NR 509 midterm
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NR509 Final Exam NR509 Midterm post seg ex 4: poste
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patient opens the eyes and looks at you but responds slowly and is
somewhat confused. Alertness and interest in the environment are
decreased.
Choose matching term
1 Coma 2 Obtunded
3 Somnolent 4 Stupor
Don't know?
Cause of saddle numbness and Cauda equina syndrome
urinary retention
Presentation of retinal If sudden visual loss is unilateral and painless,
detachment
patient opens the eyes and looks at you but responds slowly and
Obtunded is somewhat confused. Alertness and interest in the environment
are decreased.
, Cranial nerve for lateral gaze CN6: Abducens
Medical: Illnesses such as diabetes, hypertension, hepatitis,
asthma, and human immunodeficiency virus (HIV);
hospitalizations; number and gender of sexual partners; and risk-
taking sexual practices
Adult Illnesses ■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history,
methods of contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations,
and treatments
chronologic description of the problems prompting the patient's
visit, including the onset of the problem, the setting in which it
developed, its manifestations, and any treatments to date.Each
Present Illness problem/symptom needs: (1) location; (2) quality; (3) quantity or
severity; (4) timing, including onset, duration, and frequency; (5)
the setting in which it occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
an opacity of the lens (cataract) or, possibly, the vitreous (or even
Absence of red reflex an artificial eye). Less commonly, a detached retina or, in
children, a retinoblastoma may obscure this reflex.
Itching, watery eyes, sneezing, ear congestion, postnasal
S/S of seasonal allergies
drainage
Enlarged blind spot, vision loss in 1 eye, loss of color vision, hole
Presentation of optic neuritis
in center of vision, trouble seeing to the side, eye pain
Multiple round to oval scaling violaceous plaques on abdomen
pityriasis rosea
and back
tip of shoulder
Acromion
What to do for + finding on continue using test, but less lab and diagnostics
physical exam, but - workup
-too small of a BP cuff
- if the brachial artery is below heart level
Cause of falsely high BP
- loose cuff
- bladder that balloons outside the cuff
-involuntary jerking movement of the eyes with quick and slow
components.
Check for nystagmus - It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in
internuclear ophthalmoplegia
Jaundice yellow sclera
effective reassurance is simply identifying and acknowledging
the patient's feelings.
how do get a patient to open up -Partnering
when upset -Summarizing
-Transitions
- Empowering the pt