NUR 104 Exam 1 Questions And Answers Rated A+
skills performed in order ANS Inspection, palpating, percussion, auscultation
waist circumference ANS - 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 ANS Deficient growth hormone, delayed puberty decreased
Achondroplastic dwarfism ANS Short arms, legs and more pronounced lordosis
Gigantism ANS excess growth hormone, delayed genital development
acromegaly ANS overgrowth of face, hands, feet
endogenous obesity ANS Cushing syndrome
"moonface"
marfan syndrome ANS long, lanky; concerned about aortic distension; blood vessels more susceptible to a triple
A and aneurysm
pulse pressure ANS difference between systolic and diastolic pressure; reflects stroke volume
factors affecting BP ANS cardiac output, peripheral resistance, blood volume, viscosity, elasticity of vessel walls
thigh pressure ANS 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 ANS nociceptive and neuropathic
, nociceptors ANS sensory receptors that enable the perception of pain in response to potentially harmful stimuli
Aδ fibers ANS -myelinated and larger in diameter
-transmit a rapid signal
-short term and sharp sensations
C fibers ANS -unmyelinated and smaller
-transmit signal slowly
-sensations are diffuse and aching
phases of nociception ANS transduction, transmission, perception, modulation
transduction ANS -occurs in response to noxious stimuli
-release variety of chemical mediators
-neurotransmitters lead to pain propogation
transmission ANS -Pain impulse moves from level of spinal cord to brain
perception ANS -Consciousness of awareness of pain signal
-Only when "pain" has reach the cortical structures can it be perceived as pain
modulation ANS -body has built-in mechanism to slow down and stop the process of a painful stimuli that
inhibits and blocks pain
examples of neurotransmitters ANS norepinephrine, serotonin, dopamine, acetylcholine
neuropathic pain ANS -Indicates type of pain that does not adhere to typical phases inherent in nociceptive pain
-pain due to a lesion or disease
PQRST ANS provocation/palliation, quality/quantity, region/radiation, severity scale, timing
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