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NR 302 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE / NR302 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE:LATEST $12.99   Add to cart
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NR 302 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE / NR302 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE:LATEST
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  • NR 302 (NR302)
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  • Chamberlain College Of Nursing

NR 302 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE / NR302 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE:LATESTNR 302 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE / NR302 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE:LATESTNR 302 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE / NR302 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE:LATEST

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  • June 23, 2022
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  • 2021/2022
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  • nr 302
  • nr 302 health assessment exam 2 study guide

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  • NR 302 (NR302)
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NR 302 HEALTH ASSESSMENT EXAM 2 STUDY GUIDE

CHAPTER 11 Nutritional Assessment
 Undernutrition: less than body requirements
 Overnutrition: more than body requirements
Nutritional needs vary through the lifespan

Subjective Nutritional Data
 24-hour diet recall- What have you eaten in the last 24 hours? What is your normal diet like?
Troubles swallowing? Nausea, vomiting, intolerances, allergies?
 Metabolic Syndrome/Insulin-Resistance Syndrome: disorder in which there’s a complex set of
symptoms that relate together; Obesity, Heart Disease, Hypertension, Gout, Polycystic
Ovaries, and Type 2 Diabetes.
Criteria: If someone has 3+, they’re at risk for Coronary Heart Disease/Diabetes
Abnormal Levels=
 Abdominal Obesity: Men >40” Women >35”
 Fasting glucose >100 Triglycerides >150
 HDL: <40 for Men, <50 for Women Blood Pressure >130/>85

Abnormal findings caused by nutritional deficiencies
 Spongy gums= lack of Vitamin C
 Rickets (bone softening)= Lack of Vitamin D
 Glossitis (magenta tongue)= lack of Riboflavin
 Cheilosis (lip inflammation) & Stomatitis (cracked lip corners)= lack of Riboflavin
 Pitting edema= lack of Protein

Abnormal Findings
 Obesity
 Marasmus- protein/calorie malnutrition, cachexia appearance.
 Kwashiorkor- low Albumin, fluid shifts into abdominal cavity.

Objective Data
-Anthropometric Measures (Quantitative Data):
Weight
 Height & Weight/BMI: x 702 Normal 18.5-24.9
Height 2
 Waist-to-hip ratio
 Nutritional Assessment Form: ≤ 1.0 = good/normal for Men
≤ 0.8 = good/normal for Women
-Lab Studies
 Anemia Assessment: by low Hemoglobin & Hematocrit Men 13.5-17.5 / Women 12-15.5
 Cholesterol: Normal= <200 mg/dl
≥200 mg/dl = Cardiovascular disease High= over/undernutrition

, ≥160 mg/dl = Malnutrition Low= malnutrition
 Serum Albumin: Normal= 3.5-5 g/L
Low levels= indicate depleted protein & malnutrition
Severe malnutrition= <2.1 g/L
Nursing Diagnosis
 Deficient Nutrition Knowledge
 Self-care feeding deficit
 Risk for constipation
 Impaired swallowing
 Imbalanced nutrition: more> or less< than body requirements

Chapter 12 Skin, Hair, and Nails
Subjective Data
 Changes in pigmentation or moles Bruising Diaphoresis (dryness)
 Pruritis (itchy skin) Rashes/lesions Medications
 Alopecia/hair loss Self-care behaviors Enviro/Occupational hazards

Relevant Health History: Previous diseases, allergies.
Objective Data
 Color/tone & pigmentation: pallor (pale), erythema (red), cyanosis (blue), jaundice (yellow)
 Moisture Vascularity & bruising Temperature Cleanliness/odor

Skin Lesion Assessment
 Primary Skin lesions: wheal, vesicle
 Secondary: crust, fissure
 Vascular: petechiae
 Assess all skin lesions for: Color, Elevation (ie. Flat, raised, pedunculated), Configuration &
Pattern (grouped, confluent), Location & Distribution, Exudate.
Hair
 Vullus hair (thin, barely noticeable) & terminal hair (thick, long, dark)
 Color, cleanliness Texure & Distribution Lesions
Nails
 Hygiene, color, ridges
 Capillary refill < 3 seconds is normal
 Shape & Contour-clubbing
Melanoma Assessment ABCDE
Asymmetry- not regularly round/oval, both halves of lesion don’t look the same
Border irregularity- notching, scalloping, ragged edges, poorly defined margins
Color variation-areas of brown, tan, black, blue, red, white, or combo
Diameter greater than 6mm- ex. The size of a pencil eraser, although can be diagnosed smaller
Elevation or Evolution
Note: new pigment lesions, bleeding moles, “ugly duckling” sign (suspicious lesion)
Lifespan Considerations for Hair, Skin & Nails

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