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2024 NUR 2180 MOD 3 EXAM WITH CORRECT ANSWERS
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2024 NUR 2180 MOD 3 EXAM WITH CORRECT ANSWERS
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2024 NUR 2180 MOD 3 EXAMWITH CORRECT ANSWERS
Why do we use functional assessments and what do they tell us? - CORRECT-
ANSWERSWe use it to assess persons ability to accomplish skills, to
determine optimal living situation (ex: no ADL's maybe SNF)
Define ADL's - CORRECT-ANSWERSbasic daily tasks of fundamental living,
such as toileting or grooming
Define IADL's - CORRECT-ANSWERSMore complex tasks that allow someone
to live independently, such as grocery shopping or cleaning or paying bills
Define Edema - CORRECT-ANSWERSedema is excess fluid/swelling
How do we describe and chart edema? - CORRECT-ANSWERSWe have pitting
edema grading
1+ mild/slight indentation
2+ moderate indentation
3+deep indentation, looks swollen takes 30 seconds to come back
4+very deep, cankles, takes like a minute to come back up after pressing
What do we inspect and palpate on the nails? - CORRECT-ANSWERSShape,
nail biting, jagged nails, chronically dirty, clubbing, capillary refill
What is clubbing, why does it happen and what does it indicate? - CORRECT-
ANSWERSWhen nails kind of club or bend over. Happens when O2 chronically
low. Could indicate someone has COPD, or is a smoker.
For Musculoskeletal: what is considered subjective information? - CORRECT-
ANSWERSJoint pain/stiffness/swelling
heat
redness/limitation of moving
muscle pain/weakness
bone pain
deformity
Trauma
Functional assessment
For Musculoskeletal what is considered objective? - CORRECT-ANSWERSROM
, Active vs. Passive
Charting: Full ROM or limited/ decreased ROM
Inspect (ROM and spinal alignment)
Palpate (muscle strength testing)
Skin assessment - Charting
subjective or objective? Normal or abnormal?
"No hx of skin disease, no present change in pigmentation or nevi, no
pruiritus, bruising, rash or lesion. On no meds, no work related skin hazards,
uses SPF 30" - CORRECT-ANSWERSSubjective
Normal
Skin assessment- charting
Normal or abnormal?
Objective or subjective?
"Skin: color tan-pink, even pigmentation with no suspicious nevi. Warm to
touch, dry, smooth, and even. Turgor good, no lesions
Hair: even distribution, thick texture, no lesions or pests inhabitants
Nails: no clubbing or deformities, nail bends pink with prompt capillary refill."
- CORRECT-ANSWERSObjective
Normal
Skin Assessment - charting
subjective or objective
normal or not normal ?
"Tingling, itching and severe pain on right flank for 4 days, pain does not
radiate. reports having a "weird rash" that developed this morning -
CORRECT-ANSWERSSubjective
abnormal
Skin assessment - charting
Subjective or objective?
Normal or abnormal?
"temp 98.4, pulse 89 bpm, resp 18/min BP 116 or 72 mm Hg
skin: zosteriform rash on right flank, approx 7 cm long. Some vesicles intact.
others eroded likely from scratching. Surrounding skin red. Left flank has
intact skin with no lesions" - CORRECT-ANSWERSObjective
Abnormal
What types of questions are asked on functional assessment tools? -
CORRECT-ANSWERSS- self esteem : education, finance
A-activity (ADL's )
S-Sleep
S- Spiritual resources:
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