NR 509 Midterm Exam Questions With Complete Solution

NR 509 Midterm Exam Questions With Complete Solution Cause of saddle numbness and urinary retention - CORRECT ANSWER Cauda equina syndrome Presentation of retinal detachment - CORRECT ANSWER If sudden visual loss is unilateral and painless, Obtunded - CORRECT ANSWER patient opens the eyes and looks at you but responds slowly and is somewhat confused. Alertness and interest in the environment are decreased. Cranial nerve for lateral gaze - CORRECT ANSWER CN6: Abducens Adult Illnesses - CORRECT ANSWER Medical: Illnesses such as diabetes, hypertension, hepatitis, asthma, and human immunodeficiency virus (HIV); hospitalizations; number and gender of sexual partners; and risk-taking sexual practices ■ Surgical: Dates, indications, and types of operations ■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception, and sexual function ■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments Present Illness - CORRECT ANSWER chronologic description of the problems prompting the patient's visit, including the onset of the problem, the setting in which it developed, its manifestations, and any treatments to date.Each problem/symptom needs: (1) location; (2) quality; (3) quantity or severity; (4) timing, including onset, duration, and frequency; (5) the setting in which it occurs; (6) factors that have aggravated -meds, allergies, tobacco use, ETOH and drug use Absence of red reflex - CORRECT ANSWER an opacity of the lens (cataract) or, possibly, the vitreous (or even an artificial eye). Less commonly, a detached retina or, in children, a retinoblastoma may obscure this reflex. S/S of seasonal allergies - CORRECT ANSWER Itching, watery eyes, sneezing, ear congestion, postnasal drainage Presentation of optic neuritis - CORRECT ANSWER Enlarged blind spot, vision loss in 1 eye, loss of color vision, hole in center of vision, trouble seeing to the side, eye pain pityriasis rosea - CORRECT ANSWER Multiple round to oval scaling violaceous plaques on abdomen and back Acromion - CORRECT ANSWER tip of shoulder What to do for + finding on physical exam, but - workup - CORRECT ANSWER continue using test, but less lab and diagnostics Cause of falsely high BP - CORRECT ANSWER -too small of a BP cuff - if the brachial artery is below heart level - loose cuff - bladder that balloons outside the cuff Check for nystagmus - CORRECT ANSWER -involuntary jerking movement of the eyes with quick and slow components. - It is named for the direction of the quick component - seen in cerebellar disease and vestibular disorders and in internuclear ophthalmoplegia Jaundice - CORRECT ANSWER yellow sclera how do get a patient to open up when upset - CORRECT ANSWER effective reassurance is simply identifying and acknowledging the patient's feelings. -Partnering -Summarizing -Transitions - Empowering the pt s/s of degenerative pain - CORRECT ANSWER -Slowly progressive, with temporary exacerbations after periods of overuse -usually insidious - flexion and deviation deformities How otosclerosis presents with Weber and Rinne test - CORRECT ANSWER - Weber: Sound lateralizes to impaired ear. Room noise not well heard, so detection of vibrations improves - Rinne: BC longer than or equal to AC. While air conduction through the external or middle ear is impaired, vibrations through bone bypass the problem to reach the cochlea. Cherry angiomas - CORRECT ANSWER Benign