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NUR 112 Vital Signs and Health Assessment test 2
Complete Questions And Answers Graded A+
Normal lymph nodes ......ANSWER......smaller than 1 cm, moveable
Abnormal lymph nodes ......ANSWER......enlarged, tender, moveable=
inflammation
enlarged, tender, and firm= infection
Really abnormal lymph nodes ......ANSWER......unilateral, hard,
asymmetric, fixed, and non-tender= malignancy
lymphodema ......ANSWER......Non-pitting swelling due to blocked
lymph system
May occur during surgery such as masectomy
Three types of breast tissue ......ANSWER......glandular, fibrous,
subcutaneous and retromammary fat tissue
Normal breast exam ......ANSWER......Inspection: Skin contours
smooth in all positions. Nipples everted, pointing forward
Palpation: tissue firm, no masses noted. No nodes palpated
pg. 1
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abnormal breast exam findings ......ANSWER......-breast masses
-cancer
-retraction/deviation
-dimpling => best picked up when patients have their hands on hips
and usually unilateral
-edema => swelling can be a sign of carcinoma
-Paget's disease
pager's disease of breast ......ANSWER......eczematoid changes to
breast
burns
oozes
bleeds
Position for breast exam ......ANSWER......supine or with towel under
shoulder
What findings to document with breast exam
......ANSWER......Location, size, shape, consistency, tenderness,
mobility, borders and retractions
When should you not examine breast ......ANSWER......During period
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self breast exam ......ANSWER......Monitor for any change in size,
contour, dimpling. Perform exam every month, 2 to 3 days after your
period. Use finger pads of the three middle fingers.
What do male rectal exams diagnose ......ANSWER......Colorectal
cancer (both genders) and prostate cancer for men
What are the vital signs ......ANSWER......temperature, pulse,
respiration, blood pressure, pain
Baseline vitals are ......ANSWER......initial values that can be compared
to future measurements
When to measure vital signs ......ANSWER......admission to a
healthcare facility, assessing a patient during home care visits, during
a routine schedule in a hospital, before, during and after a surgical
procedure or invasive diagnostic procedure. before, during and after a
transfusion of blood. before, during, and after the administration of
medication therapies that affect cardiovascular, respiratory, or temp
functions. physical condition changes. before, during, and after
nursing interventions influencing vital signs, when a patient reports a
nonspecific symptom of physical distress.
What is the hypothalamus? ......ANSWER......A built-in thermostat and
appetite center and relays messages to the thalamus
pg. 3
NUR 112 Vital Signs and Health Assessment test 2
Complete Questions And Answers Graded A+
Normal lymph nodes ......ANSWER......smaller than 1 cm, moveable
Abnormal lymph nodes ......ANSWER......enlarged, tender, moveable=
inflammation
enlarged, tender, and firm= infection
Really abnormal lymph nodes ......ANSWER......unilateral, hard,
asymmetric, fixed, and non-tender= malignancy
lymphodema ......ANSWER......Non-pitting swelling due to blocked
lymph system
May occur during surgery such as masectomy
Three types of breast tissue ......ANSWER......glandular, fibrous,
subcutaneous and retromammary fat tissue
Normal breast exam ......ANSWER......Inspection: Skin contours
smooth in all positions. Nipples everted, pointing forward
Palpation: tissue firm, no masses noted. No nodes palpated
pg. 1
,2|Page
abnormal breast exam findings ......ANSWER......-breast masses
-cancer
-retraction/deviation
-dimpling => best picked up when patients have their hands on hips
and usually unilateral
-edema => swelling can be a sign of carcinoma
-Paget's disease
pager's disease of breast ......ANSWER......eczematoid changes to
breast
burns
oozes
bleeds
Position for breast exam ......ANSWER......supine or with towel under
shoulder
What findings to document with breast exam
......ANSWER......Location, size, shape, consistency, tenderness,
mobility, borders and retractions
When should you not examine breast ......ANSWER......During period
pg. 2
, 3|Page
self breast exam ......ANSWER......Monitor for any change in size,
contour, dimpling. Perform exam every month, 2 to 3 days after your
period. Use finger pads of the three middle fingers.
What do male rectal exams diagnose ......ANSWER......Colorectal
cancer (both genders) and prostate cancer for men
What are the vital signs ......ANSWER......temperature, pulse,
respiration, blood pressure, pain
Baseline vitals are ......ANSWER......initial values that can be compared
to future measurements
When to measure vital signs ......ANSWER......admission to a
healthcare facility, assessing a patient during home care visits, during
a routine schedule in a hospital, before, during and after a surgical
procedure or invasive diagnostic procedure. before, during and after a
transfusion of blood. before, during, and after the administration of
medication therapies that affect cardiovascular, respiratory, or temp
functions. physical condition changes. before, during, and after
nursing interventions influencing vital signs, when a patient reports a
nonspecific symptom of physical distress.
What is the hypothalamus? ......ANSWER......A built-in thermostat and
appetite center and relays messages to the thalamus
pg. 3
