NSGA 142 Final Exam – Questions And Correct
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Terms in this set (144)
Oder of assessment- IPPA Inspect, Palpate, Percuss, Auscultate
Order of assessment- IAPP Inspect, Auscultate, Percuss, Palpate
,Sources of data- Primary Patient
Sources of data- Secondary Family, friends, other support people, other
healthcare professionals, medical records, labs &
tests, & relevant literature.
Subjective data Information that's apparent to only the patient
affected & can be described or verified by only that
patient. (Symptoms)
Objective data Information that's detectable by an observer or can
be measured or tested against an accepted standard.
(Signs)
,Erikson's stages of development (Birth- Infancy: Birth-18 months, Trust versus mistrust.
adolescents)
Early Childhood: 18 months-3 years, Autonomy versus
shame and doubt.
Late Childhood: 3-5 years, Initiative versus guilt.
School Age: 6-12 years, Industry versus inferiority.
Adolescents: 12-20 years, Identity versus role
confusion.
Assessment of bruits Turn the patient's head slightly away from the side
being examined. Rationale: This facilitates the
placement of the stethoscope.
Auscultate the carotid artery on one side and then the
other using the bell side of the stethoscope.
Listen for the presence of a bruit (an abnormal sound
heard with a stethoscope indicating turbulent blood
flow and carotid artery disease). If you hear a bruit,
gently palpate the artery to determine the presence
of a thrill (a vibration felt indicating turbulent blood
flow and carotid artery disease).
, Assessment: Romberg Test Ask the patient to stand with feet together and arms
resting at the sides, first with eyes open, then closed.
Stand close during this test. Rationale: This prevents
the patient from falling.
Negative Romberg: may sway slightly but is able to
maintain upright posture and foot stance.
Positive Romberg: cannot maintain foot stance; moves
the feet apart to maintain stance
-If patient cannot maintain balance with the eyes shut,
patient may have sensory ataxia (lack of coordination
of the voluntary muscles).
-If balance cannot be maintained whether the eyes
are open or shut, patient may have cerebellar ataxia.
Assessment of thyroid Palpate the trachea for lateral deviation.
-Place your fingertip or thumb on the trachea in the
suprasternal notch and then move your finger laterally
to the left and the right in spaces bordered by the
clavicle, the anterior aspect of the
sternocleidomastoid muscle, and the trachea.
Abnormal: Deviation to one side, indicating possible
neck tumor; thyroid enlargement; enlarged lymph
nodes
Answers
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Match Blocks Charms NEW
Terms in this set (144)
Oder of assessment- IPPA Inspect, Palpate, Percuss, Auscultate
Order of assessment- IAPP Inspect, Auscultate, Percuss, Palpate
,Sources of data- Primary Patient
Sources of data- Secondary Family, friends, other support people, other
healthcare professionals, medical records, labs &
tests, & relevant literature.
Subjective data Information that's apparent to only the patient
affected & can be described or verified by only that
patient. (Symptoms)
Objective data Information that's detectable by an observer or can
be measured or tested against an accepted standard.
(Signs)
,Erikson's stages of development (Birth- Infancy: Birth-18 months, Trust versus mistrust.
adolescents)
Early Childhood: 18 months-3 years, Autonomy versus
shame and doubt.
Late Childhood: 3-5 years, Initiative versus guilt.
School Age: 6-12 years, Industry versus inferiority.
Adolescents: 12-20 years, Identity versus role
confusion.
Assessment of bruits Turn the patient's head slightly away from the side
being examined. Rationale: This facilitates the
placement of the stethoscope.
Auscultate the carotid artery on one side and then the
other using the bell side of the stethoscope.
Listen for the presence of a bruit (an abnormal sound
heard with a stethoscope indicating turbulent blood
flow and carotid artery disease). If you hear a bruit,
gently palpate the artery to determine the presence
of a thrill (a vibration felt indicating turbulent blood
flow and carotid artery disease).
, Assessment: Romberg Test Ask the patient to stand with feet together and arms
resting at the sides, first with eyes open, then closed.
Stand close during this test. Rationale: This prevents
the patient from falling.
Negative Romberg: may sway slightly but is able to
maintain upright posture and foot stance.
Positive Romberg: cannot maintain foot stance; moves
the feet apart to maintain stance
-If patient cannot maintain balance with the eyes shut,
patient may have sensory ataxia (lack of coordination
of the voluntary muscles).
-If balance cannot be maintained whether the eyes
are open or shut, patient may have cerebellar ataxia.
Assessment of thyroid Palpate the trachea for lateral deviation.
-Place your fingertip or thumb on the trachea in the
suprasternal notch and then move your finger laterally
to the left and the right in spaces bordered by the
clavicle, the anterior aspect of the
sternocleidomastoid muscle, and the trachea.
Abnormal: Deviation to one side, indicating possible
neck tumor; thyroid enlargement; enlarged lymph
nodes
