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Nurs 204 Exam 2 Flashcards | StudBud
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Nurs 204 Exam 2
Nurs 204 Exam 2
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1
What is Clubbing
Nails greater than 160 degrees
Nails less than 40 degrees
Baseball Bat
Nails Less that 160 degrees
2
What do we consider when assessing someone from a different culture?
All of the above
Do they need interpreters
Diet
Beliefs
3
Why do we assess skin?
Tells us the underlying disease
We dont assess skin
Tells us a diagnosis
Captures the patients physical condition
4
What cranial nerve is assoicated with smelling?
CN lll
CN ll
CN lV
CN l
5
What are some things we assess for with the skin?
Warmth
Edema
Color
Lesions
6
2 main hormones of the thyroid gland
estrogen
calcitonin
triiodothyronine
thyroxine
7
What are you looking at when you tell your patient to pull their eyelids down?
pupils
conjunctiva
Astigmatism
cornea
8
What is the tongue punching?
palate
tonsils
uvula
gums
9
Do you palpate one or both sides of lymph nodes at the same time?
One side
Both sides
10
Nail assessment, What to look for?
Cleanliness
Ew, nails
Capillary refill
Translucent
11
What does ABCDE stand for?
Asymmetry, Border, Consistancy, Diameter, Evaluation
Asymmetry, Border, Color, Diameter, Elevation
Asymmetry, Border, Color, Degree, Evaluation
Assessment, Border, Consistancy, Diameter, Elevation
12
What are we palpating the ears for?
Pain
Masses
Crepitus
Tenderness
13
What is a Functional Assessment
Information from outsider
Holisitc health history
Objective data
Physcial assessment
14
2 sinuses that are palpable
ethmoid
maxillary
sphenoid
frontal
15
Patient has 3+ tonsils. Whats going on?
touching eachother
touching uvula
visible
halway between tonsillar pillar
16
What is this?
corneal reflex
snellen
accomodation
controntational
17
What does dysphagia mean?
bleeding gums
toothache
difficulty urinating
difficulty swallowing
18
Shape of normal thyroid?
bean shaped
square
butterfly
circular
19
What does this baby have?
red buccol mucosa
tooth loss
cleft lip and palate
substance abuse
20
Structures in the nose
turbinates
external nose
nasal cavity
septum
21
How many sets of lymph nodes are we palpating for?
10
7
9
8
22
What is pain?
always a 10/10
what the family members says it is
nonverbal signs of pain
what the patient says it is
23
What is Evidence based practice?
Random evidence
All of the above
What we can back up with research
Nothing Nursing wise
24
Nonverbal indicators of pain
flinching
grimacing
crying
tightening of jaw
25
Is the red reflex in an infant a good or bad thing?
Intact
Non intact
26
Normal color of our conjunctiva?
pale
purple
red
pink
27
What does the E stand for in PERRLA?
expected
equal
emerge
even
28
Causes of decreased skin turgor?
Age of the patient
Dehydration
Overhydration
All of the Above
29
What does the caring theory involve?
Preventing illness
Promoting and Restoring health
Not caring for the sick
Caring for the sick
30
What are some things we look for on skin lesions?
Color, Elevation
Pattern/Shape, Size(cm)
We dont assess lesions
Location
31
How do we look in an infants ears?
Pull pinna up
Pull pinna up and back
Pull pinna down and back
Pull pinna down
32
Why collect nursing research info?
Test knowledge through research
Expands nurse knowledge to meet health needs
Decreases knowledge
Not ever changing
33
What are the steps of nursing process?
Assessment, diagnosis, planning, ignoring, evaluation
Assessment, diagnosis, planning, implementation, evaluation
Ascultate, diagnosis, planning, implementation, evaluation
Assessment, diagnosis, praying, implementation, evaluation
34
We palpate both carotids at the same time for symmetry.
False
True
35
If a patient is yellow, What is the name for that?
Jaundice
Pallor
Cyanosis
Vitiligo
36
Risk factors that affect health?
genetics
age
gender
physiological factors
37
Skin changes of the older adult?
Skin breakdown
No changes
Elasticity, Sweat/ Subaceous glands
No wrinkles
38
What is an example of the caring theory?
Saying dont hit the call light
inerpersonal caring relationships
Not caring for the patient
Giving them attitude
39
You need a penlight for
Sinuses
Mouth
Eyes
Nose
40
Importance of Cultural Competence
Influences helath beliefs, health practice, and responce to treatment
We dont need to have cultural competence
Discourages health beliefs
Stereotyping
41
YOU GUYS ARE GOING TO DO AMAZING!!
YES.
oh i already know
yes maam
woooo woooo
42
What are the Assessment techniques
Inspect, Palpate, Percuss, Ascultate
Palpate, Asculatate, Percuss, Inspect
Inspect, Ascultate, Palpate Percuss
Inspect, Palpate, Percuss, Ascultate
43
If a patient has blue finger tips, what do we call it?
Erythema
Jaundice
Cyanosis
Pallor
