NURS 142 final exam Questions With Verified Answers a+

NURS 142 final exam Questions With Verified Answers a+ About how many locations should you auscultate on a patient with a shorter stature? - ANSWER-6-8 spaces .About how many locations should you auscultate on a patient with a taller stature? - ANSWER-8-10 spaces .Describe REM sleep - ANSWER-lasts 5-30 minutes, dream, only remember dream is woken up during it .Describe stage 1 of NREM sleep - ANSWER-gradual decrease in VS, lasts a few minutes and easily aroused .Describe stage 2 of NREM sleep - ANSWER-relaxation continues, lasts 10-20 minutes, relatively easy to arouse .Describe stage 3 of NREM sleep - ANSWER-muscles relax, rarely move, lasts 15-30 minutes, difficult to arouse .Describe stage 4 of NREM sleep - ANSWER-deepest sleep, lasts 15-30 minutes, very difficult to arouse, rejuvenation period .Do you palpate the genitourinary systems of the male and female? - ANSWER-no .How can anosmia affect the elderly? - ANSWER-can happen with dementia. decreases appetite and overall food intake .How can color blindness be tested? - ANSWER-on the snellen chart .How can you describe a murmur? - ANSWER-- timing in the cardiac cycle - loudness - pitch - pattern - quality - location - radiation - position .How do you assess for tactical fremitus? - ANSWER-place hands in triangle on back, have pt. say 99 and vibration should diminish as you go lower on the back .How do you assess for thoracic excursion/expansion? - ANSWER-hands in triangle on back, pt. takes a deep breath and thumbs should spread in a subtle, symmetric motion .How do you assess the shape of the thorax? - ANSWER-using AP diameter .How do you perform an abdominal assessment if the patient has an NG tube? - ANSWER-turn off the suction prior to starting .How does blood flow through the heart starting at the superior vena cava? - ANSWER-right atrium, tricuspid valve, right ventricle, pulmonary valve, pulmonary arteries, lungs, pulmonary veins, left atrium, mitral valve, left ventricle, aortic valve, aorta .How long do you assess each quadrant if no bowel sounds were heard in a quadrant? - ANSWER-start over, listen for 1 minute in each quadrant .How long do you have to report abuse via a written note? - ANSWER-48 hours .How long do you have to report abuse via phone call? - ANSWER-24 hours .How long do you listen for in each quadrant? - ANSWER-15 seconds each .How long do you listen to the apical pulse rate for? - ANSWER-1 minute .How many calories are in a gram of carbohydrates? - ANSWER-4 .How many calories are in a gram of fat? - ANSWER-9 .How many calories are in a gram of protein? - ANSWER-4 .How many cycles of sleep are there each night? - ANSWER-4-5 cycles .How many lobes does the left lung have? - ANSWER-2 .How many lobes does the right lung have? - ANSWER-3 .How many sub stages are in the NREM stage of sleep? - ANSWER-4 .How would you properly document a +2, normal pulse? - ANSWER-+2/4 .If a patient hears the tuning fork unilaterally only in their bad ear, what is this a sign of? - ANSWER-conductive hearing loss .If a patient hears the tuning fork unilaterally only in their good ear, what is this a sign of? - ANSWER-sensorineural hearing loss, translation problem .In what area will s1 and s2 be equal? - ANSWER-tricuspid area .In what area will s1 be lower than s2? - ANSWER-mitral area .In what areas will s2 be louder than s1? - ANSWER-aortic area, pulmonic area, and erb's point .In what position do you put the patient when inspecting to anus? - ANSWER-sims .In what shape do you palpate and auscultate the lungs? - ANSWER-a Z shape (same lung and side to side) .In what stage of sleep does sleepwalking occur? - ANSWER-NREM stage 3 .Is abdominal guarding voluntary or involuntary? - ANSWER-voluntary .Is abdominal muscle resistance voluntary or involuntary? - ANSWER-involuntary .Is distension of the jugular vein normal or abnormal? - ANSWER-abnormal .Is expiration an active or passive process? - ANSWER-passive .Is inspiration an active or passive process? - ANSWER-active .T or F malnutrition can come across as both overweight or underweight - ANSWER-T .What are areas of health promotion for nutrition? - ANSWER-- access to healthy foods - physical activity - excessive alcohol intake - lifestyle choices .What are areas of health promotion for the abdomen? - ANSWER-- change in diet - prevent Hepatitis - regular screenings (colon cancer) - alcohol intake - drug use - adhering to diet restrictions (lactose intolerance, gluten) - hygiene practices when working with food .What are cartilaginous joints and examples? - ANSWER-semi movable, pubic symphysis and ribs and sternum .What are characteristics of pain? - ANSWER-- location - intensity (pain scale) - onset - quality - duration - etiology - relieving/aggravating factors .What are components of the general objective assessment of psychosocial health? - ANSWER-- general appearance - behavior - cognitive function - thought process - mini mental health assessment .What are components of the general subjective assessment of psychosocial health? - ANSWER-- history of concerns - history of psychosocial alterations or diseases - family history - other roles or relationships .What are DVT's - ANSWER-deep vein thrombosis (blood clots) .What are examples of things that can cause loss of bone density? - ANSWER-- excessive alcohol or caffeine - smoking - lack of weight bearing exercises - low calcium or vitamin D levels - genetics .What are external factors of psychosocial health? - ANSWER-- family - culture - geography - economic factors .What are factors influencing sleep? - ANSWER-- insomnia - caffeine intake - anxiety - medications - environment - illness - lifestyle and habits - developmental considerations - physical activity - alcohol intake .What are factors that influence pain? - ANSWER-- past pain experience - anxiety and other stressors - cultural/ethnic variables - religious beliefs - family, age, gender variables - environment and support people .What are indications of hemorrhoids? - ANSWER-- pain - bleeding - discharge - itching - color changes - swelling .What are internal factors of psychosocial health? - ANSWER-- genetics - physical health - developmental stage - physical fitness .What are landmarks of assessment for the breast? - ANSWER-upper inner, upper outer, lower inner, lower outer, tail of spence