Advanced Health Assessment Final Test Answers

Advanced Health Assessment Final Test Answers BMI Classifications - ️️ - Underweight: <18.5 Normal: 18.5-24.9 Overweight: 25.0-29.9 Obesity class • I: 30.0-34.9 • II: 35.0-39.9 • III: at or over 40 How do you calculate BMI? - ️️ - Stages of HTN - ️️ - Normal: under 120/80 Prehypertension: 120-139/80-89 Stage 1: 140-159/90-99 Stage 2: over 160/100 If diabetes or renal disease: goal is under 130/80 Waist Circumference - ️️ - Risk if over 35in for women Risk if over 40in for men Cranial Nerves - ️️ - 1. Olfactory: Sensory 2. Optic: Sensory 3. Occulomotor: Motor 4. Trochlear: Motor 5. Trigeminal: Both 6. Abducens: Motor 7. Facial: Both 8. Acoustic: Sensory 9. Glossopharyngeal: Both 10. Vagus: Both 11. Spinal Accessory: Motor 12. Hypoglossal: Motor Romberg Test - ️️ - Stand with hands to the sides and eyes closed, observe swaying Pronator Drift - ️️ - Stand with arms out, eyes closed, and hands supine -- watch for hands pronating. Graphesthesia - ️️ - The inability to recognize numbers written on the hand. Suggests a lesion in the sensory cortex. Astereognosis: - ️️ - Inability to recognize objects placed in the hand Kernig - ️️ - Flex patient's leg at hip and knee, then straighten the knee. Discomfort behind the knee during full extension should not cause pain. Brudzinski - ️️ - Pt supine, your hands behind pt's head and flex the neck forward, until chin touches the chest if possible. Neck stiffness with resistance and flexion of hips and knees is a positive sign. May be a sign of acute bacterial meningitis or subarachnoid hemorrhage Straight Leg Raising - ️️ - Lift the straight leg, if pt has low back pain with nerve pain that radiates down the leg = sciatica from compression of the spinal nerve root as it passes through the vertebral foramen Plantar (Babinski) Reflex - ️️ - Dorsiflexion of the big toe is a positive Babinski response from a CNS lesion in the corticospinal tract Finkelstein Test - ️️ - Pt grabs thumb with hand and you pull down to see if there is tendon tenderness - if positive, might mean tendonitis Tinel's Sign - ️️ - Tap on the Median Nerve Phalen's Test - ️️ - Bend wrists at 90 degrees and put back of hands against each other for 1 minute and see if there is numbness/tingling Ballotment - ️️ - Leg extended, compress the suprapatellar pouch and then push the patella sharply against the femur, watching for fluid returning to the pouch Bulge Sign - ️️ - Knee extended, hand on knee above the patella and milk downward. Apply medial pressure and tap laterally. Watch for a fluid wave Drawer Sign - ️️ - Pt supine with knee flexed, your thumbs at the medial/lateral joint line and fingers wrapped around. Then sharply push/pull, watching for laxity McMurray Test - ️️ - Pt supine with knee flexed, one hand medial knee and the other medial ankle. Extend the leg and laterally rotate, watching for clicking Directions for Self-Breast Exam - ️️ - 5-7 days after period OR same time every month for menopausal women. Lawn Mower pattern What Abdominal locations do you listen for bruits with the Bell of the stethoscope? - ️️ - Aoritc, Illiac, Femoral What Abdominal locations do you listen for bruits with the diaphragm of the stethoscope? - ️️