Download NUR2356 MODULE 04 2026 CERTIFICATION EVALUATION SOLVED CONTENT and more Exams Nursing in PDF only on Docsity!
NUR2356 MODULE 04 2026 CERTIFICATION
EVALUATION SOLVED CONTENT
โ Symptoms. Answer: Evidence of illness or injury is verbalize by the patient, findings are subjective, not directly measurable โ Otoscope. Answer: Lighted instrument used to inspect the lining of the nose, lymphatic membranes, and ear canal โ Ophthalmoscope. Answer: Lighted instrument used to assess or examine the internal structures of the eyes โ Palpation. Answer: Application of your hands to the external surfaces of the body to detect abnormalities of skin or tissue line below the skin. Examined by touch or feel โ Percussion. Answer: Striking body parts with the tip of the fingers โ Auscultation. Answer: Listening to the sounds produced by the body
โ Eructation. Answer: Sounds heard by the naked ear, such as belching, passing of flatus or rectal gas; loud wheezing or gurgling and loud bowel sounds โ Halitosis. Answer: Patient with bad breath, poor oral hygiene, a sinus infection, or gastric upset โ Lethargy. Answer: Drowsiness or mental sluggishness โ Jaundice. Answer: Yellowing of the eyes or skin resulting from excessive blood levels of bilirubin โ Ptosis. Answer: Drooping of the eyelids โ Consensual reflex. Answer: Rapidly constrict simultaneously and equally, consensual response โ Accommodation response. Answer: Measures that I muscles ability to focus on an image up close and in the distance โ Perla. Answer: Pupils equal and reactive to light and accommodation
โ Wheezes. Answer: Continuous melodious, musical, or whistling sounds โ Stridor. Answer: Heard with or without a stethoscope and is a sign of life threatening upper airway obstruction caused by foreign body, tumor, swelling or bronchial spasms โ Peristalsis. Answer: Wavelike muscular contractions of the intestines that move intestinal continents through alimentary canal, where absorption of nutrients and water take place, toward the rectum for illumination โ Guarding. Answer: Defense mechanism of tightening of the abdominal muscles to prevent compression of tender or inflamed areas โ Paresthesia. Answer: Assesses for numbness and decrease in sensation. Some type of nerve impairment, commonly seen as a complication of diabetes and as a result of a stroke โ Solar lentigines. Answer: Yellowish brown discoloration caused by years of sun exposure
โ Turgor. Answer: Elasticity, indicator of hydration level in all ages of patients except elders โ Complete blood cell count CBC. Answer: Measures the number of leukocytes, or white blood cells; erythrocytes, red blood cells; and thrombocytes, or PLT โ Differential. Answer: Breakdown of the total white blood cells into percentages of the five types of white cells โ Left shift. Answer: Elevation of slightly immature neutrophils, called bands, indicate bacterial infection โ Right shift. Answer: Elevation of lymphocytes, indicator of viral infection โ Complete metabolic panel. Answer: Specific grouping of blood chemistry test in which 8 or 14 respective test are done โ Glycosylated hemoglobin (A1c). Answer: Measurement of hemoglobin that has become bound with glucose โ Glomerular filtration rate GFR. Answer: Measures the volume of urine, in millimeters, that is filtrated by the kidneys in one minute
โ Ultrasonography. Answer: Ultrasound waves are used to produce images of organs and tissues that can be recorded and printed โ Echocardiogram. Answer: Ultrasonography of the heart โ Esophagogastroduodenoscopy EGD. Answer: Flexible scope is inserted through the mouth, down the esophagus, through the stomach, and into the upper duodenum, allowing visualization of the lining of each โ Colonoscopy. Answer: Flexible endoscope inserted via the rectum into the colon and terminal ileum, allowing the physician to visualize for abnormalities like polyps, ulcerations and tumors โ Electrocardiography EKG or ECG. Answer: Six electrodes to specific locations on the chest wall and four electrodes applied to the four extremities to graphically records electrical activity through the heart electrical conduct in pathway โ Electroencephalography EEG. Answer: Electrodes places on scalp and record the electrical activity of the brain (brain waves) โ Barium enema. Answer: Test, barium is instilled rectally for radiographic visualization of large intestine to see shape and abnormalities
