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Exam (elaborations)

Nurs 252 final review questions with answers

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Nurs 252 final review questions with answers

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Nurs 252 final review questions with answers
| | | | | |




Priority levels - ....🔰VERIFIED ANSWERS.... ✔✔1. Immediate (emergency, life
| | | | | | | | |



threatening)
2. Second level (urgent, must be addressed to prevent further deterioration)
| | | | | | | | | |




3. Third level (important to patient health)
| | | | | |




4. Collaborative problems ( interprofessional team, ex. substance abuse)
| | | | | | | |




Arranging the physical setting - ....🔰VERIFIED ANSWERS.... ✔✔- Minimize
| | | | | | | | |



interruptions and establish rapport | | |




-Leave enough distance, and allow for personal space
| | | | | | |




-Equal seating |




Patient introduction - ....🔰VERIFIED ANSWERS.... ✔✔1. wash hands
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2. NOD (name, occupation, duty)
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3. Purpose of assessment
| | |




Motivational Interviewing principles - ....🔰VERIFIED ANSWERS.... ✔✔-Open
| | | | | | |



ended questions
|




-Make affirmations
|




-use reflections
|




-Summarize

,Empathy - ....🔰VERIFIED ANSWERS.... ✔✔-Recognition and acceptance of
| | | | | | | |



patient's feelings |




Barriers to professional therapeutic communication - ....🔰VERIFIED
| | | | | | |



ANSWERS.... ✔✔-Failing to listen | | |




-Giving personal opinions, approving or disapproving statements
| | | | | |




-Changing the subject | |




-False reassurance
|




-Interrupting
-Overusing professional jargon | |




-Talking too much | |




-"why" questions
|




General Survey - ....🔰VERIFIED ANSWERS.... ✔✔-Age
| | | | |




-Level of alertness
| |




-Body size and shape
| | |




-Non-verbal communication |




-Symmetrical comparison |




Palpation - ....🔰VERIFIED ANSWERS.... ✔✔Touch to assess
| | | | | |




-Temperature
-Moisture
-Texture
-Vibration
-Pulsation

,-Rigidity
-Crepitus
-Presence of lumps or masses | | | |




-Presence of tenderness or pain | | | |




Finger pads- palpation regions - ....🔰VERIFIED ANSWERS.... ✔✔-Used to
| | | | | | | | |



assess texture, moisture, and contour
| | | |




Fingertips/pads (palpation) - ....🔰VERIFIED ANSWERS.... ✔✔-Used to assess | | | | | | | |



pulsatility, fluid content of tissues, elasticity and turgor, and vascularity
| | | | | | | | |




Dorsum of hand (palpation) - ....🔰VERIFIED ANSWERS.... ✔✔-Used to assess
| | | | | | | | | |



temperature


Ulnar surface of hand (palpation) - ....🔰VERIFIED ANSWERS.... ✔✔-Used to
| | | | | | | | | |



assess temperature and vibration
| | |




Light palpation - ....🔰VERIFIED ANSWERS.... ✔✔- Communicate for patient
| | | | | | | | |



comfort, use warm hands and go from non tender areas to tender areas
| | | | | | | | | | | |




-Use Intermittent circular motions with Dominant hand
| | | | | |




-Finger pads sense movement of patient's skin and tissue
| | | | | | | |




Deep palpation - ....🔰VERIFIED ANSWERS.... ✔✔-Risk of injuring patient, up
| | | | | | | | | |



to discretion of nurse within their scope of practice
| | | | | | | |




-3-4 cm below skin surface
| | | |




-Extended fingers of non dominant hand over dominant hand for extra pressure
| | | | | | | | | | |

, Percussion - ....🔰VERIFIED ANSWERS.... ✔✔-Tapping on body surfaces to
| | | | | | | | |



create sound |




-Helps determine location, size and density of organs
| | | | | | |




-Detects abnormal mass | |




-Elicits pain on inflamed area | | | |




-Deep tendon reflex
| |




Direct percussion - ....🔰VERIFIED ANSWERS.... ✔✔-Tap directly on skin
| | | | | | | |




-Maxillary sinuses |




Indirect percussion - ....🔰VERIFIED ANSWERS.... ✔✔-Tap middle finger of
| | | | | | | | |



dominant hand over middle finger of non-dominant hand placed on a body
| | | | | | | | | | | |



surface
-Tap twice only, using a quick and forceful wrist action
| | | | | | | | |




Percussion sounds - ....🔰VERIFIED ANSWERS.... ✔✔1) Flatness | | | | | |




2) Dullness
|




3) Resonance
|




4) Tympanic
|




Auscultation - ....🔰VERIFIED ANSWERS.... ✔✔-Ear pieces facing nose | | | | | | |




-Use the diaphragm and bell
| | | |




-Warm the stethoscope and sanitize
| | | |




-Hair and friction can produce artifact sounds
| | | | | |

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