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NURS 190 Physical Assessment Study Guide 5 NURS 190 Physical Assessment Study Guide 5 PA SG 5 Hepatitis A: through feces, oral routes Hepatitis B: Sexually Hepatitis C: most common, through blood Oliguria: small amount of urine output UTI: frequency, dysuria, back and pubic pain, hematuria, cloudy foul smell urine old pt: s/e is confusion Psoas Sign: supine, place left hand above the right knee floating, ask patient to raise leg to your hand, flexion of the hip causes contraction of the pso...

NURS 190 Physical Assessment Quiz 5 Review QUIZ 5 Review: • Different types of hepatitis including transmission (A,B,C)- who is at greatest risk (p 572) • Hepatits A- enteric routes (fece and oral routes) • Hep B- transmitted parenterally, sexually, or perinatally • Hep C- via blood, unknown factors • Know oliguria, hematouria, noctorua all of them • Oliguria- diminished volume of urine • how to assess for ascites including shifting dullness and Also contour (normal/abnormal ab...

NURS 190 Physical Assessment Quiz 4 NURS 190 Physical Assessment Quiz 4 PA Quiz 4: -ECG, EKG (Electrocardiogram ECG) -Electrical representation of the cardiac cycle -Paper recording of deflections that represent the cardiac cycle -It involves PQRST waves -highest incidence, ethnicity for hypertension- ETHNICITY African Americans and Hispanics are the highest -Magnitude pulses- table (0-5): Assessing Peripheral Pulses 0- Absent or non palpable 1- Weak 2- Normal 3- Increased 4- Bounding -Prec...

NURS 190 Physical Assessment Quiz 1 Complete with Answers NURS 190 Physical Assessment Quiz 1 Complete with Answers What is a Bruit? -Abnormal Sound, created by turbulant blood flow in an artery due to partial obstruction. Identify the following parts of the Hand? -Figure 9.2: Sensitive areas of the hand - E.g.: Fingertips, Finger Pads, Palmar surface, Metacarpohalangeal joint, Palmar surface of hand, Ulnar Surface, Dorsal Surface. What is Fremitus? Vibrations felt though the chest wall. Wh...

NURS 190 Physical Assessment Practicum NURS 190 Physical Assessment Practicum Physical Assessment Practicum For Every System: 1. 2. 3. 4. 5. 6. 7. Introduction Provide privacy Hand washing Instruct patient Position patient General appearance VS “If at any point you feel uncomfortable, please let me know” VERBALIZE, EXPLAIN, & DEMONSTRATE System I: SKIN AND NAILS, HEENT RELATED LYMPHATICS • • • • • • • • • • • • • • • • • • • • • Subjec...

NURS 190 Physical Assessment Practicum NURS 190 Physical Assessment Practicum Physical Assessment Practicum For Every System: 1. 2. 3. 4. 5. 6. 7. Introduction Provide privacy Hand washing Instruct patient Position patient General appearance VS “If at any point you feel uncomfortable, please let me know” VERBALIZE, EXPLAIN, & DEMONSTRATE System I: SKIN AND NAILS, HEENT RELATED LYMPHATICS • • • • • • • • • • • • • • • • • • • • • Subjec...

NURS 190 Physical Assessment Midterm Study Guide NURS 190 Physical Assessment Midterm Study Guide Apex: point of maximal impulse ; apical pulse • LMCL 5th ICS (heart sits here at 5th ICS) • Hold stethoscope for 1 full min (60 sec) on apical pulse • You should hear a soft vibration, tapping sensation Dark Skin Pallor: skin is ash-gray, yellow-tinged, looks dull Jaundice: Yellow undertone in oral mucosa, palm of hand and feet Erythema: purple or darker than surrounding skin, accompanied b...

NURS 190 Physical AssessmNURS 190 Physical Assessment Midterm Review Midterm PA review Assessment of apical pulse - Mitral point, the maximum intensity pulse - Between 5/6 intercostal space at mid-clavicular line - Moves during pregnancy (landmark) - Easily palpated, easiest location to palpate for a heart beat over the apex - Best site used for children under the age two - S1 louder here - Pt sitting upright - Asses for one minute Screening of HTN in relation to Africans and Hispanics (high r...

NURS 190 Physical Assessment Final Test Prep NURS 190 Physical Assessment Final Test Prep Osteomyelitis • Infection in a bone • S/S: swelling, warmth, and redness over infected area, stiffness • Fever, chills, lethargic, pain in infected area, irritable • Can sometimes be Asymptomatic Goniometer • Measures the joints range of motion (2 rulers held by a circle) Osteoporosis • Loss of bone density, bones become brittle and fragile, • Take VIT D for calcium absorption, drink a lot...

NURS 190 Final Study Guide with Answers NURS 190 Final Study Guide with Answers 1. Which part of the brain is responsible of the brain and coordination? a. Cerebellum. 2. What are Signs/Symptoms of Glaucoma? a. See Halos. Increase Cranial Pressure. Have Central but not Peripheral. 3. Which hernia is for surgery? a. Ventral/Incisional. 4. What the letter grading for Skin Cancer Malignancy? Hint: A-E. A = Asymmetric. B = Border Irregularity. C = Color Variation. D = Diameter greater than 6ml....

