Nur 306 FINAL QUESTIONS AND ANSWERS .Buy Quality Materials!
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Course
Nur 306
Institution
Nur 306
Nur 306 FINAL QUESTIONS AND ANSWERS .Buy Quality Materials!
Tension Headache
most common and usually self-treated (hangover, stress)
- temporal area
Migrane Headache
- episodic
- unilateral
- prodromal onset and/ or aura
- N&V
- family history
Cluster Headache
- Unilateral
- Retroorbi...
Nur 306 FINAL QUESTIONS AND
ANSWERS . Buy Quality Materials!
Tension Headache
most common and usually self-treated (hangover, stress)
- temporal area
Migrane Headache
- episodic
- unilateral
- prodromal onset and/ or aura
- N&V
- family history
Cluster Headache
- Unilateral
- Retroorbital
Primary headaches
caused by the headache itself w/ no underlying cause
- bilateral & mild to moderate intensity
- ex.) tension or migrane headaches
Secondary Headaches
Arise from other conditions... hemorrhage, tumor..
- Look for 'red flags'
Red Flags of headaches
- recent onset
- acute onset like "thunderclap"
- >50 yo w/ new onset headaches
- wakes pt up
- "worst headache of my life"
- sudden & intense
- getting worse over time
- elevated BP
- rash or signs of infection
- vomitting
- recent head trauma
- presence of cancer, HIV or pregnancy
Goiter
Enlarged thyroid gland
- thyroid function may be increased, decreased or normal
- temp intolerance;
--> too cold = hypothyroidism
--> too hot = hyperthyroidism
Hyperthyroidism S/S
Signs:
- warm, smooth moist skin
,- increased systolic & decreased diastolic BP
- tachy or afib
- tremors & proximal muscle weakness
Symptoms:
- nervousness
- weight loss
- sweating & heat intolerance
- frequent bowel movements
- palpatations
Hypothyroidism S/S
signs:
- dry, coarse, cool skin, yellowish, nonpitting edema & loss of hair
- decreased systolic & increased diastolic BP
- brady & hypothermia
- impaired memory, mixed hearing loss
Symptoms:
- fatigue, lethargy
- weight gain
- swelling face, hands & legs
- constipation
Cushing Syndrome
Increased adrenal cortisol production
- Round "moon" face with red cheeks
- excessive hair growth
Nephrotic Syndrome
Face is edematous & pale
- Swelling around eyes
Myxedema
Severe hypothyroidism
- Dull & puffy face
- dry skin and course thin eyebrows
Parotid Gland Enlargement
May be associated w/ obesity, diabetes & cirrhosis
- swellings anterior to the ear lobes & above angles of the jaw
Acromegaly
Increased growth hormone
- enlargement of bone & soft tissues
- head is elongated w/ bony prominence of forehead, nose & lower jaw
- Enlarged soft tissues of nose, lips and ears
Parkinson Disease
- decreased facial mobility = blank stare
- neck & trunk flex forward
- facial skin oily & drooling can occur
Fetal Alcohol Syndrome
- Growth deficiency
- Microcephaly
, - Short palpebral fissures
- Thin upper lip
- Flat nasal bridge
Down Syndrome
- Small rounded head
- oblique palpebral fissures
- low set shell-like ears
- large tongue
Hirsutism
Excessive facial hair
A nurse documents which of the following as a normal finding when examining
the thyroid gland of an older adult client?
Nodularity
Most common cause of asymmetry of the earlobes
Parotid Enlargement
Is the thyroid gland usually larger in men or women?
women
When palpitating the lymph nodes what's an abnormal finding?
fixed to underlying tissue
How many bones in the face?
14
A client comes to the trauma unit in respiratory distress following a motor vehicle
accident. On examination, the nurse notices that the trachea is deviated from the
midline. What does this finding indicate?
Tension pneumothorax
During the physical examination of a client, a nurse notes that a client's trachea
has been pushed toward the right side. The nurse recognizes that the
pathophysiological cause for this finding is related to what disease process?
Atelectasis
A nurse palpates an enlarged, hard, and nontender left-sided supraclavicular
lymph node in a client. Where should the nurse focus the physical assessment to
obtain more data about this finding?
Abdomen and thoracic area for changes associated with malignancy
A client seeks medical attention for sharp, shooting facial pain that lasts for
several minutes at a time. For which health problem should the nurse assess this
client?
Trigeminal neuralgia
Hyperopia
Farsightedness
Presbyopia
difficulty seeing things clearly up close --> old age (aging vision)
Myopia
Nearsightedness
Astigmatism
blurred vision
Scotomas
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