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NR 509 midterm exam study guide verified A+

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NR 509 midterm exam study guide verified A+NR 509 midterm exam study guide verified A+ Cause of saddle numbness and urinary retention - correct answers-Cauda equina syndrome Presentation of retinal detachment - correct answers-If sudden visual loss is unilateral and painless, Obtunded - correct answers-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 answers-CN6: Abducens Adult Illnesses - correct answers-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 answers-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 answers-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 answers-Itching, watery eyes, sneezing, ear congestion, postnasal drainage Presentation of optic neuritis - correct answers-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 answers-Multiple round to oval scaling violaceous plaques on abdomen and back Acromion - correct answers-tip of shoulder What to do for + finding on physical exam, but - workup - correct answers-continue using test, but less lab and diagnostics Cause of falsely high BP - correct answers--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 answers--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 answers-yellow sclera how do get a patient to open up when upset - correct answers-effective reassurance is simply identifying and acknowledging the patient's feelings. -Partnering -Summarizing

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Uploaded on: October 3, 2024
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nr 509 midterm exam study guide verified a

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NR 509 midterm exam study guide verifie
cd cd cd cd cd cd

d A+
cd

Causecdofcdsaddlecdnumbnesscdandcdurinarycdretentioncd-cdcorrectcdanswers-Caudacdequinacdsyndrome

Presentationcdofcdretinalcddetachmentcd-cdcorrectcdanswers-
Ifcdsuddencdvisualcdlosscdiscdunilateralcdandcdpainless,

Obtundedcd-cdcorrectcdanswers-
patientcdopenscdthecdeyescdandcdlookscdatcdyoucdbutcdrespondscdslowlycdandcdiscdsomewhatcdconfused.cdAlertnes
scdandcdinterestcdincdthecdenvironmentcdarecddecreased.

Cranialcdnervecdforcdlateralcdgazecd-cdcorrectcdanswers-CN6:cdAbducens

AdultcdIllnessescd-cdcorrectcdanswers-
Medical:cdIllnessescdsuchcdascddiabetes,cdhypertension,cdhepatitis,cdasthma,cdandcdhumancdimmunodeficiencyc
dviruscd(HIV);cdhospitalizations;cdnumbercdandcdgendercdofcdsexualcdpartners;cdandcdrisk-

takingcdsexualcdpractices

■cdSurgical:cdDates,cdindications,cdandcdtypescdofcdoperations

■cdObstetric/Gynecologic:cdObstetriccdhistory,cdmenstrualcdhistory,cdmethodscdofcdcontraception,cdandcdsexual
cdfunction

■cdPsychiatric:cdIllnesscdandcdtimecdframe,cddiagnoses,cdhospitalizations,cdandcdtreatments

PresentcdIllnesscd-cdcorrectcdanswers-
chronologiccddescriptioncdofcdthecdproblemscdpromptingcdthecdpatient'scdvisit,cdincludingcdthecdonsetcdofcdthecdp
roblem,cdthecdsettingcdincdwhichcditcddeveloped,cditscdmanifestations,cdandcdanycdtreatmentscdtocddate.Eachcdpro
blem/symptomcdneeds:cd(1)cdlocation;cd(2)cdquality;cd(3)cdquantitycdorcdseverity;cd(4)cdtiming,cdincludingcdonset,c
dduration,cdandcdfrequency;cd(5)cdthecdsettingcdincdwhichcditcdoccurs;cd(6)cdfactorscdthatcdhavecdaggravatedcd

-meds,cdallergies,cdtobaccocduse,cdETOHcdandcddrugcduse

Absencecdofcdredcdreflexcd-cdcorrectcdanswers-
ancdopacitycdofcdthecdlenscd(cataract)cdor,cdpossibly,cdthecdvitreouscd(orcdevencdancdartificialcdeye).cdLesscdcommon
ly,cdacddetachedcdretinacdor,cdincdchildren,cdacdretinoblastomacdmaycdobscurecdthiscdreflex.

S/Scdofcdseasonalcdallergiescd-cdcorrectcdanswers-
Itching,cdwaterycdeyes,cdsneezing,cdearcdcongestion,cdpostnasalcddrainage

Presentationcdofcdopticcdneuritiscd-cdcorrectcdanswers-
Enlargedcdblindcdspot,cdvisioncdlosscdincd1cdeye,cdlosscdofcdcolorcdvision,cdholecdincdcentercdofcdvision,cdtroublecdseei
ngcdtocdthecdside,cdeyecdpain

, pityriasiscdroseacd-cdcorrectcdanswers-
Multiplecdroundcdtocdovalcdscalingcdviolaceouscdplaquescdoncdabdomencdandcdback

Acromioncd-cdcorrectcdanswers-tipcdofcdshoulder

Whatcdtocddocdforcd+cdfindingcdoncdphysicalcdexam,cdbutcd-cdworkupcd-cdcorrectcdanswers-
continuecdusingcdtest,cdbutcdlesscdlabcdandcddiagnostics

CausecdofcdfalselycdhighcdBPcd-cdcorrectcdanswers--toocdsmallcdofcdacdBPcdcuff

-cdifcdthecdbrachialcdarterycdiscdbelowcdheartcdlevel

-cdloosecdcuff

-cdbladdercdthatcdballoonscdoutsidecdthecdcuff

Checkcdforcdnystagmuscd-cdcorrectcdanswers--
involuntarycdjerkingcdmovementcdofcdthecdeyescdwithcdquickcdandcdslowcdcomponents.

-cdItcdiscdnamedcdforcdthecddirectioncdofcdthecdquickcdcomponent

-cdseencdincdcerebellarcddiseasecdandcdvestibularcddisorderscdandcdincdinternuclearcdophthalmoplegia

Jaundicecd-cdcorrectcdanswers-yellowcdsclera

howcddocdgetcdacdpatientcdtocdopencdupcdwhencdupsetcd-cdcorrectcdanswers-
effectivecdreassurancecdiscdsimplycdidentifyingcdandcdacknowledgingcdthecdpatient'scdfeelings.

-Partnering

-Summarizing

-Transitions

-cdEmpoweringcdthecdpt

s/scdofcddegenerativecdpaincd-cdcorrectcdanswers--
Slowlycdprogressive,cdwithcdtemporarycdexacerbationscdaftercdperiodscdofcdoveruse

-usuallycdinsidious

-cdflexioncdandcddeviationcddeformities

HowcdotosclerosiscdpresentscdwithcdWebercdandcdRinnecdtestcd-cdcorrectcdanswers--
cdWeber:cdSoundcdlateralizescdtocdimpairedcdear.cdRoomcdnoisecdnotcdwellcdheard,cdsocddetectioncdofcdvibrationscdi

mproves

-
Rinne:cdBCcdlongercdthancdorcdequalcdtocdAC.cdWhilecdaircdconductioncdthroughcdthecdexternalcdorcdmiddlecdearcdi
cd

scdimpaired,cdvibrationscdthroughcdbonecdbypasscdthecdproblemcdtocdreachcdthecdcochlea.

Cherrycdangiomascd-cdcorrectcdanswers-Benign

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