Exam (elaborations)
NR 509 MIDTERM EXAM STUDY GUIDE (Summarized) CHAMBERLAIN UNIVERSITY
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NR 509 MIDTERM EXAM STUDY GUIDE (Summarized) CHAMBERLAIN UNIVERSITY
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NR 509 MIDTERM EXAM STUDY GUIDE(Summarized) CHAMBERLAIN UNIVERSITY
Making a pelvic exam more comfortable
✔✔Obtains permission; selects chaperone Explains each step of the
examination in advance
Drapes the patient from mid-abdomen to knees; depresses the drape
between the knees to provide eye contact with patient
Avoids unexpected or sudden movements
Chooses a speculum that is the correct size
Warms the speculum with tap water Monitors the comfort of the
examination by watching the patient's face
Uses excellent but gentle technique, especially when inserting the
speculum
if one patient comes from another country
✔✔You still need to be selective in who you screen for malaria
Signs of increased ICP
✔✔Papilledema ( pink, hyperemic, loss of venous pulsations, disc more
visible, disc swollen with blurred margins, physiologic cup not visible)
signs of respiratory distress
✔✔Tachypnea, cyanosis or pallor, audible whistling during inspiration
over neck or lungs, stridor, use of accessory muscles,
objective information
✔✔Vitals, info you detect during examination, physical exam findings
, Signs of otitis externa
✔✔-After swimming
- inflammation of the ear canal
-pain, itching, redness, swelling, hearing loss
Symptoms of pneumonia
✔✔- fever
-may have normal VS
- dim lung sounds or crackles
- dull percussion
-tachypnea
-nasal flaring
signs of meningitis
✔✔neck stiffness with resistance to flexion
signs of asthma
✔✔wheezes
absent breath sounds & abnormal retraction (severe asthma)
hyperresonance
Acanthosis nigricans
✔✔deeply pigmented, velvety axillary skin in the axilla
-associated with diabetes, obesity, PCOS, and rarely malignant
paraneoplastic disorders
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