MSN 610 Module 2 QUESTION AND 100% ANSWERS

MSN 610 Module 2 QUESTION AND 100% ANSWERS History of Present Illness (HPI) for skin assessment includes; - ANSWER Onest of symptoms, Severity of symptoms, treatments and home remedies prior to arrival, associated symptoms, changes in symptoms, aggravating and alleviating factors, current medications, changes to shape and size of moles, any odors, excessive perspiration, lesions that are chronically irritated, recent exposure to environmental factors, travel history, response to treatment History of present illness (HPI) for hair assessment includes; - ANSWER changes in texture, color, or distribution of hair, changes in growth, recent exposures, attempted treatments, food intake and diet history, current medications History of Present illness (HPI) for nail assessment includes; - ANSWER changes in color or texture, associated symptoms such as pain or drainage, onset and duration of symptoms, recent exposures, previous treatments Which 2 STIs are important to assess for skin related complaints - ANSWER HIV and syphilis Temporal factors include; - ANSWER onset, duration and frequency examples: Did the pain being rapidly or suddenly? Do symptoms get better or worse as the day progresses? Is pain constant? Character of symptoms includes; - ANSWER stiffness, restriction of movement, changes in size or contour, locking/instability, tremors/tics/spasms/paralysis/weakness, description of pain Associated events include; - ANSWER activities that exacerbate or alleviate symptoms examples: what time of day is the pain most? specific movement that increases pain? does it change with the weather? what were you doing at the time of injury? Efforts to treat include; - ANSWER nonpharmacologic: rest, weight reduction, physical therapy, heat/ice, braces/splints, massage, chiropractic services, acupuncture medications Medical/Surgical history includes; - ANSWER Trauma: nerves, soft tissue, bones, joints, bone infection Surgery on joint or bone; amputation, arthroscopic procedure Chronic illness; cancer, arthritis, sickle cell, hemophilia, osteoporosis, renal or neurologic disease Skeletal deformities or congenital anomalies History of Present illness (HPI) of the lymphatic assessment includes - ANSWER fever, pain, redness, weight loss, warmth at site, redness or streaking, night sweats, malaise, abdominal pain or fullness, itching, swelling, discoloration, change in skin integrity Medical/Surgical history to assess with the lymphatic system includes - ANSWER previous dx of tuberculosis, blood transfusions or blood products, chronic illness (cancer, renal, HIV, cardiac), kidney stones, hx of recurrent infections, immunizations, previous abnormal chest x-ray, maternal HIV infection, hemophilia, previous surgery that could cause trauma to lymph nodes, organ transplant Normal findings of the hands - ANSWER multiple palmar and phalangeal creases, palmar surfaces with central depression, rounded mound on thumb (thenar eminence) fingers able to fully extend, aligned with forearm, hypothenar eminence on little finger side, lateral finger surfaces gradually tapered proximal to distal Normal findings of mandible - ANSWER no audible popping, protrusion and retraction possible, mandible should move 1 to 2 cm in each direction, an opening of 3-6 cm between upper and lower teeth By age __ months, infants should be able to lift the head and trunk when in prone position - ANSWER 2 Expected musculoskeletal findings of an infant include; - ANSWER kyphosis of thoracic and lumbar spine, symmetric axillary, gluteal, femoral and popliteal creases, some resistance to full extension of the elbows, hips and knees, flat-footedness, tibial torsion, slight tibial torsion, forefoot adduction (metatarsus adductus), negative Barlow-Ortolani maneuver, Negative Allis sign Normal musculoskeletal findings of the toddler include; - ANSWER lumbar curvature and protuberant abdomen, fat pad obscuring foot arches until 3 years of age, metatarsus adductus resolved, feet slightly pronated inward until 30 months of age, genu varum/genu valgum, negative Gower sign, no reverse tailor position Genu varum - ANSWER "Bowleg" common until 18 months of age, asymmetry of space between the knees not exceeding 4 cm Genu Valgum - ANSWER "knock-knee", common between 2 and 4 years of age, space between medial malleoli of 2.5 cm On assessment of the major joints, it is normal for the passive ROM to exceed the active ROM by __ degrees - ANSWER 5 Lordosis - ANSWER inward curve of the lower back and an unexpected finding on inspection of spinal alignment Vertebrae should be ___ and the head should be positioned ___ - ANSWER straight, directly over the gluteal cleft The curve of the thoracic spine should be