NURS 550 midterm Exam Questions And Answers All Verified

NURS 550 midterm Exam Questions And Answers All Verified Differential Diagnosis - ANS • In deciding which disease to include in the differential, consider: - What's the most life-threatening disease the patient could have? - Could this be a common disease presenting with unusual features? - What diseases present with misleading symptoms? - What rare diseases could be causing these signs and symptoms? Develop a Complete, Framed Differential Diagnosis (Hypothesis) - ANS • Not all diagnoses in a given differential are: - equally likely - equally important • You must select: - a leading (working) hypothesis - a must not miss hypothesis - An active alternative hypothesis SOAP stands for: - ANS • Subjective • Objective • Assessment • Plan Subjective - ANS The subjective section is what the patient tells you about their current condition and past conditions. Chief Complaint - ANS • What brought the patient to the office • Example: Sore throat for 2 days History of Present Illness/Injury - ANS - Onset - When did the symptoms and/or signs begin, what was the mechanism of injury - Chronology - episodic, variable, constant, etc - Quality - sharp, dull, ache, sudden, insidious - Severity - pain rating, 0-10 pain scale, interferes with daily activities - Modifying factors - aggravating and alleviating factors - Additional symptoms - unrelated or significant symptoms - Treatment - medications, herbs, "home remedies", rest, activity, splint, etc - Use "OLDCART" to assist you (Onset, Location, Duration, Character , Aggravating factors, Relieving factors, Treatments" History - ANS Allergies - list of allergies to food, medication, and products with type of reaction - Medical - past and present medical conditions (i.e. asthma, hypertension, malaria, etc.) - Surgical - past surgeries (i.e. appendectomy, CABG, craniotomy, etc.) - Family - mother, father, siblings, etc. - Social - occupation, alcohol, drug, tobacco use, risky behavior - Immunizations - current and past received with dates - Screenings/Health Promotion - mammography, testicular exams, dental, vision