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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Document preview page 1

2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 1

Document preview content for 2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments)

2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments)

Get ahead with 2022 NURS190 Physical Assessment Final Exam, featuring real exam questions for better preparation.

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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 1 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022PhysicalAssessmentFinalExamnspectiontechnique(3):●FIRSTtechniquewithgeneralsurvey●Generalsurvey:○Observingmobility/gait,physicalappearance,generalwellness/health,mood&behavior (facial expressions,interactions), mental status(observing patient’sbodylanguageandresponsewhenaskingquestions)●Doit theSAMEWAYeverytime→lesslikelytoforgetsomething●Donotrushit,especiallywithanxiouspatients○Makesurethepatientiscomfortable○Temperatureintheroomissuitableforthepatient●Makesurethatyouhaveeverythingthatyouneed→sothatthepatienthasconfidenceinyou●Knownormalvsabnormal whensurveyingappearance&symmetry○CompareANYTHINGthathasapair○Eyes-level,equal,isthereeyeliddrooping?○Smile-isthereadroop?○Alwayscomparethetwosidestoensurethatthereisnoabnormalitybetweenthe two sides
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 2 preview image
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 3 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022●Listenfornaturalsounds○Abnormalsounds:wheezing,laboredbreathing,crepitusduringROM●Detectabnormalodors:○CDIFF,alcoholonapatient,acetone/sugarybreath●Trynottoassumeanything!→usecriticalthinking!○Ex:someonewithlowbloodsugarorissueswithhypoxiacanappearintoxicated●Knowyournormalvalues:○Bloodpressure,HR,RR,O2sats,temperature○Foreachagelevels■Infants:mustfasterRRthanelderlyPercussiontechnique(3)●Types:○Directpercussion-tappingbodywithfingertipsofdominanthand■Forasmallinfant→directpercussiononthechest■Adult→onthesinusesonthe face
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 4 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022○Bluntpercussion-placepalmofnondominanthandflatagainstthesurfaceandstrikeitwithclosed-fistdominanthand■Usedtoassessthekidneys→assessingforpain/tenderness(UTI)○Indirectpercussion-mostcommonlyused■Plexor=hammerortappingfinger■Pleximeter=deviceorsurfacethatacceptsthetap●Sounds:○Intensityofamplitude:softnessorloudness○Pitchorfrequency:highorlow(vibrationspersecond)○Duration:lengthoftime○Quality:recognizableovertonesordrumlike sounds●Tympany-soundheardoverstomachorintestines○Loud,high-pitched,drum-liketone●Resonance-normalsoundheardoverlungs○Loud,low-pitched,hollowtone●Hyperresonance-airtrappedinlungs○Abnormallyloud,lowtoneoflongerdurationthanresonance■COPD,traumaorlungcollapse
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 5 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022●Dullness-oversolidbodyorgans(liver)○High-pitchedtone,softandshort●Flatness-oversolidtissue,muscle,orbone○High-pitchedtone,verysoft&shorterthandullness■Ex:ribsSkinassessment(5)●Lifespanconsiderations:○Infantsandchildren■Newbornskin→coveredwithvernixcaseosa■Infantshavethin,soft,skinandfreeofhair■Miliaandstorkbites-common,harmlessmarkingsinnewborns■Mongolian spots-gray,blueorpurplespotsinsacralandbuttocksarea●Fadebyage3●Trynottoconfuseitwithpossibilityofabuse→asktheparent“isthissomethingthathasbeenheresincebirth?”■Poortemperatureregulation→donotsecretefromglands
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 6 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022○Pregnantfemale■Skinpigmentationincreases→inareolae,nipples,vulva,perianalarea●Developmentofmelasmaandlineanigradowntheabdomen●Resolveitselfafter pregnancy■Hormonalchanges→causeoilandsweatglandstobecomehyperactive●Acneworsensin1sttrimester■Hairmayfalloutduringmonths1-5○Olderadult■Skinelasticitydecreaseswithaging
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 7 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022■Sebumproductiondecreases→causesdryness●Morepronetoskinbreakdown■Perspiration/sweatingdecreases■Decreaseinmelaninproduction→resultingrayhair■Nailsbecomethickerandmorebrittleduetodecreasedamountofcirculation■Hairthinsbecauseofdecrease ofhairfollicles■Liverspots,hyperpigmentedfreckles,increasedamountofskintags●Psychosocialconsiderations:○Stressedinducedillness:■Trichotillomania-hairtwisting&pulling■Nailbiting■Visibleskindisordersinrelationtoself-esteem/bodyimage●Culturalandenvironmentalconsiderations:○Socioeconomicstatus■Notabletogotothedoctorbecauseoffinances○Homeenvironment■Aretheyhomeless?→ifso,couldbemorelikelytodevelopskincancer dueto outsideexposure○Means ofemployment■Iftheyworkoutside→importanttoknow
