FINAL EXAM: NU 650 / NU650 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
ADVANCED HEALTH ASSESSMENT / NURSING |
QUESTIONS & ANSWERS | GRADE A | 100%
CORRECT (VERIFIED SOLUTIONS) - REGIS
Order of Assessment .....ANSWER.....Inspection, Palpation,
Percussion and Auscultation. EXCEPT with abdomen
Comprehensive Health History .....ANSWER.....chief complaint,
reason for visit, ROS, past medical and surgical history, social
history and family history
Pediatric Body measurements .....ANSWER.....length, height,
weight, head circumference fro birth to 36 months
Normal/Hypertension cut off .....ANSWER.....<130 normal 140+
hypertension
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Fontanel Closure .....ANSWER.....posterior 1-2 months, anterior
9mo-2years
otoscope .....ANSWER.....adult-up and back, peds- down and
back, using largest speculum that will fit comforably
tympanic membrane .....ANSWER.....Cone of light R-5 l-7
EOM testing .....ANSWER.....CN III, IV, VI
AP diameter of chest .....ANSWER.....1:2 (AP less than transverse)
barrel chest .....ANSWER.....COPD
Flat or Dull percussion .....ANSWER.....effusion or pneumonia
normal resonant percussion .....ANSWER.....healthy lung
Hyperressonance (percussion) .....ANSWER.....trapped air
crackles/rales .....ANSWER.....high pitched, discontinuous
Wheezes .....ANSWER.....high-pitched whistling or squeaking
sounds during inspiration or expiration
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Rhonchi .....ANSWER.....snoring, rumbling sounds heard upon
auscultation of the chest during respiration-low pitched
tactile fremitus .....ANSWER.....• INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such
as with pneumonia)
- Remember Liquid or solid transmits vibrations better than air
• DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial
obstruction.
Bronchophony .....ANSWER.....the spoken voice sound heard
through the stethoscope, which sounds soft, muffled, and indistinct
over normal lung tissue, clearer over disease
Egophony .....ANSWER.....abnormal change in tone of voice that
is heard when auscultating the lungs EE-->AA