LATEST COMPLETE NUR 216
EXAM 2 REVIEW GUIDE
(100% VERIFIED) WITH
SOLVED Q&A
, When performing a tympanic temp/otoscopic exam
- How do you pull the pinna?
Up and back adult, down and back for child
- What supplies are needed?
otoscope
- Expected vs unexpected findings of the tympanic membrane
Expected: pearly gray translucent
Unexpected: Redness inflammation, drainage, perforations
- Conductive hearing loss with excessive ear wax (cerumen)
Clubbing of the fingernails
- What does it look like?
enlarged curved downward
- What does it indicate? Cystic fibrosis, heart failure, pulmonary disease, copd
indication of chronic hypoxia
- Expected nail findings (i.e., what degree of curvature –
180 degrees, convex, rounded pinkish
- Normal angle of nails 160 degrees, characterized as convex
Melanoma
- ABCDE
Asymmetry, Border irregular, Color(variations/changing), Diameter less than 6mm, Evolving (in
color and size) / should see a dermatologist if they have any of these things
- Prevention measures
annual checkups, clothing, sunscreen, exposure time in sun / heightened case of sunburns
higher risk for developing skin cancer
- Risk factors
Caucasian, family hx, UV exposure, occupation / cloudy days still need sunscreen uv exposure is
higher
Wounds- ask in review
- Indications of infection
inflammation, redness, elevated white blood cells, purulent drainage, pain, fever / low BP less
than 90systolic/60diastolic
- Signs of wound healing
scabbing, signs of adhesion, dryness, itching / no erythema, no edema, WBC trending down,
patient reports less pain
EXAM 2 REVIEW GUIDE
(100% VERIFIED) WITH
SOLVED Q&A
, When performing a tympanic temp/otoscopic exam
- How do you pull the pinna?
Up and back adult, down and back for child
- What supplies are needed?
otoscope
- Expected vs unexpected findings of the tympanic membrane
Expected: pearly gray translucent
Unexpected: Redness inflammation, drainage, perforations
- Conductive hearing loss with excessive ear wax (cerumen)
Clubbing of the fingernails
- What does it look like?
enlarged curved downward
- What does it indicate? Cystic fibrosis, heart failure, pulmonary disease, copd
indication of chronic hypoxia
- Expected nail findings (i.e., what degree of curvature –
180 degrees, convex, rounded pinkish
- Normal angle of nails 160 degrees, characterized as convex
Melanoma
- ABCDE
Asymmetry, Border irregular, Color(variations/changing), Diameter less than 6mm, Evolving (in
color and size) / should see a dermatologist if they have any of these things
- Prevention measures
annual checkups, clothing, sunscreen, exposure time in sun / heightened case of sunburns
higher risk for developing skin cancer
- Risk factors
Caucasian, family hx, UV exposure, occupation / cloudy days still need sunscreen uv exposure is
higher
Wounds- ask in review
- Indications of infection
inflammation, redness, elevated white blood cells, purulent drainage, pain, fever / low BP less
than 90systolic/60diastolic
- Signs of wound healing
scabbing, signs of adhesion, dryness, itching / no erythema, no edema, WBC trending down,
patient reports less pain
