NURS 3320

Self report What is the most reliable indicator of a patient's experience of pain? Location? Onset? Timing? Type? Associated Symptoms? Alleviating factors? Radiation? Precipitating event? LOTTAARP Besides the client's rating of the intensity of the pain, what other things should the nurse ask? using diagnostic reasoning skills to interpret data accurately. What is data analysis? It involves critical thinking Why is data analysis difficult? thinking in a rational, self-di...

FIXED and non movalbe nodes are _________. Malignant, tender and non movable Heart goes from ___ ICS to the ___ ICS 2nd ICS (base) to the 5th ICS (apex) Pericardium Outer, double walled, sac w/ Fluid Myocardium middle muscle layer, muscle=contraction Endocardium inner, thin layer AV valves include the _________ valves & the ________ valves. Tricuspid (R) valves & the Bicuspid (L) valves. T/F The AV Valves are the Entrance ventricles. TRUE, SL=exit & AV=entrance T/F The Sem...

NURS 3320 UTA Exam 2 Solved 100%

A nurse is preparing to asses a client who is new to the clinic. When beginning the collection of the client database, which of the following actions should the nurse prioritize? - ANSWER-Establish a trusting relationship A nurse is interpreting and validating information from an older adult client who has been experiencing a functional decline. The nurse is in which phase of the interview? - ANSWER-Working A 71-year-old woman has been admitted to the hospital for a vaginal hysterectomy, a...

What are the types of assessments? Initial comprehensive Ongoing Focused Emergency Normal BP 120/80 Normal HR 60-100 bpm Normal RR 10-20 bpm, usually 1:4 with HR Normal SpO2 >97% Normal oral temperature 96-99.5F (35.8-37.3C) Normal axillary temperature 1 degree Celsius lower than oral Normal TM temperature 0.3-0.6 degrees Celsius higher than oral Normal rectal temperature 1 degree Celsius higher than oral Equipment for nutritional status exam skin-fold calipers, ...

A pigskin-like or orange-peel (peau d'orange) appearance results from edema R/T lymphatic drainage, which is seen in - ANSWER-metastatic breast disease Normal superficial venous pattern - ANSWER-Veins radiate either horizontally and toward the axilla (transverse) or vertically with a lateral flare (longitudinal). Veins are more prominent during pregnancy. Peau d'orange skin, associated with carcinoma, may be first seen in the - ANSWER-areola Paget's disease - ANSWER-red, scaly, crust...

In which clients would you expect to see gynecomastia? Males during puberty. Can also be seen in males with hormonal imbalance, drug abuse, cirrhosis, leukemia, and thyrotoxicosis Objective signs of breast cancer Prominent/asymmetric venous pattern Pue d'orange skin Retracted nipple Dimpling Restricted movement of breast tissue Thickening of breast tissue Pain Discharge Large/irregular, hard, fixed nodules Normal variations in breast findings nodes palpated:none or 1-2 Nipple dis...

What are the 12 cranial nerves?I - (Olfactory) 1 II - (Optic) 2 III - (Oculomotor) 3 IV - (Trochlear) 4 V - (Trigeminal) 5 VI - (Abducans) 6 VII - (Facial) 7 VIII - (Auditory or Vestibulocochlear) 8 IX - (Glossopharengeal) 9 X - (Vagus) 10 XI - (Spinal Accessory) 11 XII - ( Hypoglossal) 12

When is an initial comprehensive assessment completed?a total health assessment needs to be done when a patient first enters into the health care system What is subjective data?client's perception of their own health What is objective data?data gathered by physical exam When is an ongoing partial assessment performed?mini-overview after the patient is established in the health care system What is included in an ongoing partial assessment?-reassessing problems that were previously iden...

What should the nurse observe when assessing gait? • Base of support • Weight-bearing stability • Foot position • Stride, length, and cadence of stride • Arm swing • Posture