NR 509 Final Exam Assessing from Head to Toe (Answer)- Think about which order you will be assessing your patient from head to toe Start by inspecting- you will inspect you patient head/face Then palpating lymph nodes Ascultating lung sounds and heart soun Percussing abdomen Assess patient's gait OLD CART (Answer)- Onset Location Duration Characteristic Aggravating factors Relieving factors Treatment Subarachnoid Hemorrhage (Answer)- Severe and Sudden "worst headache of my life" Nausea and Vomiting can be present Cranial Nerve X (Answer)- Vagus nerve Used to assess when you touch the soft palate and view uvula Signs of Otitis Externa (swimmers Ear) (Answer)- Painful movement of the auricle and tragus (page 245) Review fig 7-43 Physical Signs of Meningitis (Answer)- (pg 765) Neck stiffness with resistance of flexion.Won't be able to touch chin to chest Red flags for Headaches (Answer)- Progressively frequent or severe over 3 month period New onset after 50 Aggravated or relieved by change in position 1 / 2
Recent head trauma
Labs to check with Vitiligo (Answer)- Thyroid panel: TSH, free T3 and Free T4,
СВС
Preservation (Answer)- Patient uses words repeatedly.Using words or phrases repeatedly often seen in schizophrenia Erectile Dysfunction (Answer)- Older men in their late 40s that experience ED is usually psychological rather than testosterone.Tanner Staging of breasts in females Stage I: (Answer)- preadolescents-elevation of nipple
Tanner Staging of breasts in females Stage 2: (Answer)- Breast bud stage-
elevation of breast and nipple as a small mound.
Tanner Staging of breasts in females Stage 3: (Answer)- further enlargement of
elevation of breast and areola Tanner Staging of breasts in females Stage 4: (Answer)- projection of areola and nipple for a secondary mound above the level of the breast Tanner Staging of breasts in females Stage 5: (Answer)- mature stage- projection of nipple only HPV vaccine (Answer)- Prevents infection from subtypes 16 and 18.Measuring tape when measuring uterus in a pregnant woman (Answer)- Place tape measure on pubic symphysis and place zero end of tape, when you can firm feel the bone.Extend the tape measure to the very top of the uterine fundus and note the number of cm measured.The number should equal the number of weeks of gestation Bounding pulse (Answer)- Bounding meaning 2+ On scale 0-3
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