NUR 3066 EXAM 3 (LATEST) QUESTIONS WITH COMPLETE SOLUTIONS!!

Anatomical landmarks - ANS Four quadrants- RUQ, LUQ, RLQ, LLQ Nine regions- Epigastric, umbilical, hypogastric Upper GI Bleed - ANS tarry stools Lower GI Bleed - ANS bright red stools Abdominal Inspection - ANS skin color, contour (flat, rounded, scaphoid-s shaped, protuberant), Location of major abdominal organs Abdominal Auscultation - ANS hypoactive, normoactive, hyperactive, absent sounds Bowel sounds are originated from movement of air and fluid through small intestines auscultate aorta, renal, and femoral arteries with bell Abdominal Palpation - ANS detect for size of organs, presence of masses, presence of aneurysm (spleen, kidneys, and liver not palpated-normal) Abdominal Percussion - ANS used to assess size of organs presence of air or fluid ascites assessment-protuberant abdomen with bulging flanks can be indicative(would shift from tympany to dullness) Tendons - ANS connects muscle to bone Ligament - ANS connects bone to bone to stabilize joints Bursae - ANS fluid filled sacs in area of friction to cushion bones Meniscus - ANS cartilage disc between bones to absorb shock and cushion (knee) Fascia - ANS flat sheets that line and protect muscle fibers Rheumatoid Arthritis - ANS chronic inflammation of the synovial membrane leads to thickening and fibrosis Autoimmune disorder Stiffness worse in the morning Bursitis - ANS inflammation of bursa Can follow injury, infection, or rheumatic condition More common in shoulders, elbows, and hips Frontal Lobe - ANS Personality portion of brain Broca's Area-speech, primary motor cortex Parietal Lobe - ANS processing sensory data- Postcentral Gyrus Temporal Lobe - ANS perception of sounds; smell Wernicke's Area- language/speech comprehension (can speak just doesn't make sense) Neurological HPI - ANS seizures trauma gait problems problems speaking or swallowing tremors Neurological PMH - ANS trauma meningitis deformities cardio problems stroke aneurysm Normal changes with aging and assessment of fall risk - ANS *Cognition impairment is not a normal part of aging* Medication may impair gait Proprioception declines Shuffling of feet may occur Reduced DTR (Deep tendon reflexes) Glascow coma scale - ANS Objective assessment that defines the level of consciousness of a patient Determines how sedated a person is (used in trauma or ER)