Health Assessment Final Exam (Study
Guide Questions)
1. A nurse operating in a clinic includes abdominal evaluation as a part of patient
assessment. In which sufferers would a nurse expect to locate reduced or absent bowel
sounds after listening for 5 minutes? - ANS-A affected person recognized with peritonitis.
A patient who is on extended bedrest. A affected person who has paralytic ileus as a
result of surgery.
2. A affected person that is complaining of joint ache that is on mattress rest, what might
you do to provide comfort to them? - ANS-Apply warmness for 15-20 minutes to place.
3. Abduction - ANS-Moving a limb away from the midline of the body.
4. Adduction - ANS-Moving a limb toward the midline of the body.
5. Ataxic gait - ANS-Staggering. Uncoordinated actions, huge base, actions are
exaggerated after they stroll.
6. Atrophic vaginitis - ANS-S: Postmenopausal vaginal itching, dryness, burning sensation,
dyspareunia, mucoid discharge (can be flecked with blood), postcoital bleeding.
Symptoms arise step by step due to thinning of epithelial layers.
7. O: Pale, dry mucosa with abraded areas that bleed without difficulty, decreased rugae;
might also have bloody discharge. Decrease in usual bright vaginal secretions. Vagina
can be shortened and narrowed; cervix can be less protuberant.25 Estrogen commonly
maintains tissues thick, moist, rugated, and glycogen wealthy; so loss of estrogen
creates signs and symptoms and will increase hazard for trauma and contamination.
8. Auscultation the abdomen is started within the proper lower quadrant (RLQ) due to the
fact? - ANS-Bowel sounds are constantly normaly gift right here.
9. Bacterial Vaginosis - ANS-S: Profuse discharge, "consistent wetness" with "foul, fishy,
rotten" smell.
10. O: Thin, creamy, gray-white, malodorous discharge. No infection on vaginal wall or
cervix due to the fact that is a floor parasite. Vaginal pH >four.Five. Microscopic view of
saline moist mount specimen shows typical "clue cells" (epithelial cells with stippled
borders). Sniff for fishy smell after including KOH to slip ("whiff test"). These symptoms
are termed Amsel standards.
11. Before you do an exam on a male or female, what's the first query you ask them? -
ANS-Do you want to use the restroom?
12. Breast modifications over the existence span - ANS-
13. Bruit - ANS-Blowing and swishing; Abnormal sound heard via a stethoscope.
14. BSE - ANS--Lie down. Press the three center palms in a round motion and use three
degrees of strain. Follow an up and down pattern.
15. - Sit up. Examine underarm with arm barely raised.
16. -Note surface modifications with fingers driven on hips, shoulders hunched.
, 17. Candidiasis - ANS-S: Intense pruritus; thick, whitish, clumpy discharge.
18. O: Vulva and vagina are erythematous and edematous. Discharge is typically thick,
white, curdy, "like cottage cheese," now not malodorous. Microscopic examination of
discharge on KOH wet mount suggests branched hyphae.
19.
20. Causes: Recent use of antibiotics, some oral contraceptives, out of control or
undiagnosed diabetes, douching that disrupts regular plants stability, wearing tight or
nylon underclothes, being pregnant with improved glycogen, extra alkaline vaginal pH as
in menses, postpartum, or menopause.
21. Chlamydia - ANS-S: Minimal or no signs. May have urinary frequency, dysuria, vaginal
discharge, postcoital bleeding.
22. O: May have yellow or inexperienced mucopurulent discharge, friable cervix, cervical
motion tenderness. Signs are subtle, effortlessly fallacious for gonorrhea. If untreated or
mistreated, chlamydia can ascend to reason PID and result in infertility. A commonplace
STI; the best incidence is amongst sexually lively youth. Urine chlamydia trying out the
usage of nucleic acid amplification assessments (NAAT) is a noninvasive technique to
display screen. Use a unmarried urine specimen to stumble on each being pregnant and
chlamydia.
23. Circumcision - ANS-Gonco where they region a bell at the tip of the penis to extract the
pores and skin.
24. Condylomata Acuminate - ANS--HPV (genital warts)
25. -Virus can seem in numerous paperwork whilst affecting cervical epithelium. Here warty
boom appears as strange thickened white epithelium. Visibility of lesion is improved by
way of acetic acid (vinegar) wash, which dissolves mucus and briefly causes intracellular
dehydration and coagulation of protein. Must be handled or may additionally progress to
cervical most cancers (see Cervical Cancer).
26. Consistency of stool ought to be? - ANS-Brown, shaped, and tender and sinks.
27. Contractures - ANS-Tendons and muscle mass which can be shrinking.
28. Describe hyperactive bowel sounds... - ANS-High pitched
29. Does the notable numerary nipple have any importance? - ANS-No. Doesn't lactate.
30. Extension - ANS-Straightening a limb at a joint.
31. Gonorrhea - ANS-The 2d maximum common reported STD in the US. Oral to genital,
genital to genital, rectal to genital. Women could have pelvic/abdominal pain, discharge
yellow or inexperienced, unusual durations. Men urethra receives inflamed.
32. Herpes - ANS-HSV-1 cold sore around mouth. HSV-2 genital lesions. Both types can be
transmitted thru oral touch.
33. How do you test the variety of motion of a customers knee? - ANS-Flex the knee but
don't hyperextend.
34. How do you take a look at biceps muscle electricity? - ANS-Flexion
35. How would you create a physiological environment to make them sense comfy in the
course of a male exam? - ANS-Provide privacy, be professional, be assured.
36. Hyperextension - ANS-Excessive joint motion in which the attitude fashioned via the
bones of a selected joint is opened, or straightened, beyond its everyday, healthful,
variety of movement.