โ Bone marrow aspiration. Answer: Under anesthetic, sample of marrow is removed from the sternum, tibia, or iliac crest by needle aspiration for evaluating of blood cell production โ Intravenous pyelogram. Answer: Test, iodine based dye injected intravenously, take x-ray of the kidney parenchyma, pelvis, calyces, ureters and bladder โ Lumbar puncture. Answer: Insertion of spinal needle to obtain is cerebral spinal fluid sample to culture for organisms and to measure the cerebral fluid pressure โ Oral glucose tolerance test. Answer: Diagnose diabetes mellitus or hypoglycemia โ Thoracentesis. Answer: Test, under local anesthetic, a needle is inserted through the chest wall into the plural space to remove excess fluid for diagnostic purposes or decreased respiratory distress due to excess fluid โ Paracentesis. Answer: Test perform to drain ascites, which is the accumulation of fluid in the abdominal cavity
โ Dementia. Answer: Decrease in intellectual functioning eventually resulting in the inability to care for oneself โ Alzheimer's disease. Answer: type of dementia associated with aging and his diagnosis is based on symptoms because a definitive diagnosis can only be made in autopsy of the brain โ Cataracts. Answer: Lens of the eye becomes cloudy, or opaque, causing visual blurring โ Glaucoma. Answer: And I disease characterized by increased intraocular pressure, affects the optic nerve and can lead to blindness โ Age related macular degeneration. Answer: Just direction of the area and the right near where the optic nerve attaches, leading to loss of central vision โ Geri-chair. Answer: Recliner with side arms, a lap belt, and wheels so that it can be navigated through the hallways โ Myocardial infarction. Answer: Heart attack
โ Resident. Answer: Preferred term when referring to an individual within a long-term care facility โ Purposes of physical assessment. Answer: โ Assessment techniques. Answer: Interview Inspection Percussion Auscultation Palpation Olfaction โ Integumentary system aging affects. Answer: Skin cell decreases, oil/sweat glands become less active, circulation decreases, hair loss and color, elastic and dry reduces, itching, dark yellow/brown colored spots, sensitivity to temperature, nails become thick/tough/brittle, wrinkles, fatty tissue layer diminishes โ Neurological system aging affects. Answer: Slowed reflexes, inability to process info, decrease in alertness, awareness, orientation, hallucinations, illusions, dementia, difficulty with communication, blood flow to brain decreases, loss of brain cells resulting in thinking, reacting, remembering, interpreting. Taste, smell, vision and hearing are diminished, nerve endings less sensitive, inability to respond to pain, affect appetite
โ Psychological problems/elder abuse. Answer: Fear of dying, loss/grief of friends/family, safety concerns/scam/crimes, abuse by caregivers, financial concerns, physical, verbal, psychological, sexual abuse โ Meeting needs in long term care. Answer: Resident versus patient, resident rooms, personal tire, personal care/safety, nutrition/hydration, illumination/toileting, immobility, activity/entertainment โ Special consideration when assessing elders. Answer: Patient holistically, extra attention to safety, modify session times, have family member present to help with health history โ Polypharmacy in elders. Answer: Reason for taking each medication, dose of each medication, how often, when and how, safety precautions, effectiveness, side effects and interactions of medications โ Nursing responsibilities/examination and test. Answer: No physician order, occasionally scheduling test/procedure, educating patient regarding process, written consent is obtained, when to withhold food and fluids, preparing patient, obtaining specimen/delivering specimens to laboratory, Monitor post test
condition, we are sure/support patient, notify physician of abnormality results, monitor complications โ Five positions use during test/examination. Answer: Laboratory test Radiology and imaging tests and procedures Ultrasonography Endoscopic examination Graphic recording test โ 2 test for renal function. Answer: Urinalysis evaluate sample of urine, urea nitrogen balance shows how well kidneys are working โ 3 diagnostic test relating to nutrition. Answer: Esophagogastroduodenoscopy Complete blood count Total protein โ 3 diagnostic test evaluating liver function. Answer: Aspirated aminotransferase Albumin Alanine transaminase
Peripheral vascular resistance/elastic recoil ability of blood vessel walls โ Factors affecting BP, pulse rate and respiration. Answer: Age, race, obesity, exercise, hydration, anxiety, medications, illness, hemorrhagic, nicotine/caffeine, circadian rhythm โ Health conditions affecting vital signs. Answer: Hypertension, shock, infection, COPD, hemorrhage, congestive heart failure, arteriosclerosis โ Nursing interventions with vital signs. Answer: Elevated temp, newly identified bounding pulse with elevated BP, slowing post and rising BP in patient with her injury, vital signs that are significantly different than last reading โ
