Question  You are working in an ambulatory clinic and you are taking vital signs on a 78 year old male named Bob who is here for his annual physical examination. His wife Cheryl is present with him. You finish taking his vital signs (HR 70, BP 130/78, T 98.3, RR 16, SpO2 98% on RA) and ask him to please follow you to the scale so that you can take his weight. He looks at you and smiles politely, but remains seated. In a loud voice, the patient’s wife says, “Bob! You need to get up now”. She then looks at you and says “This is what I’ve been telling him; his hearing isn’t what it used to be”. Once you return with Bob and Cheryl to the exam room, Cheryl asks you to look at a single, elevated spot on the dorsum of Bob’s hand. As she points to the spot, she says, “What do you think, should we be worried?” Image transcription textA Asymmetry-one half unlike the other half. B Border irregular- scalloped or poorly circumscribed border…. Show moreThis is the spot: It measures 7mm in diameter and is slightly raised. Bob thinks the spot has been there for a while and has recently changed color.Answer the following questions using scholarly sources and provide citation in APA format. 1. List four assessment questions that you would want to ask the patient about his hearing. 2. Which cranial nerve would you want to assess during this visit? Describe which test you would use to assess this cranial nerve, and how you would perform the test. 3. You suspect that Bob may have presbycusis. What are two teaching points that you would want to review with Bob and his wife about presbycusis? 4. What are two examples of patient behaviors that could indicate that a patient has unreported hearing loss? List two strategies that you could use to communicate with a patient who has a hearing impairment. 5. List four assessment questions that you would want to ask the patient about his skin lesion. 6. Do you think Bob’s spot is concerning? Use the ABCDEF’s of melanoma to explain why or why not. 7. Name one expected integumentary change that is related to aging.  Health Science Science Nursing NURS MISC Share QuestionEmailCopy link Comments (0)

Question  You are working in an ambulatory clinic and you are taking vital signs on a 78 year old male named Bob who is here for his annual physical examination. His wife Cheryl is present with him. You finish taking his vital signs (HR 70, BP 130/78, T 98.3, RR 16, SpO2 98% on RA) and ask him to please follow you to the scale so that you can take his weight. He looks at you and smiles politely, but remains seated. In a loud voice, the patient’s wife says, “Bob! You need to get up now”. She then looks at you and says “This is what I’ve been telling him; his hearing isn’t what it used to be”. Once you return with Bob and Cheryl to the exam room, Cheryl asks you to look at a single, elevated spot on the dorsum of Bob’s hand. As she points to the spot, she says, “What do you think, should we be worried?” Image transcription textA Asymmetry-one half unlike the other half. B Border irregular- scalloped or poorly circumscribed border…. Show moreThis is the spot: It measures 7mm in diameter and is slightly raised. Bob thinks the spot has been there for a while and has recently changed color.Answer the following questions using scholarly sources and provide citation in APA format. 1. List four assessment questions that you would want to ask the patient about his hearing. 2. Which cranial nerve would you want to assess during this visit? Describe which test you would use to assess this cranial nerve, and how you would perform the test. 3. You suspect that Bob may have presbycusis. What are two teaching points that you would want to review with Bob and his wife about presbycusis? 4. What are two examples of patient behaviors that could indicate that a patient has unreported hearing loss? List two strategies that you could use to communicate with a patient who has a hearing impairment. 5. List four assessment questions that you would want to ask the patient about his skin lesion. 6. Do you think Bob’s spot is concerning? Use the ABCDEF’s of melanoma to explain why or why not. 7. Name one expected integumentary change that is related to aging.  Health Science Science Nursing NURS MISC Share QuestionEmailCopy link Comments (0)