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NUR101 Health Assessment Final Exam Study Guide

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NUR101 Health Assessment Final Exam
Study Guide
2 procedures for assessing carpal tunnel syndrome - correct answerPhalen & Tinel
tests

Abduction - correct answerMoving a limb AWAY from the midline of the body

Adduction - correct answerMoving a limb TOWARD the midline of the body

Assessment findings to prevent pressure ulcer - correct answerCaused from impaired
circulation from impaired mobility

Bouchard's nodes - correct answerOA middle finger joints

Circumduction - correct answerMoving the arm in a CIRCLE around the shoulder

Clonus - correct answerRapid, rhythmic contractions of the same muscle

Deep tendon reflex (DTR) - correct answerMeasures an involuntary muscle contraction

Depression - correct answerLOWERING a body part

Describe the assessment of one's health beliefs - correct answerHealth Belief Model
- Perceived susceptibility
- Perceived severity
- Perceived benefits
- Perceived barriers

DTR grades - correct answer0 = no response
1+ = diminished, low normal, occurs only w/ reinforcement
2+ = average, normal
3+ = brisker than average, may indicate disease, probably normal)
4+ = very brisk, hyperactive w/ clonus, indication of disease

Elevation - correct answerRAISING a body part

Eversion - correct answerMoving the sole of the foot OUTWARD at the ankle

Extension - correct answerSTRAIGHTENING a limb at a joint

Flexion - correct answerBENDING a limb at a joint

Frontal lobe - correct answerPersonality, behavior, emotions, intellectual function

, Goal for patients with immobility issues when performing a functional assessment -
correct answerHelp pt recover from impaired physical mobility or prevent deteriorating
from current ability

Gout - correct answerPainful inflammation arthritis caused by EXCESS URIC ACID in
blood & deposits of urate crystals in joint space
- Triggered by surgery, trauma, diuretics, alcohol intake
- Crystals can elicit painful inflammatory response causing extreme swelling & joint
deformity
- S/S: redness, swelling, heat, extreme pain
- Helpful tips: increase fluid intake; low purine diet; no organ meats, shellfish, fish w/
bones, wine, aged-cheese

Heberden's nodes - correct answerOA fingertips

Hemorrhagic stroke - correct answerAcute rupture & bleeding from weakened artery in
brain (blood on the brain)
- S/S: acute severe HA; N/V; sudden loss of consciousness; focal seizures

How to assess the TMJ (Temporomandibular Joint)? - correct answer- Joint for
mandible & temporal bone
- Permits jaw function for speaking & chewing
- Motions:
- Hinge action to open/close jaws
- Gliding action for protrusion
- Gliding for side-to-side movement of lower jaw

Hyperreflexia - correct answerExaggerated reflex response; upper motor brain lesions

Hyporeflexia - correct answerAbsence of a reflex; lower motor neuro issue

Inversion - correct answerMoving the sole of the foot INWARD at the ankle

Ischemic stroke - correct answerSudden interruption of blood flow to brain; most
common
- S/S: unilateral face droop; weakness/paralysis on 1/2 of body; difficulty speaking;
acute dizziness; loss of balance; clouding of vision; confusion

Kyphosis - correct answerEnhanced thoracic curve (upper back hump)
- Occurs w/ bone mass loss (after 40 years of age)
- Humpback appearance
- Common in elderly, osteoporosis pt's, & short people

Lordosis - correct answerPronounced lumbar curve
- Can occur w/ obesity & pregnant women

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