NR 302 Health Assessment Final Exam ||Verified
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what are non-therapeutic communication - Answer-asking
closed ended questions, medical jargon, talking too much,
asking why questions
which of the following statements illustrates the use of
open-ended questions - Answer-builds and enhances
rapport, used when narrative information is needed
therapeutic communication techniques - Answer-assists
the narrative, open-ended questions, repeating what
patient says for clarification
a patients reason for seeking care is shortness of breath,
when obtaining a health history, which of these questions
by the nurse would obtain the most helpful information -
Answer-will you please describe the activities that cause
you to be short of breath
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components of a health history - Answer-biographical
data, review of systems, functional assessment, activities
of daily living
the nurse is collecting data about a patients smoking
history, the patient admits to smoking 1.5 packs/day for the
last 10 years, the nurse documents the patient has a
smoking history of how many pack-years - Answer-15
pack years
what is the relationship between sleep and smoking? -
Answer-decreases sleep by interrupting the latency cycle
which is the time of complete wakefulness to the lightest
REM (rapid eye movement) sleep
pack year formula - Answer-number of cigarettes times the
years divided by 20
during an exam the nurse notices the patient has round,
flat red lesions on the skin of the forearm, the nurse
suspects - Answer-petechiae which is bleeds under the
skin that confluence
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pruritus - Answer-extreme itching
herpes zoster - Answer-vesicle lesions that follows the
nerve path, shingles
psoriasis - Answer-silvery scales, stress related
what is the difference between assessment for petechiae
on black vs. white skin patients - Answer-while skin
appears anywhere on the legs or arms while black skin
appears on conjunctiva or oral mucosa
conjunctiva - Answer-bottom eye lid where eye drops are
put in, on black skin patient check for discoloration
indicating certain diseases
presbyopia - Answer-loss of elasticity of eye, normal with
aging
accommodation - Answer-distance to near where pupils
constrict, and eyes converge, part of PURRLA test
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stumuli - Answer-trapeizus squezze, orbitz, verbal
response from a patient, may need a prompt to do activity
crepitus - Answer-abnormal air in lungs, crunching
subcutaneous air
vesicular - Answer-normal breath sounds located on the
back or lower lung lobes
rhonchi - Answer-adventitious lung sounds, wet, snoring
sounds
tuning fork - Answer-Rhine or Weber test for cranial nerve
VIII
red reflex - Answer-shines from light to produce red in
eyes, red is normal while if white is seen then indicated
retinal blastoma
a 65 year old man with emphysema and bronchitis has
come to the clinic for a follow up appointment, on
assessment of his skin , the nurse might expect to assess