NURS 3320 EXAM BUNDLE!!

FIXED and non movalbe nodes are _________. - ANSWER-Malignant, tender and non movable Heart goes from ___ ICS to the ___ ICS - ANSWER-2nd ICS (base) to the 5th ICS (apex) Pericardium - ANSWER-Outer, double walled, sac w/ Fluid Myocardium - ANSWER-middle muscle layer, muscle=contraction E...

Pain definition - ANSWER-An unpleasant sensory and emotional experience Pain is whatever and whenever the person says it is Conceptual foundations - ANSWER-Pain has often been undertreated Recommendations that pain is considered the 5th vital sign Inadequate treatment can result in a physiolo...

Self report - ANSWER-What is the most reliable indicator of a patient's experience of pain? Location? Onset? Timing? Type? Associated Symptoms? Alleviating factors? Radiation? Precipitating event? LOTTAARP - ANSWER-Besides the client's rating of the intensity of the pain, what other ...

A nurse is preparing to asses a client who is new to the clinic. When beginning the collection of the client database, which of the following actions should the nurse prioritize? - ANSWER-Establish a trusting relationship A nurse is interpreting and validating information from an older adult clie...

What is the purpose of a comprehensive exam? - ANSWER-Collection of subjective and objective data Created when a patient enters a health care system Serves as baseline data for comparison later What is the purpose of a partial, or on-going exam? - ANSWER-Mini-overview of body systems and h...

In which clients would you expect to see gynecomastia? - ANSWER-Males during puberty. Can also be seen in males with hormonal imbalance, drug abuse, cirrhosis, leukemia, and thyrotoxicosis Objective signs of breast cancer - ANSWER-Prominent/asymmetric venous pattern Pue d'orange skin Retracted...

dorsal recumbent position - ANSWER-patient is lying on the back, face up, with the knees bent. Ex: Vaginal exams What order do you examine the patient - ANSWER-Inspect, palpate, percuss, and auscultation. (I, P, P, A). Except for Abdomen. Abdomen you Inspect, Auscultate, Percuss, then Palpate. (I...

What should the nurse observe when assessing gait? - ANSWER-• Base of support • Weight-bearing stability • Foot position • Stride, length, and cadence of stride • Arm swing • Posture What should the nurse observe when assessing posture - ANSWER-the client's posture while standin...

A pigskin-like or orange-peel (peau d'orange) appearance results from edema R/T lymphatic drainage, which is seen in - ANSWER-metastatic breast disease Normal superficial venous pattern - ANSWER-Veins radiate either horizontally and toward the axilla (transverse) or vertically with a lateral fla...

What are the types of assessments? - ANSWER-Initial comprehensive Ongoing Focused Emergency Normal BP - ANSWER-120/80 Normal HR - ANSWER-60-100 bpm Normal RR - ANSWER-10-20 bpm, usually 1:4 with HR Normal SpO2 - ANSWER->97% Normal oral temperature - ANSWER-96-99.5F (35.8-37.3C) ...