NURS 511 – MIDTERM Q AND A

NURS 511 – MIDTERM Q AND A
ISM:gkFinitegkM Chaptergk12:gkDifferencegkEquationsgkandgkMathematicalgkM
ath odels




UnderweightnjBMInj-njanswer--<18.5

NormalnjBMInj-njanswer--18.5-24.9

OverweightnjBMInj-njanswer--25.0-29.9

ObesitynjInjBMInj-njanswer--30.0-34.9

ObesitynjIInjBMInj-njanswer--35.0-39.9

ExtremenjObesitynjBMInj-njanswer--GreaternjornjEqualnjtonj40.0

CausesnjofnjincreasednjJVPnj-njanswer--RightnjSidednjHeartnjFailure
LeftnjSidednjHeartnjFailure
PulmonarynjHypertension
TriscuspidnjStenosis
AVnjDissociation
IncreasednjVenousnjVascularnjTone
PericardialnjCompressionnjTamponade

JVPnjMeasuresnjWhat?nj-njanswer--RightnjAtrialnjPressurenjduringnjsystolenj&njdiastole

CausesnjofnjDecreasednjJVPnj-njanswer--LossnjofnjBlood
DecreasednjVascularnjTone

WhatnjpositionnjshouldnjthenjbednjbenjinnjwhennjmeasuringnjthenjJVPnjofnjsomeonenjwhonjmightnjbenjhypovol
mic?nj-njanswer--Flatnjornjlessnjthannj30njdegrees

WhatnjpositionnjshouldnjthenjbednjbenjinnjwhennjmeasuringnjJVPnjofnjsomeonenjwithnjnormalnjfluidnjstatus?nj-
njanswer--30njdegrees


WhatnjpositionnjshouldnjthenjbednjbenjinnjwhennjmeasuringnjJVPnjofnjsomeonenjhypervolemic/
experiencingnjfluidnjoverload.nj-njanswer--highernjthannj30njdegrees

WhatnjisnjconsiderednjnormalnjJVPnjmeasurement?nj-njanswer--2-4njcm

IfnjyounjmeasurenjJVPnjfromnjrightnjatriumnjinsteadnjofnjsternalnjangle,njwhatnjwouldnjnormalnjmeasurementn
?nj-njanswer--7-9njcmnj(addnj5njcm)

Causesnjofnjpainlessnjlossnjofnjvisionnj-njanswer--Vitreousnjhemorrhagenjfromnjdiabetesnjornjtrauma
MacularnjDegeneration
RetinalnjDetachment
RetinalnjVeinnjOcclusion
CentralnjRetinalnjArterynjOcclusion

Causesnjofnjpainfulnjlossnjofnjvisionnj-njanswer--Usuallynjcausednjinnjcornealnjchambernjornjcornea
Including:

,Corneal njUlcer
Chapter gk12:gkDifferencegkEquationsgkandgkMathematicalgkM ISM:gkFinitegkM
odels
Uveitis ath
TraumaticnjHyphema
AcutenjAnglenjClosurenjGlaucoma
OpticnjNeuritisnjfromnjMS

Whatnjdoesnjfalsenjpositivenjmean?nj-njanswer--
anjtestnjresultnjwhichnjincorrectlynjindicatesnjthatnjanjparticularnjconditionnjornjattributenjisnjpresent

Whatnjdoesnjfalsenjnegativenjmean?nj-njanswer--
anjtestnjresultnjwhichnjincorrectlynjindicatesnjthatnjanjparticularnjconditionnjornjattributenjisnjabsent.

Propernjordernjofnjexaminationnjofnjabdomennj-njanswer--Inspection
Auscultation
Percussion
Palpation

45njyearnjoldnjpatientnjpresentsnjwithnjanjcough.njUponnjauscultation,njyounjhearnjrhonchinjunilaterally.njIfnjyo
arenjfollowingnjthenjnormalnjordernjofnjlungnjassessment,njwhatnjwouldnjbenjthenjnextnjstepnjofnjyournjassessm
ntnjinnjordernjtonjbestnjestablishnjanjdifferentialnjdiagnosis?nj-njanswer--
Asknjthenjpatientnjtonjcoughnjtonjevaluatenjwhethernjthenjrhonchinjclearsnjwithnjcough.

