Exam (elaborations)
NRS 421 MIDTERM #1 QUESTIONS AND ANSWERS
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Exam of 12 pages for the course NRS at NRS (NRS 421 MIDTERM #1)
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NRS 421 MIDTERM #1General Survey - answer How does patient look as you are getting them into room and
situated? A study of the whole person.
Identify Components General Survey - answer A. Physical Appearance
B. Body Structure
C. Mobility
D. Behavior
Physical Appearance - answerAge
Sex
Level of Consciousness
Skin Color
Facial Features
Overall Appearance
- look older or younger than stated age?
- appropriate sex for their age?
- are they alert, oriented, responding appropriately?
- color tone even or moddled, variation in pigmentation, skin intact no obvious lesions?
- symmetric w/ movement or drooping?
- presence or absence of distress
Body Structure - answerstature
nutrition
symmetry
posture
position
(body build, contour)
Is height normal for age?
Really high or short, based on you'd expect by age?
Does weight appear normal range for height and weight?
Even distribution of body fat?
Body look equal bilaterally?
Are they hunched over or standing up straight?
Do they look comfortable?
How are they positioned during the assessment?
Behavior - answerFacial expression
mood and affect
, speech
dress
personal hygiene
are they responding in appropriate way? matches what is going on?
faces at rest and while talking
are they comfortable and cooperative with assessment?
able to form words that are clear and understandable
conveying ideas clearly
is dress appropriate to climate?
clothing clean? fit appropriately? clean groomed?
Measurements - answerWeight
Height
Body Mass Index
Waist Circumference
Know what they are, why we have them and how to use them. Mainly pediatrics
Mobility - answerGait
Use of assistive devices
Do they look smooth, even well balanced? Or is something off kilter? Range of motion?
Full mobility for each joint?
Vital Signs - answerPulse (HR)
Respiratory Rate
Temperature
Blood Pressure
O2 Saturation
Pulse - answerRate (how many beats per minute)
Rhythm (regular, irregular)
Force (strength of heart stroke volume )
- 0 is bad
- 1+ weak/thready
- 2+ normal
- 3 + full/bounding
Elasticity
60 - 100 bpm
<60 bradycardia (unless you are athlete)
>100 tachycardia (can be anxiety, fear...)
How we Assess:
three fingers
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