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 8 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022■Donotassumebadhygiene!!→couldbefromwork○Changesinskincolor→maybemoredifficulttodetectinpatientswithdarkskin○Dryskindoesnotnecessarilyindicatedehydration○Skinresponsetostressorsdifferfrompersontoperson■Autoimmunedisorders○Differencesinhaircolorandtexturevaryfromdifferentculturalgroups○Prolongedimmersionofhandsinwatercan causeparonychia-reddenedcuticlescausinginfection○Table13.2(variations)31:28●Focusedinterview-questionsrelatedto:○Noticeanysmells/foulodors○Changesincolor→oxygenationissuesorperfusion○Sweating→fever,beinginthesuntoolong,excessivesweating○Skin:■Ingeneral■Illnessorinfection■Symptoms,pain,behaviors■Age■Externalenvironment○Hair:■Ingeneral
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 9 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022■Infantsandchildren
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 10 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022○Nails:■Ingeneral■Infantsandchildren■Pregnantfemales■Olderadult●Colorvariationsinlightanddarkskin○Pallor-lossofcolorinskinduetoabsence of oxygenatedhemoglobin■Lightskin:●Whiteskinlosesrosy tones●Yellowtoneappearsmoreyellow■Darkskin:●Blackskinlosesitsredundertonesandappearsash-gray●Brownskinbecomes yellow-tinged○Absenceofcolor-loss of pigment■Albinism-white/paleblondhairandpinkirises■Vitiligo-verynoticeableaspatchymilk-whiteareas■Tinea-appearspatchyareaspalerthansurroundingskin○Cyanosis-bluecolorinskin due toinadequate tissue perfusion■Lightskin:●Skin,lips,mucousmembraneslookblue-tinged;nailbedsareblue
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 11 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022■Darkskin:●Mayappearashadedarker●Maybeundetectableexceptforlips,tongue,oralmucousmembranes,nailbeds,andconjunctivae○Reddishbluetone-ruddytoneduetoincreasedhemoglobinandstasisofblood■Lightskin:reddishpurplehue■Darkskin:difficulttodetect;normalskinmayappeardarkerinsomepatients○Erythema-rednessoftheskinduetoincreasedvisibilityofnormaloxyhemoglobin■Lightskin:localinflammationandredness■Darkskin:hardtodetect;inflammationappearpurpleordarkerthansurroundingskin○Jaundice-yellowundertoneduetoincreasedbilirubin■Generalized;visible insclera,oralmucosa,hardpalate,fingernails, palmsofhands,andsolesofthefeetSkin lesions(5)
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 12 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022●Primarylesions:○Maculeandpatch-flat,nonpalpablechangeintheskincolor■Macule:Smallerthan1cm■Patch:largerthan1cm○Papule andplaque-elevated,solidpalpablemasseswithacircumscribed
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 13 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022border■Papule:smallerthan0.5cm■Plaques:groupsofpapulesthatformlesionslarger0.5cm○Noduleandtumor-elevated,solid,hardorsoftpalpablemassextendingdeeperintothedermis■Nodules:smallerthan2cm■Tumors:mayhaveirregularbordersandarelargerthan2cm○Vesicle and bulla: elevated, fluid-filled, round or oval-shaped,palpable masseswiththin,translucentwallsandcircumscribedborders■Vesicles:smallerthan0.5cm■Bullae:largerthan0.5cm○Pustule-elevated,pus-filledvesicleorbullawithacircumscribedborder■Sizevaries○Wheal-anelevated,oftenreddishareawithanirregularbordercausedbydiffusefluidintissues■Sizevaries○Cyst-elevated, encapsulated, fluid-filled or semisolidmass originating insubcutaneoustissueordermis■Usually1cmorlarger●Vascularlesions:○Ecchymosis-flat,irregularshapedlesionof
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 14 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022varyingsizewithnopulsation;doesnotblanchwithpressure→BRUISE■Inlightskin:bluish,purplemarkthatchangesyellow■Brownskin:variesfrombluetodeeppurple■Black:darkenedarea○Hemangioma-bright,redraisedlesionabout2-10cmindiameterthatdoesnotblanchwithpressure;presentatbirthorwithinfewmonthsofbirthandtypicallydisappearsbyage10■Clusterofimmaturecapillaries○Cullensign-periumbilical;couldindicateinternalbleedinginabdomen○Greyturnersign-flankarea;couldindicatebleedingintoperitoneum,pancreatitis,etc.○Hematoma-raised, irregularly shaped lesion similar toecchymosis except that itiselevatedandlookslikeswelling■Causedby leakageofbloodinto theskinandsubcutaneoustissue○Petechiae-flat,redorpurplerounded“freckles”;approximately1-3mmindiameter;pinpointlesions■Difficulttodetectindarkskinanddonotblanch○Purpura-flat,reddish-blue,irregularlyshapedextensivepatchesofvaryingsize○Port-winestain-flat,irregularshapedlesionrangingfrom
