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NUR 104 Exam 1 – 108 Questions with Answers
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NUR 104 Exam 1 – 108 Questions with Answers
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NUR 104 Exam 1 – 108 Questionswith Answers
skills performed in order - -Inspection, palpating, percussion, auscultation
-waist circumference - -- assesses body fat distribution as indicator of
health risk
- waist circumference is measured in inches right below rib cage and above
iliac crest
-hypopituitary dwarfism - -Deficient growth hormone, delayed puberty
decreased
-Achindroplastic dwarfism - -Short arms, legs and more pronounced lordosis
-Gigantism - -excess growth hormone, delayed genital development
-acromegaly - -overgrowth of face, hands, feet
-endogenous obesity - -Cushing syndrome
"moonface"
-marfan syndrome - -long, lanky; concerned about aortic distension; blood
vessels more susceptible to a triple A and aneurysm
-pulse pressure - -difference between systolic and diastolic pressure;
reflects stroke volume
-factors affecting BP - -cardiac output, peripheral resistance, blood volume,
viscosity, elasticity of vessel walls
-thigh pressure - -When pressure is excessively high, compare it with the
thigh pressure to check for coarctation of the aorta (a congenital form of
narrowing). Normally thigh systolic pressure is 10 to 40mmHg higher than
the arm and diastolic is the same
-two main pathways of pain - -nociceptive and neuropathic
-nociceptors - -sensory receptors that enable the perception of pain in
response to potentially harmful stimuli
-Aδ fibers - --myelinated and larger in diameter
-transmit a rapid signal
, -short term and sharp sensations
-C fibers - --unmyelinated and smaller
-transmit signal slowly
-sensations are diffuse and aching
-phases of nociception - -transduction, transmission, perception, modulation
-transduction - --occurs in response to noxious stimuli
-release variety of chemical mediators
-neurotransmitters lead to pain propogation
-transmission - --Pain impulse moves from level of spinal cord to brain
-perception - --Consciousness of awareness of pain signal
-Only when "pain" has reach the cortical structures can it be perceived as
pain
-modulation - --body has built-in mechanism to slow down and stop the
process of a painful stimuli that inhibits and blocks pain
-examples of neurotransmitters - -norepinephrine, serotonin, dopamine,
acetylcholine
-neuropathic pain - --Indicates type of pain that does not adhere to typical
phases inherent in nociceptive pain
-pain due to a lesion or disease
-PQRST - -provocation/palliation, quality/quantity, region/radiation, severity
scale, timing
-opioid receptors connect with - -mu-opioid receptors
-older adults have fear of - --dependency
-cost of medications, etc
-further testing
-fear of taking meds/becoming addicted
-PAINAD scale - --Patients whose dementia is so advanced that they cannot
verbally communicate
-Evaluates breathing, vocalization, facial expression, body language
-consolability
-complex regional pain syndrome - -chronic progressive nerve condition;
key feature is innocuous stimuli
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