Exam (elaborations)
NR 509 Final.
- Module
- NR 509 Final Exam
- Institution
- NR 509 Final Exam
Exam of 12 pages for the course NR 509 Final Exam at NR 509 Final Exam (NR 509 Final.)
[Show more]
Seller
Follow
Content preview
NR 509 FinalKnow that in a 47-year-old man ED is usually ___________ rather than testosterone -
ANS-psychologic
Erectile dysfunction may be from psychogenic causes, especially if - ANS-early morning
erection is preserved.
it may also reflect decreased testosterone, decreased blood flow in the hypogastric
arterial system, impaired neural innervation, and diabetes
When performing a breast exam, know what abnormal masses should do when the arm
- ANS-may be fixed to skin or underlying tissues (may cause dimpling of skin or
retraction when arms are lifted over head or hands are pressed against hips)
Fibroadenoma and cysts mobility - ANS-very mobile/mobile
Know that a high proportion of breast masses are noted during ________ - ANS-BSE
Breast stage 1 - ANS-preadolescent- elevation of nipple only
Breast stage 2 - ANS-breast bud stage- elevation of breast and nipple as a small
mound; enlargement of areolar diameter
breast stage 3 - ANS-further enlargement of elevation of breast and areola, with no
separation of their contours
breast stage 4 - ANS-projection of areola and nipple to form a secondary mound above
the level of breast
breast stage 5 - ANS-mature stage- projection of nipple only; areola has receded to
general contour of the breast (although in some individuals the areola continues to form
a secondary mound)
Know where pain is located with pancreatitis: acute - ANS-epigastric, may radiation
straight to the back of other areas of the abdomen; 20% with severe sequelae of organ
failure
Know where pain is located with pancreatitis: chronic - ANS-epigastric, radiating to back
, Know how hepatitis A is transmitted - ANS-Transmitted through fecal-oral route. Fecal
shedding followed by poor handwashing contaminates water and foods leading to
infection of household and sexual contacts
Stress incontinence - ANS-the urethral sphincter is weakened so that transient
increases in intra-abdominal pressure raise the bladder pressure to levels that exceed
urethral resistance. Causes include childbirth and surgery, postmenopausal atrophy of
the mucosa, and urethral infection. May follow prostate surgery in men.
urge incontinence - ANS-detrusor contractions are stronger than normal and overcome
the normal urethral resistance. The bladder is typically small. Mechanisms: Decreased
cortical inhibition of detrusor contractions from stroke, brain tumor, dementia, and
lesions of the spinal cord above sacral level. Also hyperexcitability of sensory pathways
ie: bladder infections, tumors, and fecal impaction. Deconditioning of voiding reflexes ie:
frequent voluntary voiding at low bladder volumes.
overflow incontinence - ANS-detrusor contractions are insufficient to overcome urethral
resistance, causing urinary retention. The bladder is typically flaccid and large, even
after an effort to void. Mechanisms: obstruction of the bladder outlet ie: BPH or tumor.
Weakness of the detrusor muscle associated with peripheral nerve disease at S2-4
level. Impaired bladder sensation that interrupts the reflex arc ie: diabetic neuropathy.
functional incontinence - ANS-the patient is functionally able to reach the toilet in time
because of impaired health or environmental conditions. Mechanism: problems in
mobility resulting from weakness, arthritis, poor vision, or other conditions. Also
environmental factors such as an unfamiliar setting, distant bathroom facilities, bed rails,
or physical restraints.
Incontinence secondary to medications - ANS-drugs may contribute to any type of
incontinence listed. Ex: sedatives, tranquilizers, anticholinergics, sympathetic blockers,
and potent diuretics
Know where lymph nodes should be with strep - ANS-· Strep throat àstreptococcal
pharyngitis, bacterial infection that may cause a sore, scratchy throat
· Common childhood infection has a classic presentation of erythema of the posterior
pharynx and palatal petechiae
· Enlarged swollen cervical lymph nodes -> superficial cervical lymph nodes
Superficial cervical -> superficial to the sternocleidomastoid
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 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 modockochieng06. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £6.48. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now