Adequatenjassessmentnjofnjabnormalnjfindingnjofnjpercussednjdullnessnjinnjanjlungnjfieldnjrequiresnjthenjcom
nationnjofnjexamnjtechniques.njWhynjwouldnjegophanynjornjwhisperednjpectoriloquoynjbenjhelpfulnjtechnique
fornjestablishingnjanjdifferentialnjdiagnosis?nj-njanswer--
Consolidationnjwillnjproducenjpositivenjfindingsnjfornjeachnjofnjthesenjtests.

Whichnjofnjthenjfollowingnjpercussionnjnotesnjwouldnjbenjannjexpectednjovernjanjpatient'snjlungsnjwhonjhasnjC
PD?nj-njanswer--Hyperresonance

Anj5njyearnjoldnjpatientnjpresentsnjwithnjdrooling,njdyspnea,njandnjinspiratorynjstridor.njWhatnjisnjyournjinitialnjt
ughtnjaboutnjthisnjpatient?nj-njanswer--Thisnjisnjannjemergentnjsituation,njsuggestivenjofnjepiglottitis

58njy.o.njpatientnjwithnjanjhistorynjofnjhypertensionnjandnjcoronarynjarterynjdiseasenjpresentsnjwithnjsymptom
suggestivenjofnjintermittentnjclaudicationnj(painnjinnjlegsnjcomesnjonnjrapidlynjduringnjexercise,njquicklynjrelie
ednjbynjrest).njWhichnjofnjthenjfollowingnjisnjmostnjaccurate?nj-njanswer--
Younjsuspectnjarterialnjinsufficiency,njsonjyounjwillnjpalpatenjthenjdorsalisnjpedisnjandnjposteriornjtibialnjpulse
whichnjarenjlikelynjtonjbenjdiminished.

Anjnewnjpatientnjpresentsnjwithnjdyspneanjandnjyournjpreceptornjasksnjaboutnjanjhistorynjofnjeczemanjornjatop
jdermatitis.njWhynjdidnjyournjpreceptornjdonjthis?nj-njanswer--
Patientsnjwithnjasthmanjoftennjhavenjothernjsignsnjofnjatopy

Younjarenjconcernednjthatnjanjpatientnjhasnjannjaorticnjregurgitationnjmurmur.njHownjshouldnjthenjpatientnjben
ositionednjinnjordernjtonjbestnjaccentuatenjthenjmurmur?nj-njanswer--Upright,njbutnjleaningnjforward

Whichnjisnjtruenjofnjthenjsplittingnjofnjthenjsecondnjheartnjsound?nj-njanswer--
Itnjisnjbestnjheardnjovernjthenjpulmonicnjareanjwithnjthenjbellnjofnjthenjstethoscope.

Anjpatientnjpresentsnjfornjanjfollow-upnjappointmentnjfornjanjnon-
healingnjulcernjinnjhisnjlowernjextremity.njUponnjreviewingnjhisnjchart,njwhichnjofnjthenjfollowingnjwouldnjyounje

, pect njtogk
ISM: findnjin
njFinite njthenjdocumentationnjaboutnjhis
gkM njphysical
Chapter gk12: exam
njgk njifnjthis
Difference njpatient
gkEquations hasgknjMathematical
and
gknj anjhistorynjofnjchronicn
gkM
ath odels
terialnjinsufficiency?nj-njanswer--Pallornjofnjthenjfootnjwhennjraisednjtonj60njdegreesnjfornjonenjminute.

Whichnjofnjthenjfollowingnjmaynjbenjmissednjunlessnjthenjpatientnjisnjplacednjinnjthenjleftnjlateralnjdecubitusnjpo
tionnjandnjauscultatednjwithnjthenjbell?nj-njanswer--MitralnjStenosisnjMurmur

Thisnjmurmurnjisnjonlynjheardnjwithnjcarefulnjlisteningnjwithnjstethoscopenj-njanswer--Gradenj1njmurmur

Murmurnjreadilynjaudiblenjwithnjstethoscopenjonnjchestnj-njanswer--GradenjIInjmurmur

Murmurnjaccompaniednjbynjanjthrillnj-njanswer--MurmursnjGradenjIV-VI

Murmurnjaudiblenjtonjthenjnakednjearnj-njanswer--GradenjVInjmurmur

Thenjnursenjpractitionernjisnjconductingnjannjeyenjexam.njAnjlightnjisnjpointednjatnjanjpatient'snjpupil,njcausingn
tonjcontract.njItnjisnjalsonjnotednjthatnjthenjothernjpupilnjcontractsnjasnjwell,njthoughnjitnjisnjnotnjexposednjtonjbrig
njlight.njWhichnjofnjthenjfollowingnjtermsnjdescribesnjthisnjlatternjphenomenon?nj-njanswer--
ConsensualnjReaction

