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Exam (elaborations)

NURS 6512_WEEK5_QUIZ_

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NURS 6512_WEEK5_QUIZ_ NURS 6512 Week 5 • Question 1 2 out of 2 points Bone spicule pigmentation is a hallmark of: Response Feedback: Retinitis pigmentosa is inherited night blindness and is characterized by the hallmark pigmentation of the peripheral fields or bone spicules. Chorioretinal pigmentosa and cytomegalovirus infection are not limited to night blindness, and lipemia retinalis is a result of an increase in triglyceride levels. • Question 2 2 out of 2 points The inequality of pupillary size is called: Response Feedback: Anisocoria is when the pupil size is not the same but the reflexes remain normal. Mydriasis is when pupil size is large and even. Diopter is a unit of measurement used to focus a lens. Ptosis is a droopy eyelid. • Question 3 2 out of 2 points An increased level of lysozyme in the tears will occur normally during which life stage? Response Feedback: Because of rising hormonal levels, an increased amount of lysozyme is present in tears during pregnancy. Tears are not affected by increased lysozyme at any other stage in life. • Question 4 2 out of 2 points Cotton wool spots are most closely associated with: Response Feedback: Cotton wool spots actually represent infarcts of the retina and are associated with hypertension or diabetes. • Question 5 2 out of 2 points When does the lens usually become more rigid while the ciliary muscle of the iris become weaker? Response Feedback: Starting at around 45 years of age, the lens starts to change and become more rigid and the ciliary muscle begins to weaken. • Question 6 2 out of 2 points Upon palpating the chest wall of a trauma patient, you feel subcutaneous crepitus (emphysema), which is a sign that: Response Feedback: Crepitus is a sign of air leakage into soft tissue. Crepitus in soft tissues is due to air that has penetrated the area as a result of injury and is also referred to as subcutaneous emphysema. A flail chest need not be present. Bony crepitus is a grating or grinding sensation caused by fractured bone ends or joints rubbing together. A foreign body could obstruct the patient s airway, producing stridor, or a bark may be heard with obstructed airway. • Question 7 2 out of 2 points To inspect the lateral borders of the tongue, you should: Response Feedback: To inspect the lateral borders of the tongue, you should wrap the tongue with a piece of gauze, then pull the tongue to each side for inspection. The other maneuvers do not result in adequate lateral border inspection. • Question 8 2 out of 2 points You arrive by ambulance at a construction site where a man is lying on the street. The only information you have is that he fell three stories. His neck is immobilized with sacks of concrete mix on either side. Your first action should be to determine: Response Feedback: Upon arriving to the site, the patency of the upper airway is the priority and should be managed before proceeding with further assessments. • Question 9 2 out of 2 points When examining the skull of a 4-month-old baby, you should normally find: Response Feedback: At 2 months of age, the posterior fontanel should be closed or ossified with the anterior fontanel, a larger fontanel, closing at 24 months. The only time the cranial bones should overlap is at a vaginal birth as a result of pressure within the birth canal. • Question 10 2 out of 2 points Cushing triad includes

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