NR603 Week 8 Reflection Program Outcome #4: Integrate professional values through scholarship and service in health care In week number 3 we met the PO#4 by creating a treatment plan that would not only address the acute medical needs of “Lorene” but also address the chronic medical conditions that were present and additive risk factors to her cardiovascular disease. Understanding the responsibility of the NP as a provider to comprehend how each symptom/result/finding is relevant to and ha...

NR603 Week 6 Mental Health Clinical Presentation - Part 1 Week 6: Mental Health Clinical Presentation Part 1 JA is a 31 year old Hispanic female CC: Sadness, hopeless and sudden weight gain HPI: JA arrived to the office by herself stating she recently broke up with her fiancé after five years of being together. Patient mentioned she found out her fiancé had an affair with a coworker. She recently moved out from the apartment she was leaving with her fiancé and move into her childhood home w...

NR603 Week 5 Part 2 APEPart 2 APEA Predictor Part Two – First line treatment plan for Benign Prostate Hyperplasia (40.1) Chief Complaint: Urinary frequency, dribbling, dysuria and occasional low back pain HPI: A.C. is a 69-year-old Hispanic male that comes into the clinic complaining of urinary frequency worse at night with frequent dribbling accompanied by dysuria. Pt also complains of occasional low back pain. Pt states pain is a 6/10 at worse and doesn’t take anything for the pain. Pt s...

NR603 Week 5 Part 1 Predictor Week 5 predictor ass Dr Martin and Class, Chief Complaint – upper abdominal pain and feeling sick Demographics - 40 yo Caucasian female PMHx – Hypothyroidism, seasonal allergies (worse in fall) PSHx – appendicitis as a teen, C-section x 2, Home Meds Levothyroxine 100mcg PO daily - compliant Loratadine 10 mg PO prn Tylenol 1000mg PO prn (taking BID x 7 days) Allergies - PCN (unknown reaction, as a child), bees, strawberries Immunizations – received all ch...

NR603 Week 3 Case Discussion Cardiovascular Cardiac Case Discussion Week 3 Discussion Questions: 1. What Leads Demonstrate the ST Depression? ST depression is indicative of acute myocardial ischema and hypoxia. Heart failure may cause ST depression and this is seen in leads V2, V3, V4, V5, and V6 (Klabunde, 2016; Harhash et al 2017). These depressions are horizontal or downsloping. 2. Is Lorene Hypertensive per ACA 2017 Guidelines? Compare the ACA guidelines to JNC 8 guidelines and discuss w...

NR603 Week 2 Part 2 NR603 Week 2 Part 2 (Total Points Possible: 40) Requirements: Michelle continues to work in the bakery and her asthma has been well controlled on a low-dose inhaled corticosteroid inhaler, Singular 10mg daily, and Albuterol prn which she uses 1-2 times per week. Michelle presents to the clinic with an acute illness that developed 2 days ago and has a respiratory rate of 24, mild SOB with exertion, O2 saturation of 94%, and complaint of inspiratory and expiratory wheezing. S...

NR603 Week 2 NR603 Week 2 Part 1 Week 2: Case Discussion: Pulmonary Part One Setting: A free medical clinic that provides health care for the under-insured. Your next patient, Michelle G., age 40, is a regular of the clinic and the last patient of the day. The chart states she is here for recent episodes of shortness of breath. You enter the room and Michelle G is dressed in work clothes, standing up looking at a health poster on the wall. You introduce yourself and ask her what brings her t...

NR603 Tension Headache vs Migraine Assignment NR603 Tension Headache vs Migraine Assignment Compare and Contrast Assignment: Migraine and Tension Headaches In this submission, I will compare and contrast migraine and tension headaches highlighting the similarities and differences in their onset of symptoms, associated risk factors, pathophysiology, assessment, diagnosis, and treatment. The term headache widely refers to a variety of conditions that affect the nervous system and cause pain i...

NR603 Delirium vs Dementia Assignment NR603 Delirium vs Dementia Assignment Hello Professor and Classmates, Delirium and Dementia Delirium is consider an acute disorder of attention, patients with this disorder will have the inability or disruption, which causes mental confusion making it difficult to think, remember, sleep and pay attention. This is seen relatively commonly in elderly people (Kukreja, Günther, & Popp, 2015). Delirium is a syndrome manifesting as an acute change in mental sta...

NR599 Week 8 Final Exam study Guide Ethical decision making This refers to the process of making informed choices about ethical dilemmas based on a set of standards differentiating right from wrong. Bioethical standards 1) autonomy-the right to choose for himself or herself 2) freedom3) veracity-right to truth 4) privacy-the right of privacy avoids conflict and promotes harmony 5) beneficence-actions performed that contribute to the welfare of others 6) fidelity-right to what has been promise...