Exam (elaborations)
NR 509 midterm Exam Latest 2024 with 100% Verified Questions and Answers
- Course
- Institution
NR 509 midterm Exam Latest 2024 with 100% Verified Questions and Answers
[Show more]
Content preview
NR509
midterm
Cause
of
saddle
numbness
and
urinary
retention
-
ANS
Cauda
equina
syndrome
Presentation
of
retinal
detachment
-
ANS
If
sudden
visual
loss
is
unilateral
and
painless,
Obtunded
-
ANS
patient
opens
the
eyes
and
looks
at
you
but
responds
slowly
and
is
somewhat
confused.
Alertness
and
interest
in
the
environment
are
decreased.
Cranial
nerve
for
lateral
gaze
-
ANS
CN6:
Abducens
Adult
Illnesses
-
ANS
Medical:
Illnesses
such
as
diabetes,
hypertension,
hepatitis,
asthma,
and
human
immunodeficiency
virus
(HIV);
hospitalizations;
number
and
gender
of
sexual
partners;
and
risk-taking
sexual
practices
■
Surgical:
Dates,
indications,
and
types
of
operations
■
Obstetric/Gynecologic:
Obstetric
history,
menstrual
history,
methods
of
contraception,
and
sexual
function
■
Psychiatric:
Illness
and
time
frame,
diagnoses,
hospitalizations,
and
treatments
Present
Illness
-
ANS
chronologic
description
of
the
problems
prompting
the
patient's
visit,
including
the
onset
of
the
problem,
the
setting
in
which
it
developed,
its
manifestations,
and
any
treatments
to
date.Each
problem/symptom
needs:
(1)
location;
(2)
quality;
(3)
quantity
or
severity;
(4)
timing,
including
onset,
duration,
and
frequency;
(5)
the
setting
in
which
it
occurs;
(6)
factors
that
have
aggravated
-meds,
allergies,
tobacco
use,
ETOH
and
drug
use
Absence
of
red
reflex
-
ANS
an
opacity
of
the
lens
(cataract)
or,
possibly,
the
vitreous
(or
even
an
artificial
eye).
Less
commonly,
a
detached
retina
or,
in
children,
a
retinoblastoma
may
obscure
this
reflex.
S/S
of
seasonal
allergies
-
ANS
Itching,
watery
eyes,
sneezing,
ear
congestion,
postnasal
drainage
Presentation
of
optic
neuritis
-
ANS
Enlarged
blind
spot,
vision
loss
in
1
eye,
loss
of
color
vision,
hole
in
center
of
vision,
trouble
seeing
to
the
side,
eye
pain
pityriasis
rosea
-
ANS
Multiple
round
to
oval
scaling
violaceous
plaques
on
abdomen
and
back
Acromion
-
ANS
tip
of
shoulder What
to
do
for
+
finding
on
physical
exam,
but
-
workup
-
ANS
continue
using
test,
but
less
lab
and
diagnostics
Cause
of
falsely
high
BP
-
ANS
-too
small
of
a
BP
cuff
-
if
the
brachial
artery
is
below
heart
level
-
loose
cuff
-
bladder
that
balloons
outside
the
cuff
Check
for
nystagmus
-
ANS
-involuntary
jerking
movement
of
the
eyes
with
quick
and
slow
components.
-
It
is
named
for
the
direction
of
the
quick
component
-
seen
in
cerebellar
disease
and
vestibular
disorders
and
in
internuclear
ophthalmoplegia
Jaundice
-
ANS
yellow
sclera
how
do
get
a
patient
to
open
up
when
upset
-
ANS
effective
reassurance
is
simply
identifying
and
acknowledging
the
patient's
feelings.
-Partnering
-Summarizing
-Transitions
-
Empowering
the
pt
s/s
of
degenerative
pain
-
ANS
-Slowly
progressive,
with
temporary
exacerbations
after
periods
of
overuse
-usually
insidious
-
flexion
and
deviation
deformities
How
otosclerosis
presents
with
Weber
and
Rinne
test
-
ANS
-
Weber:
Sound
lateralizes
to
impaired
ear.
Room
noise
not
well
heard,
so
detection
of
vibrations
improves
-
Rinne:
BC
longer
than
or
equal
to
AC.
While
air
conduction
through
the
external
or
middle
ear
is
impaired,
vibrations
through
bone
bypass
the
problem
to
reach
the
cochlea.
Cherry
angiomas
-
ANS
Benign
Interpreting
visual
acuity
test
-
ANS
Vision
of
20/200
means
that
at
20
feet
the
patient
can
read
that
a
person
with
normal
vision
could
read
at
200
feet.
The
larger
the
second
number,
the
worse
the
vision.
"20/40
corrected"
means
the
patient
could
read
the
20/40
line
with
glasses
(a
correction).
Sequence
of
the
interview
-
ANS
Preparation.
Then,
Greeting
the
patient
and
establishing
rapport.
Establishing
the
agenda
for
the
interview.
Inviting
the
patient's
story.
Exploring
the
patient's
perspective.
Identifying
and
responding
to
emotional
cues.
Expand-ing
and
clarifying
the
patient's
story.
Generating
and
testing
diagnostic
hypotheses.
Sharing
the
treatment
plan.
Closing
the
interview
and
the
visit.
Taking
time
for
self-reflection.
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 or Stuvia-credit 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 excellentrevision964. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79271 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now