Exam (elaborations)
NURS 6512 Final Exam Review UPDATED ALREADY PASSED
- Course
- Institution
NURS 6512 Final Exam Review UPDATED ALREADY PASSED
[Show more]
Content preview
NURS 6512 Final Exam ReviewExamination Findings of a child with Kawasaki disease - correct answer ✔✔Fever, Conjunctival Injection,
Strawberry Tongue, and Edema of the Hands and Feet.
Lymphadenopathy and Polymorphous Nonvesicular Rashes.
Peripheral Edema - correct answer ✔✔Grading:
1+ Slight Pitting, no visible distortion, disappears rapidly.
2+ A Somewhat Deeper Pit than in 12+, but again no readily detectable distortion, disappears in 10-15
seconds.
3+ Noticeably Deep Pit that may last more than a minute; dependent extremity looks fuller and swollen.
4+ Very Deep Pit that lasts as long as 2-5 min; dependent extremity is grossly distorted.
Ammonia in breath odor - correct answer ✔✔Uremia (ammonia)
Grading of Pulses - correct answer ✔✔4+ Bounding
3+ Full, Increased
2+ Expected
1+ Diminished, barely palpable
0 Absent, not palpable
Acute Limb Ischemia (ALI) - correct answer ✔✔Stage I - Viable - No sensory impairment - No motor
impairment - Audible Arterial Doppler Signal - Audible Venous Dopler Signal
Stage IIa - Marginally Threatened - Minimal Sensory Impairment - No Motor Impairment - Often
inaudible Arterial Doppler Signal - Audible Venous Doppler Signal
Stage IIb - Immediately Threatened - Rest Pain Sensory Impairment - Mild to moderate Motor
Impairment - Inaudible Arterial Doppler Signal - Audible Venous Doppler Signal
Stage III - Irreversible - Anesthetic Sensory Impairment - Paralytic/rigor Motor Impairment - Inaudible
Arterial Doppler Signal - Inaudible Venous Doppler Signal
, Assessment for Peripheral Arterial Disease - correct answer ✔✔Site of Pain is Distal to the Narrowing.
Note:
Pulses (strong, weak or possibly absent)
Possible systolic bruits over the arteries that may extend through diastole.
Loss of expected body warmth.
Localized pallor and cyanosis.
Collapsed superficial veins, with delay in venous filling.
Thin, atrophied skin; muscle atrophy.
Varicosity Findings In Pregnant Women - correct answer ✔✔With increasing cardiac output beginning in
the 1st trimester, the pulse may be more easily palpated, with an abrupt rise and rapid fall. With
increasing blood volume in the second trimester, jugular a and v waves may be easier to see. JVP should
remain normal. Peripheral edema is a common finding as the pregnancy progresses. Varicose veins can
develop during pregnancy and in the postpartum period.
Heart Sounds - correct answer ✔✔S1 - Closure of the mitral and tricuspid (AV) Valves, indicates the
beginning of systole. Best heard toward the apex.
S2 - Closure of the aortic and pulmonic (semilunar) Valves, indicates the end of systole. Best heard in the
aortic and pulmonic areas. Higher pitch and shorter duration.
S3 - Best heard when the patient is in the left lateral decubitus (recumbent) position. Ventricular Gallup -
Ken-Tuck-Y
S4 - Most commonly heard in the older patients, but may be heard at any age when there is increased
resistance to filling because the ventricular walls have lost compliance. Atrial Gallup - Ten-nes-see
Examination Technique for the Apical Pulse - correct answer ✔✔PMI Point of Maximal Impulse typically
noted at the left 5th intercostal space, midclavicular line in adults, and 4th intercostal space medial to
the nipple in children.
If the apical impulse is more vigorous than expected, characterize it as a "heave" or "lift." Pg 337
Grading of Heart Murmurs - correct answer ✔✔Grade I - Barely audible in quiet room
Grade II - Quiet but clearly audible
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller BravelRadon. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
85443 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now