N190 Final Exam complete latest update
The different types of assessment techniques? - answers
Which technique should the nurse use initially for each specific assessment? - answers
Assessment technique to illicit a diaphragmatic excursion? - answers
Technique use...
which technique should the nurse use initially for
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N190 Final Exam complete latest update
The different types of assessment techniques? - answers Inspection
Palpation
Percussion
Auscultation
Which technique should the nurse use initially for each specific assessment? - answers
Inspection
Assessment technique to illicit a diaphragmatic excursion? - answers Percussion
Technique used to listen to heart sounds? - answers Auscultation
Technique used to listen to crepitus who sustained a chest injury? - answers Palpation
What is the technique used to assess distended bladder? - answers Direct percussion
What is the technique used to assess sinus infection? - answers Direct Percussion
What is the technique used for percussion of the lungs? - answers Indirect Percussion
Identify the most common equipment used in the clinical area
Goniometer
Doppler
Wood lamp
Skin fold caliper
Transilluminator
Stabio
Stethoscope
Ophthalmoscope - answers Goniometer: measure the degree of joint extension and
flexion
Doppler: Asses non palpable pulses
Wood lamp: presence of fungal infection of skin
,Skinfold Caliper: Measure thickness of subcutaneous tissue
Transilluminator: Use to detect blood, solid or fluid or mass in body cavities
Stabio meter: Height of pt.
Stethoscope, penlight
Ophthalmoscope: red reflex
Grading for pulses - answers 0 : absent
1+: weak thready
2+: normal
3+: brisk
4+: bounding
Location of pulses - answers Popliteal : behind the knees
Femoral: inguinal area
What part of your hand do you use to assess skin temperature? - answers Dorsal part
of hand
What part of your hand do you use to use percussion? - answers Tip of middle finger
Identify different types of lesions
Annular
Target
Dicerete
Confluent
Linear
Grouped - answers Annular: one circle
Target: concentric circles (more than one circle of color)
Discrete: separated
Confluent: runs together
Linear: form a line
Grouped: Together
Wheal lesion - answers Lesion caused by insect bite or hive
redden irregular border
Vesicle - answers Elevated lesion round or oval filled with clear fluid
, Smaller vesicle vs bulla
Bulla Lesion - answers Larger vesicle
More than 0.5 cm
How do you grade edema - answers 0: no edema
1+: 2mm
2+: 4mm
3+: 6mm
4+: 8mm
Cranial Nerves - answers I: olfactory : 2 senses
II: optic : Snellen Chart
III: oculomotor : PERRLA and Cardinal field of gaze
VIII: vestibulocochlear : Whisper test and Rombergs test
IX: glossopharyngeal: Hold trachea, swallow, tongue depressor
X: vagus: Swallow and repeat phrase
XI: accessory : Move shoulders up and down with and without resistance
XII: hypoglossal: Stick tongue out, side to side, up and down
10 Lymph nodes - answers 1. Periauricular: in front of ear
2. Postauricular: back of ear
3. Occipital: behind head
4. Sub mental: under front chin
5. Submandibular: under side of jaw
6. Retropharyngeal or tonsillar: under upper part of jaw
7: Superficial cervical chain: front of sternocleidmastoid
8. Deep cervical chain: deep in the sternocleidomastoid muscle
9. Posterior cervical chain: behind sternocleidomastoid
10. Supraclavicular: above clavicle
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