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NR 509 midterm Exam Latest 2024 with 100% Verified Questions and Answers
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NR 509 midterm Exam Latest 2024 with 100% Verified Questions and Answers
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NR509
midterm
Cause
of
saddle
numbness
and
urinary
retention
-
ANS
Cauda
equina
syndrome
Presentation
of
retinal
detachment
-
ANS
If
sudden
visual
loss
is
unilateral
and
painless,
Obtunded
-
ANS
patient
opens
the
eyes
and
looks
at
you
but
responds
slowly
and
is
somewhat
confused.
Alertness
and
interest
in
the
environment
are
decreased.
Cranial
nerve
for
lateral
gaze
-
ANS
CN6:
Abducens
Adult
Illnesses
-
ANS
Medical:
Illnesses
such
as
diabetes,
hypertension,
hepatitis,
asthma,
and
human
immunodeficiency
virus
(HIV);
hospitalizations;
number
and
gender
of
sexual
partners;
and
risk-taking
sexual
practices
■
Surgical:
Dates,
indications,
and
types
of
operations
■
Obstetric/Gynecologic:
Obstetric
history,
menstrual
history,
methods
of
contraception,
and
sexual
function
■
Psychiatric:
Illness
and
time
frame,
diagnoses,
hospitalizations,
and
treatments
Present
Illness
-
ANS
chronologic
description
of
the
problems
prompting
the
patient's
visit,
including
the
onset
of
the
problem,
the
setting
in
which
it
developed,
its
manifestations,
and
any
treatments
to
date.Each
problem/symptom
needs:
(1)
location;
(2)
quality;
(3)
quantity
or
severity;
(4)
timing,
including
onset,
duration,
and
frequency;
(5)
the
setting
in
which
it
occurs;
(6)
factors
that
have
aggravated
-meds,
allergies,
tobacco
use,
ETOH
and
drug
use
Absence
of
red
reflex
-
ANS
an
opacity
of
the
lens
(cataract)
or,
possibly,
the
vitreous
(or
even
an
artificial
eye).
Less
commonly,
a
detached
retina
or,
in
children,
a
retinoblastoma
may
obscure
this
reflex.
S/S
of
seasonal
allergies
-
ANS
Itching,
watery
eyes,
sneezing,
ear
congestion,
postnasal
drainage
Presentation
of
optic
neuritis
-
ANS
Enlarged
blind
spot,
vision
loss
in
1
eye,
loss
of
color
vision,
hole
in
center
of
vision,
trouble
seeing
to
the
side,
eye
pain
pityriasis
rosea
-
ANS
Multiple
round
to
oval
scaling
violaceous
plaques
on
abdomen
and
back
Acromion
-
ANS
tip
of
shoulder What
to
do
for
+
finding
on
physical
exam,
but
-
workup
-
ANS
continue
using
test,
but
less
lab
and
diagnostics
Cause
of
falsely
high
BP
-
ANS
-too
small
of
a
BP
cuff
-
if
the
brachial
artery
is
below
heart
level
-
loose
cuff
-
bladder
that
balloons
outside
the
cuff
Check
for
nystagmus
-
ANS
-involuntary
jerking
movement
of
the
eyes
with
quick
and
slow
components.
-
It
is
named
for
the
direction
of
the
quick
component
-
seen
in
cerebellar
disease
and
vestibular
disorders
and
in
internuclear
ophthalmoplegia
Jaundice
-
ANS
yellow
sclera
how
do
get
a
patient
to
open
up
when
upset
-
ANS
effective
reassurance
is
simply
identifying
and
acknowledging
the
patient's
feelings.
-Partnering
-Summarizing
-Transitions
-
Empowering
the
pt
s/s
of
degenerative
pain
-
ANS
-Slowly
progressive,
with
temporary
exacerbations
after
periods
of
overuse
-usually
insidious
-
flexion
and
deviation
deformities
How
otosclerosis
presents
with
Weber
and
Rinne
test
-
ANS
-
Weber:
Sound
lateralizes
to
impaired
ear.
Room
noise
not
well
heard,
so
detection
of
vibrations
improves
-
Rinne:
BC
longer
than
or
equal
to
AC.
While
air
conduction
through
the
external
or
middle
ear
is
impaired,
vibrations
through
bone
bypass
the
problem
to
reach
the
cochlea.
Cherry
angiomas
-
ANS
Benign
Interpreting
visual
acuity
test
-
ANS
Vision
of
20/200
means
that
at
20
feet
the
patient
can
read
that
a
person
with
normal
vision
could
read
at
200
feet.
The
larger
the
second
number,
the
worse
the
vision.
"20/40
corrected"
means
the
patient
could
read
the
20/40
line
with
glasses
(a
correction).
Sequence
of
the
interview
-
ANS
Preparation.
Then,
Greeting
the
patient
and
establishing
rapport.
Establishing
the
agenda
for
the
interview.
Inviting
the
patient's
story.
Exploring
the
patient's
perspective.
Identifying
and
responding
to
emotional
cues.
Expand-ing
and
clarifying
the
patient's
story.
Generating
and
testing
diagnostic
hypotheses.
Sharing
the
treatment
plan.
Closing
the
interview
and
the
visit.
Taking
time
for
self-reflection.
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