Study guides, Class notes & Summaries

NR 509 Midterm Study Guide NR 509 Midterm Study Guide.

week 1 to 4 notes

NR 509 Final Exam reviews final exam review Do not Rely Soley on this power point for your Studies. I hope you have your own studying done as well. Assessing from Head to Toe ● Think about which order you will be assessing your patient from head to toe ● Start by inspecting- you will inspect your patient head/face ● Then palpating lymph nodes ● Ascultating lung sounds and heart sounds ● Percussing abdomen ● And assess patient’s gait OLD CART ● Onset ● Locati...

NR 509 FINAL EXAM QUESTIONS AND CORRECT ANSWERS 2022 GRADED A+ 1.A 35-year-old female with a history of migraines presents to the clinic with worsening symptoms for the past few weeks. She reports waking up at night with headaches and nausea. Her only medication history is oral contraceptive pills (OCPs). Otherwise, she states she is healthy. Which of the following actions if taken by the NP is the best next step? Take a further history and perform a very careful neurological exam 2.A gra...

Know that in a 47-year-old man ED is usually ___________ rather than testosterone psychologic Erectile dysfunction may be from psychogenic causes, especially if early morning erection is preserved. it may also reflect decreased testosterone, decreased blood flow in the hypogastric arterial system, impaired neural innervation, and diabetes When performing a breast exam, know what abnormal masses should do when the arm may be fixed to skin or underlying tissues (may cause dimpling of skin o...

Suspicious breast mass-A mobile mass that becomes fixed when the arm relaxes is attached to the ribs and intercostal muscles; if fixed when the hand is pressed against the hip, it is attached to the pectoral fascia. -Hard irregular poorly circumscribed nodules, fixed to the skin or underlying tissues, strongly suggest cancer Risk for Breast cancer--*Age* -family history of breast/ovarian CA - inherited genetic mutations, -personal history of breast cancer - high levels of endogenous ho...

Appendicitis 1. McBurney point tenderness 2. Rovsing sign 3. the psoas sign 4. the obturator sign --Appendicitis is twice as likely in the presence of RLQ tenderness, Rovsing sign, and the psoas sign --The pain of appendicitis classically begins near the umbilicus, then migrates to the RLQ. Older adults are less likely to report this pattern. --Localized tenderness anywhere in the RLQ, even in the right flank, suggests appendicitis. McBurney Point 1. McBurney point lies 2 inches from t...

Cause of saddle numbness and urinary retention Cauda equina syndrome Presentation of retinal detachment If sudden visual loss is unilateral and painless, Obtunded 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 CN6: Abducens Adult Illnesses Medical: Illnesses such as diabetes, hypertension, hepatitis, asthma, and human immunodeficiency virus (HIV); hospitaliza...

The nurse practitioner (NP) is completing a comprehensive assessment of Anita, a new client in a primary care facility. Which assessment finding(s) reported by Anita are related to social determinants of health? Select all that apply. occasionally running out of food, being discriminated against in the workplace, has a great amount of smog in their community, having difficulty making the rent payment Focused assessment: - addresses focused concerns or symptoms -used for established clients d...

Facial skin No discoloration or lesions Head Midline, symmetrical, normal in size Lymph node palpation (9 locations) *Preauricular* - in front of ear *Post auricular* - behind ear *Occipital* - back of head Move forward - *tonsillar* Under jawline - *submandibular*, *Submental* *Anterior cervical* *Posterior cervical* *Supraclavicular* - above clavicles ---Do not feel any enlargement, equal bilaterally CN 5 *Trigeminal nerve* Motor component - palpate over the master muscl...