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 What inutritional iassessment iis inot ian iaccurate itool ito iuse iin ithe iolder iadult?: i24 ihour irecall What iorgans iare iin ithe iLLQ?: ipart iof ithe idescending icolonsigmoidi icolon left iovary iand itube lefti iureter left ispermatic icord What iorgans iare iin ithe iLUQ?: istomach spleeni left ilobe iof iliver ibody iof ipancreas left ikidney iand iadrenal igland splenici iflexure iof icolon part iof ithe idescending iand itransverse icolon What iorgans iare iin ithe iRLQ?: icecum appendixi right iovary iand itube righti iureter right ispermatic icord What iorgans iare iin ithe iRUQ?: iliver gallbladderi duodenum head iof ipancreas right ikidney iand iadrenal igland hepatici iflexure iof icolon part iof ithe iascending iand itransverse icolon What ipercussion inoise iwould ibe iheard iover ithe iabdomen iin ia ipatient iwith iascites?: idullness What ishould ithe inurse ido iif ia ipulse iis idiminished?: iuse ia idopler checki ifor ibruits What ivalves iclose iduring idiastole?: iaortic iand ipulmonic What ivalves iclose iduring isystole?: itricuspid iand imitral ivalve When iassessing ia ilymph inode, iexplore ithe iarea to ithe ienlarged inode.: iinferior When idoes ipain ioccur iin iarterial iinsufficiency?: i@ ibeginning iof iday When idoes ipain ioccur iin ivenous iinsufficiency?: i@ iend iof ithe iday When iis iit irecommended ito iperform iself ibreast iexams?: i4-7 idays iafter imenstrual iperiod Where iare ibronchovesicular isounds iheard?: inear imajor iairways Where iis ithe iRinne itest iperformed?: iear Where iis ithe iWeber itest iperformed?: ihead Which icranial inerves iput ithe ipatient iat irisk ifor iaspiration?:V,VII, iX, iXII Why iis ifluid iloss icommon iin iinfants?: itheir iskin iis imore ipermeable