Anj55-year-
oldnjsmokernjcomplainsnjofnjchestnjpainnjandnjgesturesnjwithnjanjclosednjfistnjovernjhernjsternumnjtonjdescribe
.njWhichnjofnjthenjfollowingnjdiagnosesnjshouldnjyounjconsidernjbecausenjofnjhernjgesture?nj-njanswer--
AnginanjPectoris

Anj63njyearnjoldnjpatientnjpresentsnjtonjthenjclinicnjwithnjcomplaintsnjofnjanjcoughnjfornjaboutnjanjyearnjandnjocc
ionalnjshortnessnjofnjbreath.njAlthoughnjhisnjsymptomsnjdonjworsennjoccasionallynjwithnjanjcold,njtheynjhaven
enerallynjhavenjstayednjaboutnjthenjsame.njThenjcoughnjhasnjsomenjmucousnjdrainagenjbutnjnevernjanynjbloo
njHenjdeniesnjanynjchestnjpain,njweightnjgain,njweightnjloss,njfever,njornjnightnjsweats.njHisnjpastnjmedicalnjhis
ynjisnjsignificantnjfornjhighnjbloodnjpressurenjandnjarthritis.njHenjhasnjsmokednjtwonjpacksnjanjdaynjfornjthenjpas
45njyears.njHenjdrinksnjoccasionallynjbutnjdeniesnjanynjillegalnjdrugnjuse.njHenjisnjmarriednjandnjhasnjtwonjchil
en.njHenjdeniesnjanynjforeignnjtravel.njHisnjfathernjdiednjofnjanjstrokenjandnjhisnjmothernjdiednjofnjParkinson'sn
sease.njOnnjexaminationnjyounjseenjanjmannjlookingnjslightlynjoldernjthannjhisnjstatednjage.njHisnjbloodnjpress
enjisnj130/80njandnjhisnjpulsenjisnj88.njHenjisnjbreathingnjcomfortablynjwithnjrespirationsnjofnj12.njHisnjhead,nje
s,njears,njnose,njandnjthroatnjexaminationsnjarenjunremarkanj-njanswer--COPD

Certainnjsymptomsnjarenjconsiderednj"rednjflag"njregardingnjfornjpatientsnjpresentingnjwithnjheadache.njOfnjt
njfollowingnjdescriptions,njwhichnjwouldnjbenjthenjonenjmostnjlikelynjassociatednjwithnjanjmorenjseriousnjetiolo
?nj-njanswer--Agenjovernj50,njnewnjonsetnjheadache

Anj47-
y.o.njreceptionistnjcomesnjtonjyournjoffice;njshenjisnjreportingnjfever,njshortnessnjofnjbreath,njandnjanjproductiv
coughnjwithnjgoldennjsputum.njShenjstatesnjshenjhadnjanjcoldnjlastnjweeknjandnjhernjsymptomsnjhavenjonlynjg
ennjworse,njdespitenjusingnjover-the-
counternjcoldnjremedies.njShenjhasnjnotnjhadnjanynjweightnjgain,njweightnjloss,njornjcardiacnjornjgastrointestin
njsymptoms.njPastnjmedicalnjhistorynjincludesnjtypenj2njdiabetesnjfornj5njyearsnjandnjhighnjcholesterol.njShenj
kesnjannjoralnjmedicationnjfornjbothnjdiseases.njShenjhasnjhadnjnonjsurgeries.njShenjdeniesnjtobacco,njalcoho
ornjdrugnjuse.njHernjfamilynjhistorynjincludesnjanjmothernjwhonjhasnjdiabetesnjandnjhighnjbloodnjpressure.njHe
athernjpassednjawaynjfromnjcolonnjcancer.njOnnjexaminationnjyounjseenjanjmiddle-
agednjwomannjappearingnjhernjstatednjage.njShenjlooksnjillnjandnjhernjtemperaturenjisnjelevated,njatnj101.njHe
bloodnjpressurenjandnjpulsenjarenjunremarkable.njHernjhead,njeyes,njears,njnose,njandnjthroatnjexamination
arenjunremarkablenjexceptnjfornjedemanjofnjthenjnasalnj-njanswer--Pneumonia