CNUR 107 Midterm Exam Questions with Correct Answers A GRADE
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CNUR 107
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CNUR 107
CNUR 107 Midterm Exam Questions with Correct Answers A GRADE
What are the dorsa of the hands used to palpate? - Answer- Determining temperature because the dorsa of the hands has thinner skin than the palms
What are the base of the fingers used to palpate? - Answer- Best for detecting vib...
CNUR 107 Midterm Exam Questions
with Correct Answers A GRADE
What are the dorsa of the hands used to palpate? - Answer- Determining temperature
because the dorsa of the hands has thinner skin than the palms
What are the base of the fingers used to palpate? - Answer- Best for detecting vibration
light palpation - Answer- Begins palpation; pads of the fingers are used to detect
surface characteristics and accustom patient to being touched
Deep palpation - Answer- Occurs after light palpation; firmer pressure intermittently. Ex:
abdominal contents
bimanual palpation - Answer- Use of both hands to envelop or detect certain body parts
or organs such as kidneys, uterus for more precise assessment
What is percussion? - Answer- Tapping the persons skin with short, sharp strokes to
assess underlying structures. The stokes yield vibration and sounds to assess location,
size and density of an underlying organ
How does percussion map location and size? - Answer- Exploring where the percussion
note changes between the borders of on organ and its neighbours
How does percussion density? - Answer- Characteristic of a note when percussed
How does percussion detect a superficial mass? - Answer- Percussion vibrations
penetrate 5cm deep so you can feel with in those limits
How does percussion Elicit pain? - Answer- If the underlying structure is inflamed it can
cause pain during percussion
How does percussion elicit deep tendon reflex? - Answer- Detected with a percussion
hammer
What is direct percussion? - Answer- The striking hand contacts the body directly used
in percussing infants thorax
What is indirect percussion? - Answer- Used more often; the striking hand contacts the
stationary hand, which is fixed on a persons skin and yield a subtle vibration.
,What does a resonant note sound like? - Answer- Clear and hollow, heard over lung
tissue
What does a hyper-resonant note sound like? - Answer- Booming, abdominal in adults
What does a tympany note sound like? - Answer- Musical or drum-like, hear dover
stomach & abdomen
What does a dull note sound like? - Answer- Muffled thud, heard over dense areas like
the liver
What does a flat note sound like? - Answer- An instant stop of sound, absolute dullness,
heard when no air is present, like over a bone
What is auscultation? - Answer- Listening to sounds produced by parts of the body,
such as the lungs, abdomen, heart, and blood vessels. The sounds are usually
channeled through a stethoscope
What is a general survey? - Answer- Study of the whole person, covering the general
health state and any obvious physical characteristics. It is important because you get an
overall impression of your patient during the survey. It is an intro to the physical exam
that follows
When does the general survey begin? - Answer- The moment you first encounter the
person
Define the nursing process - Answer- A systematic method of planning and providing
patient care organized around series of phrases that integrate evidence-informed
practice and critical thinking
What are the phases of the Nursing process? - Answer- ~ Assessment
~ Nursing Diagnosis
~ Planning
~ implementation
~ evaluation
What occurs during the assessment portion of the nursing process? - Answer- -
Collection of data
- Data organization
- Validation of data
- Document findings
What occurs during the diagnoses portion of the nursing process? - Answer- - Analyzing
data
- Identifying health problems
, - Formulation of diagnostic statements
What occurs during the planning portion of the nursing process? - Answer- - Prioritize
problems and diagnoses
- Formulate goals and health outcomes
- Identify nursing interventions
What occurs during the Implementation portion of the nursing process? - Answer- -
Reassessment of Pt
- Determine resource requirements
- Implementation nursing interventions
- Supervision of delegated care
- Documentation of nursing activities
What occurs during the evaluation portion of the nursing process? - Answer- - Collect
data regarding outcomes
- Relating nursing actions to client goals and outcomes
- Drawing conclusions regarding problem status
- Continuing to modify or terminate lient care plan
Why is assessment important? - Answer- It helps make good clinical decisions and is a
critical foundation that is utilized in further steps of the nursing process
What is a complete database? - Answer- includes a complete health history and a full
physical examination; utilized in paediatric or family clinic
What is a episodic database? - Answer- Used for a limited or short-term problem; "mini-
database" used in the hospital or long-term care
What is a follow-up database? - Answer- The status of any identified problems should
be evaluated at regular and appropriate intervals. Used to monitor short-term or chronic
health problems
What is an emergency database? - Answer- Calls for rapid collection data, often
compiled while life-saving measures are occurring. Commonly used in the emergency
dept.
What is the purpose of collecting the complete health history? - Answer- - Collect
subjective data
- provides a complete picture of clients past and current health status
- Holistic assessment
- Record of health strengths & coping skills
- Assess overall health status, goals, and health promoting practices in the client
- Can be used as a screening tool for ill patients
What are the components of a health history? - Answer- - Biographical data
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