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NUR 1020 - Exam 2 Review ch.21 Questions With Complete Solutions $14.99   Add to cart

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NUR 1020 - Exam 2 Review ch.21 Questions With Complete Solutions

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NUR 1020 - Exam 2 Review ch.21 Questions With Complete Solutions

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  • October 22, 2024
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  • NUR 1020
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NUR 1020 - Exam 2 Review ch.21 Questions With Complete
Solutions

0 Correct Answer no palpable pulse

1+ Correct Answer faint but detectable

1+ pitting edema = Correct Answer Slight pitting, 2mm

2+ Correct Answer Normal pulse

2+ pitting edema = Correct Answer Deeper pit, 4 mm

3 ways crackles can be described: Correct Answer 1. Fine
2. Medium
3. Coarse

3+ Correct Answer increased intensity, bounding

3+ pitting edema = Correct Answer Deep pit, 6 mm
*Dependent extremity enlarged

4+ pitting edema = Correct Answer Very deep pit, 8mm
*Dependent extremity extremely distorted

A complete physical exam requires systematic assessment of
what? Correct Answer Each body system

ABCDE (assessing moles) Correct Answer Asymmetry
Border
Color variation

,Diameter greater than 0.5cm
Elevation above skin surface

Abnormal lesions (2) Correct Answer 1. Primary lesions - acne
i.e.
2. Secondary lesions - develop from primary lesions

Evaluate skin lesions for possible malignancy - ABCDE

Absence of bowel sounds is considered: Correct Answer
abnormal

Accommodation assesses: Correct Answer Extraocular
movement

Acromegaly Correct Answer large head, associated w/ excess
growth hormone

Adventitious breath sounds = Correct Answer Abnormal
sounds that originate in the lungs and airways.

alert Correct Answer follows commands in timely fashion

Alopecia = Correct Answer hair loss around the temples and
center of scalp
- normal balding in men

Alopecia areata Correct Answer benign autoimmune disorder

Anisocoria Correct Answer unequal pupils

,Another name for wheezing = Correct Answer sibilant
wheezing

Aphthous ulcers Correct Answer small painful vesicles with
red periphery and white pale yellow base

major i.e. herpes, HIV, & bacterial infections

Assess alcohol, tobacco, & recreational drug use Correct
Answer *inquire in nonjudgmental manner

Assess speech, difficulty w/ articulation may indicate what?
Correct Answer Neurological impairment

Assessment for adolescents: Correct Answer 1. Provide privacy
2. Address concerns that they are "normal"
3. Teach healthy lifestyle
4. Screen for suicide risk

Assessment for older adults: Correct Answer 1. May need to be
positioned according to mobility
2. Adapt exam to vision/hearing changes
3. Assess for change in physical ability
4. Assess for ability to perform ADL's
5. Provide periods of rest as needed

Assessment for preschoolers: Correct Answer 1. Use doll to
demonstrate
2. Child may still want parental contact
3. Allow child to help w/ exam

, Assessment for school-age children: Correct Answer 1. Show
approval & develop rapport
2. Allow independence
3. Teach about how body works

Assessment for young/middle adults: Correct Answer 1.
Modify in presence of acute or chronic illness

Atelctasis = Correct Answer collapse of all or part of the lung
decreases breath sounds

Auscultation is the last step for all body systems EXCEPT:
Correct Answer the abdomen

Bronchial breath sound descriptors: Correct Answer Pitch: high
Quality: hollow
Amplitude: loud
Duration: Inspiration < expiration
Location: over main tem bronchi

Broncho-vesicular breath sound descriptors: Correct Answer
Pitch: medium
Quality: mixed
Amplitude: medium
Duration: inspiration = expiration
Location:
- posterior between scapulae
- anterior upper sternum, 1st two intercostal spaces

bruit = Correct Answer obstructed air flow

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