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How do you document lymphatic system? 
if nodes are palpable, not their 
- location, size, shape, mobility, consistency, and tenderness 
- cervical nodes are palpable in healthy people --> decreases with age 
- normal nodes are movable, discrete, soft, and nontender 
 
 
What is bradypnea? 
abnormally slow breathing 
 
 
What is somnolence? 
drowsiness or sleepiness 
 
 
what is pallor? 
Pale skin 
 
 
What is tachycardia? 
abnormally fast heart rate 
 
 
During inspection, percussion, and au...
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How do you document lymphatic system? 
if nodes are palpable, not their 
- location, size, shape, mobility, consistency, and tenderness 
- cervical nodes are palpable in healthy people --> decreases with age 
- normal nodes are movable, discrete, soft, and nontender 
 
 
What is bradypnea? 
abnormally slow breathing 
 
 
What is somnolence? 
drowsiness or sleepiness 
 
 
what is pallor? 
Pale skin 
 
 
What is tachycardia? 
abnormally fast heart rate 
 
 
During inspection, percussion, and au...
Diuretics 
Medications like spironolactone for managing ascites. 
 
 
Beta-blockers 
Used to lower portal hypertension and prevent variceal bleeding. 
 
 
Nutritional Support 
High-calorie, low-sodium diet with vitamin supplementation. 
 
 
Paracentesis 
Procedure to remove ascitic fluid for symptom relief. 
 
 
Trans jugular Intrahepatic Portosystemic Shunt (TIPS) 
Procedure to reduce portal hypertension in severe cases. 
 
 
Electrolyte Imbalance 
Disruption of sodium and potassium levels due ...
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Diuretics 
Medications like spironolactone for managing ascites. 
 
 
Beta-blockers 
Used to lower portal hypertension and prevent variceal bleeding. 
 
 
Nutritional Support 
High-calorie, low-sodium diet with vitamin supplementation. 
 
 
Paracentesis 
Procedure to remove ascitic fluid for symptom relief. 
 
 
Trans jugular Intrahepatic Portosystemic Shunt (TIPS) 
Procedure to reduce portal hypertension in severe cases. 
 
 
Electrolyte Imbalance 
Disruption of sodium and potassium levels due ...
Manifestations of DIC 
Pallor, petechiae, purpura, oozing blood, hematomas, occult hemorrhage 
 
 
The factor related to cerebral blood flow that often determines cerebral damage is the.... 
degree of collateral circulation 
 
 
ICP Primary injury 
At the initial time of the injury 
- impact of a car accident 
- blunt force trauma 
 
 
What would help a cirrhosis patient eat better? 
 
 
 
General management of cirrhosis 
Rest 
B complex vitamins 
Avoid alcohol 
Avoid or minimize aspirin, tyleno...
- Examen
- • 12 páginas's •
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Manifestations of DIC 
Pallor, petechiae, purpura, oozing blood, hematomas, occult hemorrhage 
 
 
The factor related to cerebral blood flow that often determines cerebral damage is the.... 
degree of collateral circulation 
 
 
ICP Primary injury 
At the initial time of the injury 
- impact of a car accident 
- blunt force trauma 
 
 
What would help a cirrhosis patient eat better? 
 
 
 
General management of cirrhosis 
Rest 
B complex vitamins 
Avoid alcohol 
Avoid or minimize aspirin, tyleno...
While performing an assessment of a 65-year-old man with a hx of hypertension and coronary artery disease, the nurse notices the presence of bilateral pitting edema in the lower legs. the skin is puffy and tight but normal in color. No increased redness or tenderness is observed over his lower legs, and the peripheral pulses are equal and strong. in this situation, the nurse suspects that the likely cause of the edema is which condition 
 
 
 
A 40-year-old woman reports a change in mole size, a...
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While performing an assessment of a 65-year-old man with a hx of hypertension and coronary artery disease, the nurse notices the presence of bilateral pitting edema in the lower legs. the skin is puffy and tight but normal in color. No increased redness or tenderness is observed over his lower legs, and the peripheral pulses are equal and strong. in this situation, the nurse suspects that the likely cause of the edema is which condition 
 
 
 
A 40-year-old woman reports a change in mole size, a...
Coagulation 
Tissue factor is released at site of injury and from some cancers 
-tissue factor enhances normal coagulation mechanisms 
-abundance of intravascular thrombin 
-widespread fibrinogen 
 
 
Signs of thrombosis 
delirium, 
coma, 
ischemia, 
gangrene, 
oliguria, 
azotemia, 
ARDS, 
paralytic ileus 
 
 
Signs of hemorrhage 
intracerebral bleeding, 
petechiae, 
ecchymoses, 
hematuria, 
dyspnea, 
hemoptysis, 
massive bleeding, 
epistaxis, 
gingival bleeding 
 
 
DIC manifestations: bleeding...
- Examen
- • 97 páginas's •
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Coagulation 
Tissue factor is released at site of injury and from some cancers 
-tissue factor enhances normal coagulation mechanisms 
-abundance of intravascular thrombin 
-widespread fibrinogen 
 
 
Signs of thrombosis 
delirium, 
coma, 
ischemia, 
gangrene, 
oliguria, 
azotemia, 
ARDS, 
paralytic ileus 
 
