NURS190 NURS 190 FINAL EXAM (NEW UPDATE) PHYSICAL ASSESSMENT QS & AS GRADE A 100% CORRECT (VERIFIED ANSWERS)-

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NURS190/ NURS 190 FINAL EXAM: (NEW 2024/ 202 U U UU U UU U U




5 UPDATE) PHYSICAL ASSESSMENT | QS & AS| GRADE A| 1
U U U U U U U U U U




00% CORRECT (VERIFIED ANSWERS)- U U U




what is the clinical manifestation of the retinal detachment -
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u ANS ✓diminish vision
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what technique will the nurse use when assessing for extra ocular movemen
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t of the eyes? - ANS ✓6 cardinal field of gaze.
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H method and wheel wagon method
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what is the leading cause of blindness - ANS ✓retinopathy
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enlarge lymph nodes indicates a sign that is - ANS ✓infection
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normal finding when palpating the lymph nodes in a adult?
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children’s lymph nodes are? - ANS ✓non palpable-adult
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children’s: palpable lymph nodes refer to MD
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when testing the integrity of cranial nerve 3 - ANS ✓ocular motor
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what should the nurse advice the patient to look up and down w. out moving the he
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ad



assessing pt. using the otoscope and you see white patches -
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u ANS ✓scarring from previous infection
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testing for Romberg test -
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u ANS ✓conduct for 20 seconds. Stand erect feet together, hands at the sides, and ey
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es closed. Support patients front and back. Normal: swaying.
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Abnormal: swaying front to back or side to side more than 2".
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+ for romper test - ANS ✓patient is sawing side ways
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when patient has a + romper test to eliminate the needs of your patient what
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u should the patient have? - ANS ✓bedside commode.
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snellen test 20/40 - ANS ✓20 feet away from chart
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NURS190/ NURS u

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40 feet away from the chart and still can read it
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20/200 - ANS ✓legally blind u u u u




-Classic migraine: - u u




u ANS ✓preceded by aura, patient sees spots and flashes of light, halos, patient will f
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eel nauseated, experience numbness or tingling sensation of the face and extremiti
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es



-Sinus: - ANS ✓caused by sinus infection
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-Tension: - u




u ANS ✓SLOW onset, pain is steady, associated with stress or overwork, starting fro
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m the cervical region to the top of the head, unilateral or bilateral
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-Cluster: - u




u ANS ✓numerous that occurs over a period of days or months, no aura, SUDDEN on
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set, associated with alcohol consumption, stress, or emotional distress, lasts few m
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inutes-hours



Differentiate:




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Entropian - ANS ✓upper lid is inverted into the eye, causing irritation
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Ectropion: - ANS ✓lower lid is everted downward, exposing the conjunctiva
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Most common type of hyperthyroidism is... - ANS ✓graves dx
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when is the best time for an elderly client to perform a Self breast exam -
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u ANS ✓same day every month
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when is best for a pt. that is still menstruating to do a SBE... - ANS ✓wait 3-
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5 days when the hormones are more stable
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Most common cause for benign nipple discharge in post menopausal patient,
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u complaining of leakage of serum or bloody discharge of the breast -
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u ANS ✓Intraductal papilloma
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client has orange or pale skin on skin of breast - ANS ✓malignancy or cancer
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any change in consistency of breast lump must be... -
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u ANS ✓further evaluated MD
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NURS190/ NURS u