Exam (elaborations)
nursing 125 midterm questions with complete solutions
- Course
- Nursing 125
- Institution
- University Of Florida
nursing 125 midterm questions with complete solutions
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nursing 125 midterm questions with complete solutionsABCDEs of melanoma Correct Answers asymmetry
border (irregularity)
colour (multicoloured, black blue)
diameter (more than 6mm)
evolution
acute general survey findings Correct Answers anxiety, acute
distress, pallor, cyanosis, change in mental status
acute head and neck findings Correct Answers facial or head
lacs will need stitches, irregular lymph nodes could be cancer,
thyroid storm
acute head injuries Correct Answers require prompt and
accurate assessment, stabilization and immobilization.
acute neck pain Correct Answers 60% is muscle damage. if
fever and headache and stiff neck, may be meningitis. must rule
out cardiac causes.
acute nose and throat findings Correct Answers -severe arterial
nosebleeds
- trauma
- difficulty swallowing, throat swelling, jaw pain
- ludwig's angina (swelling in mouth after dental work)
- airway compromise
- abrupt loss of smell (head injury, stroke)
,acute pain Correct Answers result of tissue damage with an
easily identifiable cause. it is intense, localized, and has a
protective function
acute vital signs findings Correct Answers acute change,
stridor, resp <10 or >32, increased effort to breathe, O2 sats <92,
pulse <55 or >120, systolic BP <100 or >170, temperature <35
or >39.5, new chest pain, agitation, restlessness
best areas to look for pallor or cyanosis Correct Answers
tongue, lips, nail beds, buccal mucosa
blood pressure Correct Answers measure of force exerted by
blood flow on arterial walls
blood pressure cuff size Correct Answers cuff bladder length
should be 80% of arm circumference, width 40%.
braden scale Correct Answers used to predict the risk of
pressure ulcers. measures mobility, nutrition, friction, moisture,
sensory perception. score should be over 16. 16 or less indicates
a risk of pressure ulcers.
cerebellum motor function Correct Answers coordinates
ipsilateral (same side) movements
cerebral cortex motor function Correct Answers initiates
contralateral (opposite side) voluntary movements
chief concern Correct Answers reason for seeking care
,chronic pain Correct Answers lasts 3+ months. not always
protective. may start as acute, may continue for life. starts slow,
builds gradually. may not have identifiable cause. can become
more severe due to changes in how the body transmits the pain
signal
clinical judgement Correct Answers an interpretation or
conclusion about a patient's needs, concerns, or health problems,
and/or the decision to take action (or not), and the decision of
what action to take
clinical reasoning Correct Answers process by which nurses
make a clinical judgement. nurses collect and cluster data, draw
inferences as to what the health issue is, determine a diagnosis
that fits and compare patient data to the requirements for that
diagnosis
clonus Correct Answers rapidly alternating involuntary flexion
and extension of a muscle in response to continuous muscle
stretch
common ear signs and symptoms Correct Answers - hearing
loss
- vertigo
- tinnitus
- ear pain
- discharge
common eye signs and symptoms Correct Answers -eye pain
- trauma/ surgery
- vision changes
, - blind spots, floaters, halos
- discharge, redness, inflammation
- light sensitivity
- change in ADLs (could be sensory deficit vision problems)
- in kids - headaches, squinting, doing bad in school, cross eyed,
clumsiness
common head and neck symptoms Correct Answers headache
neck pain
limited movement
facial pain
lumps or masses
thyroid conditions
common neuro signs and symptoms Correct Answers -cranial
nerve deficits
- headache
- photophobia
- changes in LOC
- dizziness
- alterations in sensation or motor function
- diminished spinal reflexes
common nose and throat signs and symptoms Correct Answers
facial pressure/pain/
headache
▪ snoring/sleep apnea/
obstructed breathing
▪ nasal congestion
▪ epistaxis (nose-bleeds)
▪ halitosis (bad breath)
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