 
Signs of hemorrhage 
intracerebral bleeding, 
petechiae, 
ecchymoses, 
hematuria, 
dyspnea, 
hemoptysis, 
massive bleeding, 
epistaxis, 
gingival bleeding 
 
 
DIC manifestations: bleeding...
What is neuropathic pain? 
pain caused by lesion or disease in somatosensory nervous system 
 
 
What are some examples of conditions that can cause neuropathic pain 
diabetes 
shingles 
HIV/AIDS 
chemotherapy 
stroke 
MS 
tumor 
 
 
Behavioral cues for pain assessment in older adults 
changes in functional status 
changes in dressing, walking, toileting, involvement in activities (ADLs and IADLs) 
slowness, rigidity, fatigue 
sudden onset of acute confusion 
 
 
ABCT / components of the mental ...
- Examen
- • 22 páginas's •
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What is neuropathic pain? 
pain caused by lesion or disease in somatosensory nervous system 
 
 
What are some examples of conditions that can cause neuropathic pain 
diabetes 
shingles 
HIV/AIDS 
chemotherapy 
stroke 
MS 
tumor 
 
 
Behavioral cues for pain assessment in older adults 
changes in functional status 
changes in dressing, walking, toileting, involvement in activities (ADLs and IADLs) 
slowness, rigidity, fatigue 
sudden onset of acute confusion 
 
 
ABCT / components of the mental ...
(TUG) Timed up and go 
quantify functional ability 
rise from chair, walk 10 feet, turn, walk back to chair, sit down 
factors to note sitting balance transferring (sitting--> standing) gait pace and stability ability to turn without staggering sitting back down in chair 
>12 seconds = high fall risk, further eval 
 
 
MMSE 
Mini mental state exam 
Tests cognitive function through orientation, registration, attention and calculation, recall language 
score up to 30, =, < 23 = cognitive ...
- Examen
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(TUG) Timed up and go 
quantify functional ability 
rise from chair, walk 10 feet, turn, walk back to chair, sit down 
factors to note sitting balance transferring (sitting--> standing) gait pace and stability ability to turn without staggering sitting back down in chair 
>12 seconds = high fall risk, further eval 
 
 
MMSE 
Mini mental state exam 
Tests cognitive function through orientation, registration, attention and calculation, recall language 
score up to 30, =, < 23 = cognitive ...
AADL: 
performs as a member of family, society, community, including occupational and recreational activities 
(self-care, mobility, work, hobbies, socialization) 
 
 
Assessment of cognition: 
attention, memory, orientation, language, visuospatial skills, higher cognitive functions 
 
 
Altered cognition is generally attributed to 
dementia, delirium, depression 
 
 
Dementia: 
alterations in word finding and naming objects in addition to memory problems 
 
 
Delerium: 
acute change in cognitio...
- Examen
- • 22 páginas's •
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AADL: 
performs as a member of family, society, community, including occupational and recreational activities 
(self-care, mobility, work, hobbies, socialization) 
 
 
Assessment of cognition: 
attention, memory, orientation, language, visuospatial skills, higher cognitive functions 
 
 
Altered cognition is generally attributed to 
dementia, delirium, depression 
 
 
Dementia: 
alterations in word finding and naming objects in addition to memory problems 
 
 
Delerium: 
acute change in cognitio...
What type of blood pressure measurement error is most likely to occur if the nurse does not check for the presence of an auscultatory gap? 
a. Diastolic blood pressure may not be heard. 
b. Diastolic blood pressure may be falsely low. 
c. Systolic blood pressure may be falsely low. 
d. Systolic blood pressure may be falsely high. 
ANS: C 
-If an auscultatory gap is undetected, then a falsely low systolic or falsely high diastolic reading may result, which is common in patients with hypertension....
- Examen
- • 34 páginas's •
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What type of blood pressure measurement error is most likely to occur if the nurse does not check for the presence of an auscultatory gap? 
a. Diastolic blood pressure may not be heard. 
b. Diastolic blood pressure may be falsely low. 
c. Systolic blood pressure may be falsely low. 
d. Systolic blood pressure may be falsely high. 
ANS: C 
-If an auscultatory gap is undetected, then a falsely low systolic or falsely high diastolic reading may result, which is common in patients with hypertension....
Dehydration 
- Is a significant risk factor for ____, ____ complications, ____, kidney ____, ____ & ____, ____, medication ____, ____ failure, ____, ____ imbalance, ____, & delayed ____ ____ 
delirium 
thromboembolic 
infection 
stones 
constipation 
obstipation 
falls 
toxicity 
renal 
seizure 
electrolyte 
hyperthermia 
wound healing 
 
 
 
Changes in the GI system in the Elderly 
1. In the SI, villi become ____, ____, & less ____; blood flow ____; proteins, fats, minerals, vitamins, & carbs a...
- Examen
- • 22 páginas's •
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Virginia Western Community College•NUR 245
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Dehydration 
- Is a significant risk factor for ____, ____ complications, ____, kidney ____, ____ & ____, ____, medication ____, ____ failure, ____, ____ imbalance, ____, & delayed ____ ____ 
delirium 
thromboembolic 
infection 
stones 
constipation 
obstipation 
falls 
toxicity 
renal 
seizure 
electrolyte 
hyperthermia 
wound healing 
 
 
 
Changes in the GI system in the Elderly 
1. In the SI, villi become ____, ____, & less ____; blood flow ____; proteins, fats, minerals, vitamins, & carbs a...