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NR 509 Midterm- chapters 1, 2, 3, 4. (DETAILED ANSWERS) 2024 - DISTINCTION GUARANTEED_.pdf
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NR 509 Midterm- chapters 1, 2, 3, 4. (DETAILED ANSWERS) 2024 - DISTINCTION GUARANTEED_.pdf
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8/10/24, 7:58 AMNR 509 Midterm- chapters 1, 2, 3, 4.
Jeremiah
Terms in this set (25)
1. Location- where is it, does it radiate?
2. Quality- what does it feel like?
3. Quantity or Severity- how bad is it? (for pain, how bad is it on a scale of 1 to 10?)
4. Timing: Onset, duration, & frequency- when did it start, how long does it last, how
often does it occur?
5. Setting in which it occurs- include environmental factors, personal activities (walking),
7 attributes of a symptom emotional reactions, and any other contributing factors
6. Factors that aggravate or relief the symptom- what makes it better? what makes it
worse?
7. Associated manifestations
OLDCART
Onset, Location, Duration, Character, Aggravating/Alleviating Factors, Radiating, Timing
MMR, whooping cough, chickenpox, rheumatic fever, scarlet fever, polio, & any chronic
Childhood illness to be assessed on PMH
childhood illness
4 categories of adult PMH Medical, surgical, OBGYN, psych,.
UTD on immunizations & screenings? TB test, paps, mammograms, stool tests,
Health Maintenance
colonoscopy, cholesterol.
What should be considered for a female exposure to diethylstilbestrol (DES) for maternal use during pregnancy-- linked to
born before 1971? cervical carcinoma.
1. select most specific and critical findings to support hypothesis.
2. Match findings against all conditions that can produce them
5 steps to generating clinical hypothesis 3. eliminate diagnostic possibilities that fail to explain things
4. weight the competing possibilities and select most likely diagnosis
5. give special attention to potentially life-threatening complications
What type of BP monitoring is the likely to ambulatory & home blood pressure monitoring
indicate CV disease and End stage organ
NR 509 Midterm- chapters 1, 2, 3, 4.
Reference standard for confirming elevated measure BP at preset intervals over 24-48 hrs, usually q15-20 mins during day and q30-
office BP 60 mins at night.
automated- provides 24hr average of BP. Show nocturnal dips (normal) or stays
Ambulatory BP monitoring
elevated (sign of CV disease). Often expensive and not covered by insurance
white coat hypertension (isolated clinical htn)- >140/90 in office and mean awake ambulatory readings <135/82
masked HTN office BP <140/90 but elevated daytime BP >135/85
nocturnal hypertension dipping occurs in most patients at night when they fall asleep
Brachial artery location and BP readings if below heart, readings are high. If above heart, bp readings are low.
Based on average of two readings:
Office manual or automated blood pressure
HTN
> or equal to 140/90
damange?
prehypertension 120-139/80-89
1/2
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