what position should the client be in to palpate the spleen? - Answers ride-side lying (this moves the
spleen down and forward)
what position should the client be in while to inspect the abdomen? - Answers supine with arms at
sides or folded across chest
what suggests an abdominal aneurysm? - Answers abdominal bruit
what does a prominent pulsating mass above the umbilicus signify? - Answers abdominal aortic
aneurysm
where do you feel pain associated with gallbladder? - Answers RUQ with referred pain in right
shoulder
where do you feel pain associated with pancreas? - Answers epigastric pain, with referred lower back
pain
concerning symptoms of dehydration - Answers thirst, diaphoresis, vomiting/diarrhea
concerning signs of dehydration - Answers short term weight loss, dry mucous membranes/eyes,
sunken eyes, decreased skin turgor, fever, decreased mental status ****decreased BP, increased
pulse rate****
contributing factors to dehydration - Answers inability to drink, decreased mobility, exposure to
excessive heat, exercise in heat, older age, medications, burns, hemorrhage
concerning signs of overhydration - Answers edema, fine crackles in lungs, confusion ****high BP, low
pulse rate or bounding pulse****
contributing factors to overhydration - Answers heart failure, kidney failure, liver disease, increased
sodium, too much IV fluid
how to assess hydration - Answers history findings, integumentary assessment, BP and pulse, vein
filling, urine output, urine specific gravity, lung sounds, mental status
dehydrated urine specific gravity - Answers higher, more concentrated liquid
overhydrated urine specific gravity - Answers lower, less concentrated
what causes imbalanced nutrition? - Answers less than body requirements or more than body
requirements
causes of imbalanced nutrition - Answers physical disease related, mental health issue, socioeconomic
problem, mobility problem
components of nutrient assessment - Answers history, physical exam, anthropomorphic data
external anatomy of breast - Answers 4 quadrants (upper inner, upper outer, lower inner, lower
outer)
internal anatomy of breast - Answers glandular tissue, fibrous tissue, fatty tissue
lymph nodes - Answers supraclavicular, infraclavicular, lateral, central, subscapular (posterior),
pectoral(anterior), internal mammary
stage 1 breast development - Answers child; elevated nipple
stage 2 breast development - Answers beginning of puberty; breast budding; small mound
stage 3 breast development - Answers further enlargement; no separation of breast contours
stage 4 breast development - Answers areola and nipple form secondary mound
stage 5 breast development - Answers nipple flattens
male breast - Answers thin flat disk of glandular tissue, smaller nipple, areolar is smaller, cancer is rare
but can happen
gynecomastia - Answers enlargement of breasts in males, can occur in newborns (exposure to
mothers hormones) and adolesants (hormones of puberty) and elderly males (hormone levels
decreasing, hormone meds)
concerning symptoms of breasts - Answers lumps, rashes/redness/warmth, drainage, pain,
dimpling/asymmetry
past history of breasts - Answers pregnancies
breastfeeding (preventative against breast cancer)
menarche/menopause
history of breast cancer/disease
reproductive cancer
oral contraceptives
mammogram history
family history of breasts - Answers 1st degree relative w/ breast cancer
, BRCA 1 or BRCA 2 gene mutations
cancer of reproductive organs
lifestyle (breasts) - Answers exposure to chemicals/radiation, physical activity level, self breast exam,
MD/RN examination (professional exam)
health patterns of breasts - Answers self concept, feeling of attractiveness, etc...
risk factors of breasts - Answers p.508
risk factors for breast cancer in men - Answers age 50-60, family history, mutation in BRCA genes,
smoking, increased fat intake, heavy alcohol intake
breast cancer screenings - Answers mammogram, exam by MD or RN, self breast exam
CN I - Answers olfactory; sense of smell; sensory impulse
CN II - Answers optic; vision; sensory
CN III - Answers oculomotor; eye muscle movement; motor
CN IV - Answers trochlear; inner rotation of eye; motor
CN V - Answers trigeminal; chewing, facial sensation; both
CN VI - Answers abducens; lateral eye movement; motor
CN VII - Answers facial; facial movements, taste on tip of tongue; both
CN VIII - Answers acoustic; hearing; sensory
CN IX - Answers glossopharyngeal; swallowing, taste; both
CN X - Answers vagus; swallowing, sensation from viscera; both
CN XI - Answers spinal accessory; shoulder muscles; motor
CN XII - Answers hypoglossal; tongue control; motor
spinothalamic tract - Answers sensory tract: pain and temp, crude touch
basal ganglia system - Answers motor pathways b/w cerebral cortex, basal ganglia, brainstem, and
spinal cord: controls body movement (especially autonomic such as walking)
extrapyramidal tract - Answers motor system: involuntary reflexes
corticospinal tract - Answers very skilled movements such as writing
frontal lobe - Answers higher intellectual functions, speech production (broca's area= motor speech),
ipsilateral motor control (controlling movement on same side of body)
temporal lobe - Answers hearing, memory, sensory perception, wernicke's area (auditory
comprehension)
parietal lobe - Answers somatic sensory, processing sensory info
occipital lobe - Answers vision, visual perception
cerebellum - Answers coordination
brain stem - Answers relay b/w body and cerebrum, respiratory and cardiac regulation, level of
awareness, reticular activating system, midbrain, pons, medulla
medulla oblongata - Answers transfers message from spinal cord to brain
diencephalon - Answers thalamus, hypothalamus
thalamus - Answers relay center
hypothalamus - Answers pituitary, vital functions (breathing, temp, responses)
what mediates reflexes? - Answers spinal cord
signs of CVA - Answers sudden...
numbness/weakness in one side of body, confusion, trouble speaking/understanding, trouble seeing,
trouble walking, dizziness, severe headache
screening exam - Answers no neuro complaint, general physical exam
complete neuro exam - Answers some complaint of neuro system
neurological check - Answers repeated rapid checks ex. after head injury
important areas of examination of neurological system - Answers mental status
reflexes
motor function
cranial nerves
sensory system
components of mental status exam - Answers thoughts/perceptions
mood
speech/language
appearance/behavior
cognitive function
what do you assess for appearance/behavior - Answers level of consciousness