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NR 509 midterm Exam/74 Questions and Answers/100% Scores
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NR 509 midterm Exam/74 Questionsand Answers/100% Scores
Cause of saddle numbness and urinary retention - -Cauda equina syndrome
-Presentation of retinal detachment - -If sudden visual loss is unilateral and
painless,
-Obtunded - -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 - -CN6: Abducens
-Adult Illnesses - -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 - -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 - -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 - -Itching, watery eyes, sneezing, ear congestion,
postnasal drainage
-Presentation of optic neuritis - -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 - -Multiple round to oval scaling violaceous plaques on
abdomen and back
, -Acromion - -tip of shoulder
-What to do for + finding on physical exam, but - workup - -continue using
test, but less lab and diagnostics
-Cause of falsely high BP - --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 - --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 - -yellow sclera
-how do get a patient to open up when upset - -effective reassurance is
simply identifying and acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
-s/s of degenerative pain - --Slowly progressive, with temporary
exacerbations after periods of overuse
-usually insidious
- flexion and deviation deformities
-How otosclerosis presents with Weber and Rinne test - -- 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 - -Benign
-Interpreting visual acuity test - -Vision of 20/200 means that at 20 feet the
patient can read print 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).
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