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Nurs 550- Health Assessment midterm 2024/2025 verified Solution
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Nurs 550- Health Assessment midterm 2024/2025 verified Solution
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Passed!!2024/2025
Nurs 550- Health Assessment
midterm
focus exam consists of? chief complaint (CC), history of present illness (HPI),
allergies, medicines, past history, pertinent family history, pertinent
personal/social history, pertinent review of systems, physical exam of pertinent
system, focused assessment, focused plan
comprehensive exam consists of? chief complaint (CC), HPI, allergies, medicines,
past history, family history, personal/social history, full review of systems,
physical exam (all systems), assessment, plan
OLDCARTS for HPI onset, location, duration, character, alleviating/aggravating
factors, radiation, time of occurrence, severity
who to ask about on family medical history parents, grandparents, children, and
siblings
- want alive/dead, age, problems and cause of death and age of death
Personal and Social History - health promotion and maintenance: screenings,
immunizations, sleep, exercise, diet, nutrition
- tobacco use, alcohol use, illict drug use
- sexual history: 5 ps (partners, practice, protection, past history of sti, pregnancy
plans)
- home/living situation
- accessibility to healthcare- afford, transportation
, Passed!!
2024/2025
nociceptive (somatic) pain damage to tissue or viscera but sensory nerves
- dull, pressing, pulling, throbbing, boring, spasmodic, colicky
neuropathic pain direct trauma to the peripheral or central nervous system
- shock like, stabbing, burning, pins and needles
idopathic pain pain with an unknown cause
psychogenic pain related to factors that influences the patients report of pain-
psychiatric conditions, coping, cultural norms, social support
chronic pain over 3-6 months and lasting 1 year after course of illness or
reoccuring
BMI categories Underweight = <18.5
Normal weight = 18.5-24.9
Overweight = 25-29.9
Obesity = BMI of 30 or greater
patient presents with a 6 day history of rapid weight gain, what is the most likely
explaination? accumulation of body fluids
patient comes in for routine visit, BP is elevated, what do you do next? repeat bp
and check in bilateral arms
, Passed!!
2024/2025
a 50 yr old patient reports smoking 1 pack of cigarettes per day since age 20. how
would you document this information? 30 pack years
a superficial burn pain is considered what type of pain? nociceptive or somatic
OPQRST onset, precipitating and palliating factors, quality, region or radiation,
severity, timing or temporal characteristics
Parital pain inflammatory
- from the hollow or solid organs that affect the parietal peritoneum
- more severe and easily localized
- deep intense pain worsening with movement or coughing
- ex: appendicitis
referred pain originates at different sites but shares innervation from the same
spinal level
- ex: gallbladder pain- pain in shoulder
Murphy's sign Pain with palpation of gall bladder (seen with cholecystitis)
- pain on palpitation of RUQ just under ribs- hook method
Grey tuners sign associated with pancreatitis
- discoloration of left flank
Cullen's sign association with pancreatitis
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