Jhaque

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...

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 ...

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....

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...

palpation applies sense of touch to assess -texture, temp. moisture, organ location and size, swelling/vibration, rigidity, creation, presence of lumps or masses -avoid any situation where palpation could cause internal injury or pain Percussion tapping persons skin with short, sharp stroke to assess underlying structures -direct: striking hand directly contacts body wall -indirect: using both hands the striking hand contacts stationary hand fixed on persons skin Auscultation li...

Which information would the nurse obtain when conducting a health history for a pt during an annual exam -biographic data -who is providing the data -reason for seeking care -present health or history of present illness -past health -family history Which questions would the nurse ask a pt who is an immigrant to the US when collecting biographic data collect info about pts native country which ritualistic procedures have you undergone Which documentation would the nurse include ...

This package covers all the topics for the WRT and LICRC Exams.