Advanced Health Assessment NSG 500
exam 3
2 point discrimination - ANSWER ability to distinguish the separation of 2
m
simultaneous pinpricks on the skin
.co
ail
Abduction - ANSWER away from body
gm
Abnormal changes in neurosystem with aging - ANSWER Motor, cognition
r@
he
Adduction - ANSWER in towards body
hig
Babinski's - ANSWER stroking sole of foot from heel upward across ball of foot cauing
ing
toes to fan
fly
Best way to create primary diagnosis/differential diagnosis - ANSWER Considering
both subjective and objective findings, listen to your patient.... don't order routine exams
just to order them/rule things out.
, 2
Brudzinki's sign - ANSWER -a diagnostic sign for meningitis
-try to lean the patient's neck up, and if the patient bends their knees, it's them trying to
compensate for inflammation in the neck. That would indicate a positive brudzinki's
sign
m
.co
Buldge sign indicates - ANSWER potential degenerative joint disease.
ail
gm
Effusion in the knees
r@
Carpel tunnel; What is the tinel test? - ANSWER -tapping on ulnar side and indicates if
he
medial nerve is involved
hig
Cluster headaches - ANSWER severe pain behind 1 eye
ing
fly
Concerning findings for meningitis - ANSWER unable to touch chin to chest (also
known as nuchal rigidity), neck pain, fever, photosensitivity, nausea vomiting, headaches,
AMS
, 3
Considerations of a red inflammed/swollen joint - ANSWER Infection vs. gout
-You need to rule out septic arthritis vs. gout.
-Gout will be able to perform ROM at the swollen site
-Septic arthritis can NOT perform ROM
m
Constipation and hemorroids - ANSWER Small amounts of bright red blood
.co
ail
Intermittent or during straining
gm
Symptoms: Pain, itching, bleeding
r@
he
Cranial nerve 1 - ANSWER Sensory - olfractory
hig
Cranial nerve 11 - ANSWER Motor, accessory, shoulder shrug
ing
fly
Cranial nerve 12 - ANSWER Motor, hypoglossal (tongue movement), ask them to turn
head
Cranial nerve 2 - ANSWER sensory - optic nerve