NR 304 WEEK 7 FINAL ATI WORKSHEET 64 Q/A / NR304 WEEK 7 FINAL ATI WORKSHEET 64 Q/A: LATEST,CHAMBERLAIN COLLEGE OF NURSING

NR 304 WEEK 7 FINAL ATI WORKSHEET 64 Q/A / NR304 WEEK 7 FINAL ATI WORKSHEET 64 Q/A: LATEST,CHAMBERLAIN COLLEGE OF NURSINGNR 304 WEEK 7 FINAL ATI WORKSHEET Purpose: This activity provides each student with the opportunity to review some of the main concepts that have been covered in Health Assessment I and II. This worksheet can help students better understand the concepts, learn strategies for mastering this content from other students, and more accurately apply the concepts to future patient care situations. Requirements: 1. You may work alone or with a partner for this assignment. 2. Please answer these questions. If working on a computer, please use a color font other than black. 3. You may use any notes that you have taken in this class session. 4. You may use the textbook, any other book or other resource to answer the questions. Questions: 1. Define subjective and objective data. Give three examples of each and state if the findings are documented in the history or physical examination findings. 2. List five actions a nurse should take when assessing a patient with a potentially critical hemodynamic state. Put your actions in priority order of 1-5. 3. What does the priority setting ABC mean? How does the nurse use this mnemonic in patient assessment? If a patient has a slow or rapid respiratory rate, is airway the primary concern? 4. What is HIPAA? Describe one situation when the nurse must adhere to HIPAA. 5. Describe the process of taking a pulse. What is a normal pulse? What are qualities of a normal pulse? What is the first action a nurse should take when the pulse is not as expected? 6. What is dehydration? List three subjective and three objective findings of dehydration. List the expected vital signs of a patient who is dehydrated. 7. How is fluid volume deficit related to dehydration? How would concentrations of some solutes (solids) change with dehydration? Why? 8. What is an undesirable response of the body to a fever? Why is this undesirable? What effect does it have? 9. What is the most serious skin cancer? What is one risk factor for this cancer and one teaching item to address with your patient? Describe this most serious skin cancer below. 10. In dark skinned client, where is the best area to assess for jaundice (not skin or sclera)? Best place to assess for pallor? Best place to assess for cyanosis? 11. To document pitting edema, the nurse measures the following depths of pitting. What is the corresponding scale (1+, 2+, 3+, 4+ )2mm deep = ___+, 4mm deep =____+, 6 mm deep =___+, 8 mm deep = ____+ 12. What is a body system complication for the client who is a chronic heavy drinker? Name 3 possible associated findings associated with this complication. 13. It is important to encourage the elderly client to continue to be as active as possible. List five complications associated with the inability to move independently. 14. Describe fluid volume overload. List a possible cause of FVO. List three signs/symptoms of FVO. 15. Describe fluid volume deficit. List a possible cause of FVD. List three signs/symptoms of FVD. 16. Differentiate between oral candidiasis and leukoplakia. List one possible cause of each. 17. What is a common manifestation that an elderly client has an acute problem such as infection or stroke 18. What are crackles? How would you describe the sound crackles? Describe two pathological conditions when the nurse would expect crackles on auscultation. 19. What are wheezes? How would you describe the sound of wheezes? Describe two pathological conditions when the nurse would expect wheezes on auscultation. 20. What is the significance of a syncopal episode in the elderly client? 21. Describe the subjective and objective findings of a client with a pneumothorax. 22. Describe the subjective and objective findings of a client with a pulmonary embolus. 23. Describe the subjective and objective findings of a client with pneumonia. 24. Describe the subjective and objective findings of a client with emphysema. 25. Describe the subjective and objective findings of a client with a myocardial infarction. 26. Describe the subjective and objective findings of a client with congestive heart failure 27. Describe the subjective and objective findings of a client with a suspected stroke or TIA. List at least three assessments a nurse will perform for a suspected stroke or TIA. 28. What is a murmur? What does a murmur indicate? How does the nurse describe the sound of a murmur? What are the subjective findings of a patient with a murmur? How does the nurse assess for a murmur? · 29. Describe PAD. List three subjective and three objective findings of the client with PAD. 30. Describe PVD. List three subjective and three objective findings of the client PVD. 31. Describe DVT. List three subjective and three objective findings of the client with DVT. 32. List three subjective and three objective findings of the client with an infection of the hand from a dog bite. 33. Describe the sequence of abdominal assessment (and why this is different from the normal sequence of assessment techniques). 34. Describe at least two different descriptions of emesis of the client with bleeding gastric ulcer. 35. Describe the stool color of a client with a bleeding gastric ulcer. 36. Describe the stool color of a client with a bleeding sigmoid tumor. 37. What is the significance of low-grade fever in the client with pain over McBurney’s point? 38. Describe three subjective and three objective findings of the client with appendicitis. What is a positive Blumberg’s sign? What is rebound tenderness? 39. What is peritonitis? Describe at least three conditions that result in peritonitis. 40. What is diverticular disease? Where is the client likely to have discomfort? What foods should the client who has diverticular disease avoid? 41. Compare and contrast Cullen’s sign and Grey Turner’s sign. What is the significance of each? 42. Define osteoporosis. What are risk factors for osteoporosis? Name three wellness-teaching elements to include in the care of the client with osteoporosis. 43. Define scoliosis and the physical findings noted on inspection. 44. Define kyphosis and the physical findings noted on inspection. 45. Define lordosis and the physical findings noted on inspection. 46. What is a concern for the client who has repetitive wrist movements in the workplace over many years? 47. Describe the findings of a client with an arm fracture. 48. Describe the findings of a client with a dislocation 49. Describe the findings of a client with a rotator cuff tear 50. Describe the findings of a client with a hip fracture. 51. Compare and contrast osteoarthritis and rheumatoid arthritis • . 52. Know the assessment of the cranial nerves assessed most frequently in the acute care setting (hospital); Cranial nerves II, III, IV, VI, VII, IX, X – optic, oculomotor, trochlear, abducens, facial, and gag reflex. 53. List three common findings in the client with meningitis. 54. Describe the function of the Glascow Coma Scale. What is the minimum score? What is a normal score? What score would the nurse be concerned about the ability of the patient to protect the airway? 55. What is a complication of diabetes and/or inadequate circulation to the extremities that results in decreased sensation? How can the nurse use this information to teach the patient about potential safety issues to avoid injury and wound complications? 56. You are teaching a woman about self-breast examination. How often will you teach that breast self-examination be performed? When will you suggest the woman perform the self-breast exam? Describe palpation technique for self-breast exam. Where is the most important area of the breast to include? 57. List a concern of the post-menopausal woman with vaginal bleeding. 58. Describe what a white curd-like discharge indicates in a woman who receives antibiotics for a urinary tract infection? 59. You are teaching a young man about self-testicular examination. How often will you tell the man that the testicular self-exam performed? When will you suggest the exam be performed? How much pressure is used during the exam and what will the testicle normally feel like? What finding should be reported to the health care provider? 60. Compare and contrast benign prostate hypertrophy and prostate cancer • 61. Compare and contrast acute and chronic renal failure. 62. What lab findings are consistent in a client with chronic renal failure? 63. Why is the female more at risk for urinary tract infections compared to a male? 64. What are three subjective and three objective findings of the client with a urinary tract infection (UTI)?