer in men is similar to breast cancer in women and the provider should be suspicious of the Tail of Spence.

You are doing a physical on a male patient when he tells you he was reading stuff on the internet and now is worried about getting breast cancer and wants to know what would be the risks for him to get breast cancer. All of the following are risk factors except:

James Jones is a 55 yo male smoker w/a thick sputum producing cough. Upon examination you note + tactile fremitus, resonant percussion, and normal voice sounds. You suspect

A patient states that she has had a rash on her breast for about 2 weeks. In order to determine if it is Paget’s disease you would expect to find all of the following on physical exam except:

A 57-year-old college professor is hospitalized for shortness of breath. As you examine her in the ER, you note her jugular venous pressure (JVP) @ 45 degrees is 8cm above the clavicle, this finding is most consistent with which one of the following diagnoses?

During pulmonary assessment, you observe the client to have a diaphragmatic excursion of 4 cms bilaterally. What is your best action?

Mr. Bear presents with a c/o excessive daytime sleepiness. Upon exam you document a man w/a flushed face, SOB ambulating to the room, BMI>30, +JVD,+HJR, HTN. Your possible list of diagnoses includes all except