NR 304 Final Exam Study Guide.

NR i304 iFinal iExam iStudy iGuide What iage iis iit irecommended ithat iwomen ireceive iannual ibreast iscreenings?: iAge i40 What iare iadditional imusculoskeletal iassessments iin ian iinfant?:C-shaped ispineflexioni iof iarms iand ilegs tight ifists cannot ihold iup iown ihead What iare ifindings icommon iin iexacerbation iof iheart ifailure?:SOB weighti igain swelling iof ilegs, ifeet ior iabdomen coughingi ior icoughing iup isputum racingi iheart fatigue What iare inormal ifindings iof ian iinfant i(GU)?:immature/involuntary isphincter GFRi idecreases at irisk ifor idehydration iand ielectrolyte iimbalancei ear iissue i--- icheck ikidneys bed-wetting iis inormal iuntil iage i6-7 What iare inormal ifindings iof ian iinfant? i(PVS): ienlarged ilymph inodes acrocyanosisi i(blue ihands i& ifeet) mottling i(lace iappearance) BPi ionly itaken iby i3 iy/o What iare inormal ifindings iof ian iolder iadult i(GI isystem)?:constipation decreasedi isaliva decreased idigestive ienzymes decreasedi iperistalsis idecreased iactivity What iare inormal ifindings iof ian iolder iadult i(GU)?: iGFR idecreases confusioni iis ifirst isign iof iUTI electrolyte iimbalance creatine iclearance idrops iin irate increased imeds iput ithem iat irisk ifor itoxicity What iare inormal ifindings iof ian iolder iadult i(PVS)?: iBP iincreases arteriosclerosisi i(thickened ivessels) calf iveins ienlarge peripheral ipulses ibecome iharder ito ifind pulsei islows fewer ilymph inodes What iare inormal ifindings iof ia ipregnant iwoman iin i1st itrimester i(GU)?: iurinary ifrequency idue ito increasedi ipressure ifrom iuterus ion ithe ibladder What iare inormal ifindings iof ia ipregnant iwoman iin i2nd itrimester i(GU)?: iblood ivolume idoubles, increasingi iurine ifrequency What iare inormal ifindings iof ia ipregnant iwoman iin i2nd itrimester i(PVS)?: iblood ivolume idoublesveinsi ienlarge ito iaccommodate BP idecreases What iare inormal ifindings iof ia ipregnant iwoman iin i3rd itrimester i(GU)?: iat irisk ifor ipre-eclampsia (i complication) urine ioutput idecreases What iare inormal ifindings iof ia ipregnant iwoman iin i3rd itrimester i(PVS)?: iBP iis isupposed ito ireturn ito normali What iare ithe i5 iP's iof iocclusion: iPain i- isudden ionseti Pallor Pulselessness Parathesia i(Pins iand ineedles isensation) Paralysisi What iare ithe icharacteristics iof ia ipulse iin ia ipatient iwith ihyperthyroidism?: ibounding What iare ithe ifour icomponents iof ia imental istatus iexam?:Appearance Behaviori Cognition Thought iprocesses What iare ithe irisk ifactors ifor ideveloping ipressure iulcers?:impaired imobilitythini ifragile iskin decreased isensory iperception impairedi iLOC moisture ifrom iincontinence excessive iperspiration ior iwound idrainage shearingi iinjury poor inutrition infectioni What iare ithe itwo imethods ito iassess icarpal itunnel?: iTinel's iSigni Phalen iTest What idoes ianthropometrics iinclude?: iheight, iweight, ibody imass iindex, iskin ifold imeasurements iand ibody framei isize What ido igrooves iin ithe istool iindicate?: idehydration What ido inormal istools iof ia ibottle-fed ibaby ilook ilike?: ibrown iand iformed What ido inormal istools iof ia ibreastfeeding ibaby ilook ilike?:yellow, iloose, iand iseedy What iis ia icommon ifinding iin iCOPD?: ibarrel ichest i(1:1 iratio) What iis ia icommon ifinding iin iemphysema iand ichronic ibronchitis?: iclubbing What iis icyanosis icaused iby?: ia ilack iof ioxygen iin ithe iblood What iis ierythema icaused iby?: ihyperemia iin isuperficial icapillaries ioccurring iwith iany iskin iinjury, iinfection,i or iinflammation What iis ijaundice icaused iby?: ihigh ibilirubin ilevels What iis imelena icaused iby?: iupper iGI ibleed What iis ipallor ia iresult iof?: ia ireduced iamount iof ioxyhemoglobin iand iis ivisible iin iskin iconjunctivae ior mucousi imembrane What iis ipallor icaused iby?: ican ibe icaused iby iillness, iemotional ishock ior istress, istimulant iuse, ior ianemia What iis iphalen itest?: ipatient iis iasked ito ihold itheir iwrist iin icomplete iand iforced iflexion i(pushing ithe idorsal surfacesi iof iboth ihands itogether) ifor i30-60 iseconds What iis ipoor iskin iturgor ian iindication iof?: idehydration What iis ithe ilocation iof ithe iapical ipulse?: imid-clavicular i5th iintercostal ispace What iis ithe imost icommon icause iof iS3 iextra iheart isound?:congestive iheart ifailure, iless icommon iisvalvular i iregurgitation iand ileft ito iright ishunts What iis ithe imost icommon icause iof iS4 iextra iheart isound?:stiffened ileft iventricles, iresulting ifrom iconditions isuch ias ihypertension, iaortic istenosis, iischemic ior ihypertrophic icardiomyopathy. iIn ipatient iwith mitrali iregurgitation What iis itinel isign?: iperformed iby ilightly itapping i(percussing) iover ithe inerve ito ielicit ia isensation iof itinglingori i"pins iand ineedles" iin ithe idistribution iof ithe inerve What ilimitations idoes ia i24 ihr irecall ihave?: iindividual ior ifamily imay inot irecall itype ior iamount, itruth imaybei ialtered, isnack ifoods imay igo iunreported, ifood imay ibe iatypical What ilimitations idoes ia ifood idiary ihave?: i-noncompliance -inaccurate irecording -atypical iintake ion irecording idays - conscious ialteration iof idiet ion irecording iperiod What ilimitations idoes ifood ifrequency iquestionnaire ihave?: i-does inot iquantify iamount iof iintake - relies ion ia iperson ior ifamily imember's imemory ito ibe iable ito irecall ifood ithat iwas ieaten