Hesi Review Study Guide 1 2024

what is the proper technique for assessment of the patient for hemorrhoids? - When the person performs the Valsalva maneuver, it may appear as a red mucosal mass. Your doctor may be able to see if you have external hemorrhoids simply by looking. Tests and procedures to diagnose internal hemorrhoids may include: Examination of your anal canal and rectum for abnormalities. During a digital rectal exam, your doctor inserts a gloved, lubricated finger into your rectum. what is the proper action to take when a person has a pulse deficient? - To assess for a pulse deficit, you will need another healthcare worker. One person assesses the peripheral pulse rate while the other person assesses the apical pulse rate. Compare the two rates; the difference between the two is the pulse deficit, which reflects the number of ineffective cardiac contractions in 1 minute. If you find a pulse deficit, assess the patient for other signs and symptoms of decreased cardiac output, such as dyspnea, fatigue, chest pain, and palpitations. how do you properly evaluate the male bladder? when would you expect a male to have urinary hesitancy? - Palpate, scan, urine collection Palpate the rectovesical pouch which covers the male bladder. Hesitancy caused by straining, loss of force and decreased caliber, terminal dribbling, sense of residual urine, recurrent episodes of acute cystitis- symptoms suggest bladder outlet obstruction from progressive benign prostate hyperplasia. what is gout? signs/ symptoms, assessments. - Gout is a common chronic arthritis characterized by excess uric acid in the blood and deposits of urate crystals in the joint space. Acute episodes involve history of unusual walking with joint injury, alcohol intake, and dehydration: episodes are characterized by redness, swelling, heat, and extreme pain such as a continuous throbbing. Increased prevalence is caused by increases in obesity, metabolic syndrome, and diuretic use. Hard, painless nodule (tophi) over metatarsophalangeal joint of first toe. How do you inspect a patient for limb symmetry? - Look for equal length. Measure limbs to determine length discrepancy. Normally these measurements are equal or within 1cm indicating no true bone discrepancy. How do you assess for chest diameter during the respiratory assessment? - counting respirations. one rise and fall of the chest equals 1 respiration/minute What is the correct ROM for each joint? pg 594 - temporomandibular joint= vertical, lateral motion, protrudes without deviation; head= extension 55*, flexion 45*, right 40*, left 40*, rotate 70*; shoulder= foward flexion 180*, hyperextension 50*, internal rotation 90*, cervical spine= how do you assess cyanosis? when would you assess it? - Cyanosis indicates hypoxemia and occurs with shock, cardiac arrest, heart failure, chronic bronchitis, and congenital heart disease. This is the bluish mottled color from decreased perfusion; the tissues have high levels of deoxygenated blood. This is best seen in the lips, nose, cheeks, ears, and oral