NR 509 final exam review Updated, Exams of Nursing

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final exam review

Do not Rely Soley on this power point for your Studies. I hope you have your own studying done as well.

Assessing from Head

to Toe

● Think about which order you will be assessing your patient from head to toe ●Start by inspecting- you will inspect your patient head/face ● Then palpating lymph nodes ●Ascultating lung sounds and heart sounds ● Percussing abdomen ● And assess patient’s gait

OLD CART

● Onset ● Location ● Duration ● Characteristic ● Aggravating factors ● Relieving factors ● Treatment

Subarachnoid

Hemorrhage

● Severe and Sudden “worst headache of my life” ●Nausea and Vomiting can be present

Cranial Nerve X

● Vagus nerve ●Used to assess when you touch the soft palate and view uvula

Signs of Otitis

Externa (swimmers

Ear)

●Painful movement of the auricle and tragus (page 245) ● Review fig 7-

Physical Signs of Meningitis (pg

765)

●Neck stiffness with resistance of flexion. Won’t be able to touch chin to chest

Red flags for

Headaches (pg 216)

● Progressively frequent or severe over 3 month period ● New onset after 50 ●Aggravated or relieved by change in position ● Recent head trauma

Labs to check with Vitiligo (pg

191)

●Thyroid panel: TSH, free T and Free T4, CBC

Pregnancies and

C- sections

● C-sections should be listed under surgery in the patients history

Preservation (162)

●Patient uses words repeatedly. Using words or phrases repeatedly often seen in schizophrenia

Erectile Dysfunction

●Older men in their late 40s that experience ED is usually psychological rather than testosterone.

Tanner Staging of breasts

in females (897)

● Stage 1: preadolescents-elevation of nipple ● Stage 2: Breast bud stage- elevation of breast and nipple as a small mound. ● Stage 3: further enlargement of elevation of breast and areola ● Stage 4: projection of areola and nipple for a secondary mound above the level of the breast ● Stage 5: mature stage- projection of nipple only.

HPV vaccine (page 577 and

578)

●Prevents infection from subtypes 16 and 18.

Measuring tape when measuring uterus in a pregnant woman pg 944 ●Place tape measure on pubic symphysis and place zero end of tape, when you can firm feel the bone. ●Extend the tape measure to the very top of the uterine fundus and note the number of cm measured. ●The number should equal the number of weeks of gestation

Bounding pulse (pg 522)

● Bounding meaning 2+ ● On a scale 0-

Tanner Staging

● Females: p. 897 ● Stage 1: preadolescent (elevation of nipple only) ●Stage 2: breast bud stage (elevation of breast and nipple as a small mound; enlargement of areolar diameter ● Stage 3: further enlargement of elevation of breast and areola; no contour separation ● Stage 4: projection of areola and nipple to form a second mound above the level of the breast ● Stage 5: mature stage (projection of nipple only; areola has receded to general contour of the breast)

Bacterial Vaginosis-

●Discharge: Gray or white, thin, homogeneous, scant, malodorous Other Symptoms: Fishy genital odor Vulva: Usually normal Vagina: Usually normal ●Laboratory Assessment: Saline wet mount for “clue cells,” “whiff test” with KOH for fishy odor

Candida vaginitis

Discharge

●White, curdy, often thick, not malodorous Other Symptoms: Itching, vaginal soreness, external dysuria, dyspareunia Vulva: Often red and swollen Vagina: Often red with white patches of discharge Laboratory Assessment: KOH preparation for branching

hyphae

Erectile Dysfunction

●May be a from psychogenic causes, especially if early morning erection is preserved; it may also reflect decreased testosterone, decreased blood flow in the hypogastric arterial system, impaired neural innervation, and diabetes.

Rovsing sign:

●pain in the RLQ during left sided pressure

Diverticulitis-

●Inflammation of the diverticula. Left lower quadrant pain, especially with a palpable mass. Deep palpation is usually required to delineate the liver edge, the kidneys, and abdominal masses. The pain may be cramping at first, then steady.

what are absence seizures ● A sudden brief lapse of consciousness, with momentary blinking, staring, or movements of the lips and hands but no falling. ● Two subtypes are typical absence (lasts less than 10 sec and stops abruptly) ● And atypical absence (may last more than 10 sec). ● Post ictal state: no aura recalled. In typical absence, there is a prompt return to normal and in atypical there might be some postictal confusion.

signs of

increased

intracranial

pressure

● Papilledema of the optic disc  elevated ICP causes intraaxonal edema along the optic nerve leading to engorgement and swelling on the optic disc ◦ pink, hyperemic, loss of venous pulsations, disc more visible, disc swollen with blurred margins, physiologic cup not visible) ●Headache, blurred vision, feeling less alert than usual, vomiting, changes in ●behavior, weakness or problems with moving or talking, lack of energy or sleepiness ●