NR 509 Final Exam Correctly Solved!!

Assessing from Head to Toe - ANSWER Think about which order you will be assessing your patient from head to toe Start by inspecting- you will inspect you patient head/face Then palpating lymph nodes Ascultating lung sounds and heart soun Percussing abdomen Assess patient's gait OLD CART - ANSWER Onset Location Duration Characteristic Aggravating factors Relieving factors Treatment Subarachnoid Hemorrhage - ANSWER Severe and Sudden "worst headache of my life" Nausea and Vomiting can be present Cranial Nerve X - ANSWER Vagus nerve Used to assess when you touch the soft palate and view uvula Signs of Otitis Externa (swimmers Ear) - ANSWER Painful movement of the auricle and tragus (page 245) Review fig 7-43 Physical Signs of Meningitis - ANSWER (pg 765) Neck stiffness with resistance of flexion. Won't be able to touch chin to chest Red flags for Headaches - ANSWER Progressively frequent or severe over 3 month period New onset after 50 Aggravated or relieved by change in position Recent head trauma Labs to check with Vitiligo - ANSWER Thyroid panel: TSH, free T3 and Free T4, СВС Preservation - ANSWER Patient uses words repeatedly. Using words or phrases repeatedly often seen in schizophrenia Erectile Dysfunction - ANSWER Older men in their late 40s that experience ED is usually psychological rather than testosterone. Tanner Staging of breasts in females Stage I: - ANSWER preadolescents-elevation of nipple Tanner Staging of breasts in females Stage 2: - ANSWER Breast bud stage- elevation of breast and nipple as a small mound. Tanner Staging of breasts in females Stage 3: - ANSWER further enlargement of elevation of breast and areola