Nursing 101 Exam 2 ACTUAL UPDATED QUESTIONS AND CORRECT ANSWERS
Correct order of abdominal assessment inspection, auscultation, palpation, percussion
, abdominal assessment inspection- look for contour, symmetry, skin changes and visible pulsations
Auscultation- listen for bowel sounds starting in the RLQ
Palpation- light palpation for tenderness - supine position. Painful area last!
Nursing assessment- focuses on functional ability, mobility, pain, ADL's and risk for injury
Medical Assessment- Focuses on pathology, diagnosis and treatment options
expected physiological findings in an aging adults decreases in skin elasticity, muscle mass, bone density, vision and hearing
declines, slower reflexes
expected cognitive findings in an aging adult sundowning- delirium
Alzheimer's (sub type of dementia)
**confusion is not normal
expected psychosocial findings in an aging adult retirement, role changes, coping with losses, maintaining social support
sexuality in aging adults men and women experience changes that affect aspects of sexuality, such as
arousal and orgasm
- older adults still have a drive for sexual activity
strategies older adults can use to maintain optimal health - regular exercise
- balanced diet
- routine scanning's
- immunizations
- social engagement
Rales (crackles) fine crackling sounds
Rhonchi (gurgles) low pitched rumbling, bubbling, gurgling sound, hear people describe
as coarse
Wheeze high-pitched, musical sounds
Correct order of abdominal assessment inspection, auscultation, palpation, percussion
, abdominal assessment inspection- look for contour, symmetry, skin changes and visible pulsations
Auscultation- listen for bowel sounds starting in the RLQ
Palpation- light palpation for tenderness - supine position. Painful area last!
Nursing assessment- focuses on functional ability, mobility, pain, ADL's and risk for injury
Medical Assessment- Focuses on pathology, diagnosis and treatment options
expected physiological findings in an aging adults decreases in skin elasticity, muscle mass, bone density, vision and hearing
declines, slower reflexes
expected cognitive findings in an aging adult sundowning- delirium
Alzheimer's (sub type of dementia)
**confusion is not normal
expected psychosocial findings in an aging adult retirement, role changes, coping with losses, maintaining social support
sexuality in aging adults men and women experience changes that affect aspects of sexuality, such as
arousal and orgasm
- older adults still have a drive for sexual activity
strategies older adults can use to maintain optimal health - regular exercise
- balanced diet
- routine scanning's
- immunizations
- social engagement
Rales (crackles) fine crackling sounds
Rhonchi (gurgles) low pitched rumbling, bubbling, gurgling sound, hear people describe
as coarse
Wheeze high-pitched, musical sounds
