The nurse is attempting to assess the femoral pulse in a patient who is obese. Which of these actions would be most appropriate?

Correct Answer: B

Rationale: The correct answer is B because asking the patient to bend their knees to the side in a froglike position helps to expose the femoral pulse in an obese patient. This position allows better access to the femoral artery, making it easier to palpate the pulse accurately. By bending the knees to the side, the nurse can avoid excess tissue and adipose obstruction, facilitating a more accurate assessment. Choices A, C, and D are incorrect: A: Asking the patient to assume a prone position would not be helpful in locating the femoral pulse as it does not provide better access to the artery. C: Firmly pressing against the bone in a semi-Fowler position may not improve the assessment of the femoral pulse in an obese patient. D: Listening with a stethoscope for pulsations is not the preferred method for assessing the femoral pulse; palpating the pulse is the standard practice, even in obese individuals.

Correct Answer: B

Rationale: The correct answer is B: Hair colour. The rationale for this is that fair skin, family history of melanoma, freckles, and heavy sun exposure are all known risk factors for melanoma. Reddish-blonde hair alone is not a significant risk factor for melanoma compared to the other mentioned factors. Age is a risk factor as melanoma incidence increases with age. Actinic lentigines, also known as sunspots, are associated with chronic sun exposure and are a risk factor for melanoma. Heavy sun exposure is a well-established risk factor for melanoma due to the damaging effects of UV radiation on the skin.

Correct Answer: A

Rationale: The correct answer is A because it covers all essential aspects of the interview contract. Firstly, mentioning confidentiality ensures patient privacy. Secondly, addressing patient costs sets clear expectations. Lastly, explaining the role of each person involved establishes transparency. Choice B is incorrect as it only covers the purpose of the interview and the role of the interviewer, missing important elements like confidentiality and patient costs. Choice C is incorrect as it lacks information on patient costs and the expectations of each person, focusing solely on the time, place, and confidentiality statement. Choice D is incorrect as it only includes the purpose of the interview and a description of the physical examination, missing crucial aspects like confidentiality, patient costs, and roles of individuals involved.

Correct Answer: D

Rationale: The correct answer is D: Right sternocleidomastoid. The sternocleidomastoid muscle is responsible for rotating the head to the opposite side. In this case, with the chin rotated towards the left and ear close to the right shoulder, the right sternocleidomastoid is primarily implicated. The left sternocleidomastoid would cause the opposite head rotation. The cervical paraspinal muscles primarily provide support and stabilization to the spine, not head rotation.

Correct Answer: C

Rationale: The correct answer is C: the third intermetatarsal space. Morton's neuroma is most commonly found between the third and fourth metatarsal heads. This is due to the anatomical arrangement of the intermetatarsal spaces and the compression and irritation that can occur in this specific area. Choices A, B, and D are incorrect because Morton's neuroma typically occurs in the third intermetatarsal space. The condition is less commonly associated with the other intermetatarsal spaces.