NUR155 Exam 1 and 2 all questions with correct answers provided from Galen
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Course
NUR155
Institution
NUR155
NUR155 Exam 1 and 2 all questions with correct answers provided from Galen /NUR155 Exam 1 and 2 all questions with correct answers provided from Galen /NUR155 Exam 1 and 2 all questions with correct answers provided from Galen
NUR155 Exam 1 and 2 all questions with correct answers provided from Galen
NUR155 Exam 1 Galen
When bathing a dementia patient what should you do. - correct answer Keep covered, move
slowly, time bath to patients tolerance.
primary prevention - correct answer Precedes disease. Example: immunizations, nutrition
education, family planning
secondary prevention - correct answer Early detection, prompt intervention Example:
screenings, any procedure, self exams, assessments.
tertiary prevention - correct answer Begins after illness. Examples: support groups, teaching
client to prevent complications.
helath promotion - correct answer Not diseased oriented, POSTIVE approach to wellness.
health protection - correct answer Illness or specific illness. Motivated by AVOIDANCE of
illness. Stop health occurance
Motivations for non compliant patients - correct answer Reassurance, open ended questions.
Holism - correct answer Client is whole person, not just the area of concern is considered
Individual care - correct answer Nurse is acquainted to client as a person uses total care
princples that apply to specific person
total care - correct answer Nurse looks at all principles and areas that apply for the clients
AGE and CONDITION
Maslow's Hierarchy of Needs - correct answer physiological, safety, love/belonging, esteem,
self-actualization
nodule/tumor - correct answer elevated, solid, palpable mass with irregular border- may be
malignant (cancerous) or benign
ex. tumor
pustule - correct answer elevation of skin containing pus example: acne
Cyst - correct answer 1 cm or larger, elevated, fluid filled or semisoild
wheal - correct answer raised red skin lesion due to interstitial fluid Example:hives
Vesicle - correct answer Circumscribed, round or oval. Contains serous fluid or blood.
EXAMPLE: small burn blister,
Bulla - correct answer a large blister that is usually more than 0.5 cm in diameter Example:
large burn blister
, NUR155 Exam 1 and 2 all questions with correct answers provided from Galen
normal nail angle - correct answer 160 degrees
clubbing - correct answer Nail is 180 degrees or greater
vesicular lung sounds - correct answer low-pitched, soft sounds heard over peripheral lung
fields
Bronchovesicular lung sounds - correct answer Blowing sound, air moves through bronchi.
Located between scapula lateral to sternum. 1st and 2nd intercoatal space.
bronchial lung sounds - correct answer Harsh sounds, air moving through trachea, located
over trachea.
crackles (rales) - correct answer high pitched, can be heard during breath in and out. Located
in the lower lobes.
Gurgles (rhonchi) - correct answer Harsh Low pitched moaning sound. Best heard breathing
out. Over most lung areas. Heard mostly over bronchi and trachea
friction rub - correct answer a coarse, grating, adventitious lung sound heard when the
pleurae are inflamed.
wheeze - correct answer high-pitched, musical, squeaking adventitious lung sound. Located in
all lung fields
assess clients balance - correct answer Romberg test: feet together, arms resting in the sides.
Assessing Temperature locations - correct answer Oral(side of frenulum) Rectal(1.5 inches for
adults) Axillary(tip in axilla Tympanic (ear) temporal(slide forehead to hairline)
cardiac output - correct answer heart rate x stroke volume
peripheral pulses - correct answer Not apical (mitral)
Average adult pulse - correct answer 80 range ( 60-100)
Factors that affect pulse - correct answer Age, sex, fever, medication, stress
Pulse volume - correct answer Absent +1, normal +2, bounding +4
arrhythmia - correct answer Abnormal heart rhythm
costal breathing - correct answer External inercostal muscles are involved. Chest moves
inward and outward
diaphragmatic breathing - correct answer contraction and relaxation of the diaphragm,
observed by the movement of the abdomen, which occurs as a result of the diaphragm's
contraction and downward movement
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