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 15 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022paleredtodeeppurple-red■Color deepens with exertion, emotional response, orexposure to extremetemperatures■Presentatbirthandtypicallydoesnotfade
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 16 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022○Spiderangioma-flat,brightreddotwithtinyradiatingbloodvesselsranginginsizefromapinpointto2cm;blancheswithpressure○Venous lake-soft, compressible, slightly elevated vascularlesion; color typicallyrangesfromdarkbluetopurple●Infectiouslesions:○Tinea-fungalinfectionaffectingthebody,scalp,orfeet■Body=tineacorporis■Scalp=tineacapitis■Feet=tineapedis(athlete’sfoot)○Measles(Rubeola)-highlycontagiousviraldiseasethatcauses a rash of red topurple macules or papules that beginson face, thenprogresses over the neck,trunk,arms,andlegs■Lesionsdonotblanch■Oralmucosamaydemonstratetiny,whitespotsthatlooklikegrainsofsalt○Varicella(chickenpox)-mildinfectionsdiseasecausedbyprimaryinfection withthevaricellazostervirus;small,red,fluid-filledvesiclesusuallyonthetrunkfromwhichtherashprogressestotheface,arms,andlegs■Eruptoverseveraldaysformingpustules,thencrusts■Causeintenseitching
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 17 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022○Rubella-highly contagious disease caused by rubella virus;typicallybeginsaspink,papularrashthatissimilartomeaslesbutpaler■Skinlesionsbeginonthefaceandthenspreadoverthebody○Herpessimplex→coldsores○Herpeszoster→shingles■Clustersofsmallvesiclesthatformontheskinalongtherouteofsensorynerves○Impetigo-contagious,bacterialskininfectionthatusuallyappearsontheskinaroundthenoseandmouth■Lesions may begin as barely perceptible patch ofblisters that break,exposingred,weepingareabeneath■Tancrustformsoverthearea■Common in childrenNailabnormalities(2)●Causedby:geneticfactors,infectiousdiseaseprocesses,traumaticinjuries●Mayalsoprovidecluestopresenceofunderlyingdisease
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 18 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022processinvolvingotherbodysystems●Spoonnails/ koilonychia-can bea sign ofanemia,especiallyiron-deficiencyanemia●Paronychia-softtissueinfectionaroundafingernailatthecuticlecausinginflammation●Beaulines-occurafterillness,injurytothenail,eczemaaroundthenail,duringchemotherapyforcancer
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 19 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022●Splinterhemorrhage-canbeamanifestationofconnectivetissueconditionsuchaslupusorscleroderma;appearasreddish-brownspotsinthenail●Onycholysis-painlessseparationofthenailfromthenailbed;fungalinfectioncausingthenailstothickenandliftoffnailbed●Clubbing-nailsappearconvexandwide;angleisgreaterthan160degrees○PooroxygenationSubjectivedata(3)Equipment(2)●Variousinstrumentsthathelpinvisualizing,hearing,andmeasuringdata○Stethoscope, otoscope, penlight, doppler ultrasound,ophthalmoscope, reflexhammer,BPmachine(table9.1)○Beforephysicalassessment:■Gatherallequipment!■Organizeit■Placewithineasyreachforavailability
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 20 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022○Stethoscope-auscultatesbodysoundssuchasBP,heartsounds,respirations,bowelsounds■Usedonexposedskin!!■Components:●Binaurals-pointedtowardface●Flexibletubing●Endpiece○Bell-low-pitchedsounds(murmurs)○Diaphragm-bestforhigh-pitchedsounds(lungsounds,bowelsounds,normalheartsounds)■Doesnot“amplify”sound!!→justisolatesthem○Dopplerultrasonicstethoscope-detectsoundsthataredifficulttohearwithregularstethoscope■Fetalheartsounds,peripheralpulses■Usegel→isolatessoundwavesbetter○Ophthalmoscope-inspectsinternal eyestructures■Components:●Handle&head●Usedtoseeanteriorstructureoftheeye:○Largeaperture:dilatedpupils○Smallaperture:constrictedpupils
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 21 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022○Red-freefilter:helptoseeopticdisc○Grid:ifthereisanylesions→helptolocatesizeoflesions○Slit
