NR 509 Final Exam – With Questions & All Accurate Answers (Graded A+)
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Course
NR 509
Institution
NR 509
NR 509 Final Exam – With Questions & All Accurate Answers (Graded A+)
NR 509 Final Exam – With Questions & All Accurate Answers (Graded A+)
how do get a patient to open up when upset - ANSWER - effective reassurance is simply identifying and acknowledging the patient's feelings.
-Partnerin...
,NR 509 Final Exam – With Questions &
All Accurate Answers (Graded A+)
how do get a patient to open up when upset - ANSWER - effective reassurance is
simply identifying and acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
s/s of degenerative pain - ANSWER - -Slowly progressive, with temporary
exacerbations after periods of overuse
-usually insidious
- flexion and deviation deformities
How otosclerosis presents with Weber and Rinne test - ANSWER - - 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 - ANSWER - Benign
Interpreting visual acuity test - ANSWER - Vision of 20/200 means that at 20 feet the
patient can read print 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 - ANSWER - 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.
Patient consent - ANSWER - you need consent to carry out a visit with someone in
the room with them.
Health History - ANSWER - ● Identifying data and source of the history; reliability ●
Chief complaint(s)
● Present illness ● Past history
● Family history
● Personal and social history ● Review of systems
Rotator cuff injury - ANSWER - Atrophy of the supraspinatus and infraspinatus with
increased prominence of scapular spine can appear within 2 to 3 weeks of a rotator
, cuff tear; infraspinatus atrophy has a positive likelihood ratio (LR) of 2 for rotator cuff
disease.
prioritizing patient complaints - ANSWER - Problem list
- Most active and serious problems first
- then, problems that need future observation and attention
Condylar joints - ANSWER - Knee & TMJ
-Movement of two articulating surfaces not dissociable
Acute RA - ANSWER - Tender, painful, stiff joints in RA, usually with symmetric
involvement on both sides of the body. The distal interphalangeal (DIP),
metacarpophalangeal (MCP), and wrist joints are the most frequently affected. Note
the fusiform or spindle-shaped swelling of the PIP joints in acute disease.
Chronic RA - ANSWER - swelling and thickening of the MCP and PIP joints. Range
of motion becomes limited, and fingers may deviate toward the ulnar side. The
interosseous muscles atrophy. The fingers may show "swan neck" deformities
(hyperextension of the PIP joints with fixed flexion of the distal interphalangeal [DIP]
joints). Less common is a boutonnière deformity (persistent flexion of the PIP joint
with hyperextension of the DIP joint). Rheumatoid nodules are seen in the acute or
the chronic stage.
subjective data - ANSWER - - Symptoms
- What pt tells you
-goes under ROS
sources of joint pain - ANSWER - -If age <60 years, consider repetitive strain or
overuse syndromes like tendinitis or bursitis, crystalline arthritis (gout; crystalline
pyrophosphate deposition disease [CPPD]) (males), rheumatoid arthritis (RA),
psoriatic arthritis and reactive (Reiter) arthritis (in inflammatory bowel disease [IBD]),
and infectious arthritis from gonorrhea, Lyme disease, or viral or bacterial infections.
- If age >60 years, look for OA, gout and pseudogout, polymyalgia rheumatica
(PMR), osteoporotic fracture, and septic bacterial arthritis.
- congenital, inflammatory or infectious, immunologic, neoplastic, metabolic,
nutritional, degenerative, vascular, traumatic, and toxic?
CN 1-6 - ANSWER - 1) Olfactory- smell
2)Optic- visual acuity with eye chart & pupil response
3)Oculomotor- conjugate gaze with EOM
4)Trochlear- conjugate gaze with EOM
5) Trigeminal- palpate masseter & touch face and have pt identify where
6) Abducens- Conjugate gaze with EOM
CN 7-12 - ANSWER - 7)Facial- Blow cheeks out, smile, frown, pucker lips
8)Vestibulocochlear (Acoustic)- Whisper test
9) Glossopharyngeal- Gag reflex
10)Vagus- say "ahhh". soft palate and uvula rise symmetrically
11) Accessory- shrug shoulders
12) Hypoglossal- Stick out tongue and move left to right
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