Nur 2830 Exam 2 Study Guide

Nur 2830 Exam 2 Study Guide Head, Neck, and lymph node urgent assessment - ANSWER Lumps - hard, rubbery Feeling lymph nodes enlarged Meningitis - Sudden headaches, fever Heart attack - jaw and neck pain Acute injury to head or neck What do you palpate in the head and neck? - ANSWER All lymph nodes Sinuses - pain or tendernes Head - pain, tenderness, lumps, masses Neck - trachea midline, masses, lesions Thyroid - symmetrical, not palpable Which glands should be palpated? - ANSWER thyroid What nodes should be palpated? - ANSWER preauricular, post auricular, occipital, submandibular, submental, anterior/posterior cervical chain, supraclavicular, tonsilar How do normal lymph nodes usually feel? - ANSWER nontender non moveable less than 1 cm What are the reasons lymph nodes will be enlarged? - ANSWER infection cancer What are signs of lymphoma? - ANSWER Be able to see it and feel it hard, rubbery, boggy fatigue, night sweats, weight loss, nausea Enlarged supraclavicular nodes - ANSWER lung and abdominal cancer enlarged anterior cervical chain - ANSWER pharyngitis enlarged posterior cervical chain - ANSWER mono enlarged posterior auricular - ANSWER otitis media (ear infection) What does puffy moon face indicate? - ANSWER Cushing's disease Cushing's disease - ANSWER high cortisol in the body Hyperthyroidism - ANSWER Heat intolerance anxiety weight loss hypothyroidism - ANSWER cold intolerance depression weight gain Thyroid crisis (storm) - ANSWER a severe hyperthyroidism nausea/vomiting anorexia A patient has a fever and severe headache. - ANSWER Meningitis Patient complains of neck pain - ANSWER MI (heart attack) Meningitis Muscle Spasm Common thyroid laboratory tests - ANSWER T3 T4 TSH Changes in structure and vision in older adults - ANSWER Presbyopia Cataracts Yellowing of the eyes Decreased elasticity Presbyopia - ANSWER natural degeneration of vision Cataracts - ANSWER fogging of eye lens Diabetic Retinopathy - ANSWER loss of vision due to microvascular changes caused by