Health Assessment Final UTMB Questions & Answers Rated 100% Correct

A client who scores _ or lower on the Glascow Coma Scale is needs emergency attention - 10 A client with a score of _ or lower is generally considered to be in a coma - 7 A hard area on the prostate or hard, fixed, irregular nodules on the prostate suggest? - Cancer A swollen, tender prostate may indicate? - acute prostatitis An abnormal finding of a sensory test indicates what? - A possible lesion of the sensory cortex Black stool while performing a prostate assessment is a sign of? - Upper GI bleeding Cranial nerve 1 (olfactory) - Carries smell impulses from nasal mucous membrane to brain Cranial nerve 10 ( vagus) - -swallowing -talking -digestive juices -sensations from throat, larynx, heart, lungs, bronchi, GI tract, and abdominal viscera Cranial nerve 11 (spinal accessory) - innervates neck muscles( traps and sternocleidomastoid) -movement of shoulders and neck rotation Cranial nerve 12( hypoglossal) - Innervates tongue muscle that promote movement of food and talking Cranial nerve 2 (optic) - carries visual impulses from eye to brainCranial nerve 3(oculomotor) - Contracts eye muscles to control eye movements, constrict pupils and elevates eyelids Cranial nerve 4 (trochlear) - contracts one eye muscle to control eye movement Cranial nerve 5 (trigeminal) - sensory impulses of pain, touch, and temperature from face to brain Cranial nerve 6 (abducens) - controls lateral eye movements Cranial nerve 7 (facial) - Facial expressions taste tears Cranial nerve 8 (acoustic, vestibulcochlear) - sensory fibers for hearing and balance Cranial nerve 9 (glossopharyngeal) - gag reflex uvula rise taste Decribe a footdrop gait - Lifts foot and knee high w/each step, then slaps foot hard on the ground -can't walk on heels -disease of lower motor neuron Describe a cerebellar ataxia gait - -wide-based, staggering, unsteady gait -+ Romberg test -cerebellar disease/ drug or alcohol intoxicationDescribe a Parkinsonian gait pattern - -shuffling gait -stooped over posture -parkinson's disease and drug induced parkinsonian Describe a spastic hemiparesis gait - -flexed arm close to body while toe is dragged or circled in a stiff outward and forward manner -stroke/lesion in upper motor neuron Describe bronchial sounds - -high pitched -loud, harsh or hollow -short inspiration, long expiration Describe bronchovesicular sounds - -Equal in inspiration and expiration -moderate Describe cancer pain - Due to compression of peripheral nerves or meninges, or from damage to these structures following surgery, chemotherapy, radiation, or tumor growth and infiltration Describe vesicular sounds - Low pitched -breezy and soft -long in inspiration, short in expiration Detachment of nailplate from nailbed is a sign of? - Oncholysis- seen in infections or trauma Early(180>) and late clubbing( >180) could occur from? - Hypoxia ( the normal angle is 160) Gray/Tan/Yellow stool is an indication of what? - Gray/Tan-lack of bile pigment Yellow-suggests increased fat contentHow do you perform Phalen's test? - -have client place the backs of both hands against each other while flexing the wrists 90 degress downward -hold for 60 secs How do you perform the Allen test? - -client should rest hand palm side up and make a fist -use thumbs to occlude both the radial/ulnar pulse -keep pressing and have client release fist -not paleness -release pressure and time how fast pink color returns (3-5 secs)