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330: HA exam 2 part 1 Flashcards | StudBud
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330: HA exam 2 part 1
330: HA exam 2 part 1
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1
when percussing the spleen, its noted to be toward the midline. What is the nurses findings?
enlarged
normal
2
poor skin turgor may be reflection of loss of ________ rather than dehydration
colagen
muscle
3
______________ migraines should have a full history, physical, and head CT monthly
new onset of
recurrent
4
patient is about to obtain arterial line in the radial artery prior to surgery. What is the test before the art line?
Allens test
balance test
phalens test
tinsel test
5
MVC pt comes to ER with possible neck injury, what is the worst action for the nurse to do?
maintain patient on blackboard
assess sensation in BUE and BLE
place patient in c-collar
transfer off stretcher on to a hospital bed
6
You notice the pt has half white and distal half pink/brown nails. What does these findings indicate?
Clubbing
Longitudinal ridging
chronic renal failure
anemia
7
How would a nurse assess recent burn skin injury?
Wallace rule of 9
branden scale
Wagners classification scale
8
positive psoas sign seen in which patient
actue gallblader
appendicitis
pancreatitis
9
Hyperthyroid labs have low TSH and ______ T3/T4
low
high
10
A B C of moles assent include all
expect
collagen
boarders
asymmetry
11
slow healing wound above the ankle is:
arterial ulcer
pressure ulcer
venous ulcer
cellulitis
12
adult pt complains of calf cramping while walking around the block. What is this a sign of?
venous insufficiency
arterial insufficiency
arterial occlusion
13
which organ is not included in the immune system
adrenal glands
tonsils
spleen
lymph nodes
14
vesicle rash that follows the dermatone
shingles
poison ivy
limes disease
15
peds pt recently diagnosed with impetigo, what would you expect to find in your assessment?
diffuse vesicles
yellow honey colored curated lesions
brownish macules
16
patient comes to the ER with complained of abdominal pain. What is the RNs 1st action?
call the surgeon
ordinal CT
focused assessment
17
hypothyroidism: high TSH and ______ T3/T4
low
high
18
Varicose Veins are rope like veins most comply found in the _________
legs
abdomen
19
what tool do you use for evaluate pressure wounds?
morse risk scale
snellen exam
braden scale
20
patient highest risk for a PE (pulmonary embolism)
s/p orthopedic surgery
recent DVT
smoker of 40 pack year