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 22 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022○Otoscope-examinesexternalearstructures■Needtomakesureyou’reusingtherightsize!●Toolargeortoosmallcanpreventyoufromseeinganything■Components:●Handle,light,lens,speculaofvarioussizes■Normalappearanceoftympanicmembrane:clear,pearlcolored;nopurulentfluid○Woodlamp→used for fungalinfectionGeneralsurvey(2)●Observingmobility/gait,physicalappearance●Generalwellness/health●Mood&behavior(facialexpressions,interactions)●Mentalstatus(observingpatient’sbodylanguageandresponsewhenaskingquestions)●Open-ended-intentionallygeneralandencouragethepatienttoprovideadditionalinformation○Canbeduringactualassessment○H&P○Whatkindofchangeshaveyounoticedthathaveoccurredwithyour
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 23 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022skin?○“Tellmemoreaboutthat…”●Close-ended-quickandsimple,yesornoquestion○Doyouhaveallergies?Areyoutakinganymedication?Neckassessment(1)●Inspectionofskin●Testingrangeofmotion●Observationofcarotidarteriesandjugularveins●Palpationoftrachea●Inspection,palpation,andauscultationofthyroidglandEyeassessment(5)○General:“Describeyourvisiontoday…”○Considerexpectationsbasedon:■Age■Race■Environment■Healthpractices■Past&currentproblems/therapies
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 24 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022○Askaboutanyinfections,surgeries,orinjuries○Considerpatient’sabilitytoparticipate→basedonanyproblemsstatedthataresignificant○Symptoms,painandbehaviors○“Whenwasyourlasteyeexam?”→especiallyinanolderclient,diabetic
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 25 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022patients●Lifespanconsiderations:○Infantsandchildren:■Didthemotherhaveavaginalinfection?■Wasthechildfulltermorpremature?Ifpremature,howearly?●CouldhavebeenoveroxygenatedinNICUcausingvisualproblems○Pregnantfemale:■Anychangesinvision?■Reassuremotherthatitistemporary→willreturnby6months○Olderadult:■Doyouhaveanydryness?●If the individual OVER USES eye drops →the lacrimalglandsarelesslikelytocontinuetoproducetears■Anyproblemswithnightvision?→mayaffecttheirdailyliving○Internalenvironment:■Askwhetherornotthepatientistakinganymedicationsthatcouldaffectvision■Isthereafamilyhistoryofeyeproblems?
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 26 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022●GlaucomaISinherited●Cataractsarenot genetic○Externalenvironment:■Havetheybeenexposedtoanyeyeirritants?■Dotheyworkinanenvironmentthatcancauseeyeirritants?■Aretheyusingsafetyequipmenttoprotecteye?●Eyeassessment(5)○Inspection:■Whatdoesthescleralooklike?●Isitanormalwhitecolor?●Istherejaundice?→canindicateliverproblems■Lookingforredness,drainage○Tests:■SnellenTests(distance)-testsforvisualacuity●TestsforcranialnerveII●Stand20feetawayandcoveroneeye○Readthesmallestlinetheycanpossiblyread○Ifpatientreadshalformoreofthelinewrong→moveuptothenexthighestlevel
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 27 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022●Firstnumber→20feetawayfromSnellen○NEVERCHANGES●Secondnumber→howfarawaysomeonewithnormalvisionwillseewhatyousee●Ex:20/40:you’restandingat20feetandseeingwhataperson
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 28 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022withnormalvisioncouldseeat40feet■Jaeger/Rosenbaum-nearvision●12-14inchesaway■Confrontationtest-peripheralvision●Your eye AND the patient eye are covered on theopposite sides(sameeyewhenfacingeachother)●Somethingiscomingintoview→ifthepatientseesitatthesametimethatyoudo,theyhavenormalvision■Cardinalfieldsofgaze-extraocularmuscles●Cranialnerves 3,4,6●Assessingforanydeviationinvision■Cover/uncover:●Normal=nodeviation●Couldhaveaslightdeviation→butwillnotseeituntilyoucover /uncovertheeye■PERRLA-pupilsareequal,round,andreactivetolightandaccommodation●Pupil size are equal:between3and6●Reactivetolight:constrictionwhenlightisshinedatthem●Accommodation:eyesconvergeandpupilsconstrictwhenlookingatsomethingcloseup
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 29 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022■Consensualconstriction-pupilconstrictswhenalightisshoneintheeye○Palpation:■Warmth,tenderness,edema,etc○Ophthalmoscope-lookingattheinternalpartsoftheeye(pupils)■Lookingatthefundus,macula■Wanttoseearedreflex→lightreflectionfromtheretina■Lookingfornormalbloodvessels:●Aretheconstrictedorenlarged?■Arethereanylesions?■Whitespotsonthemacula?■Paleconjunctiva→canindicatetypesofanemia■Parts:●Smallaperture-constrictedpupils●Largeaperture-pupilsthataredilated●Grid aperture-todetectapresenceofanykindoflesion
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 30 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022Eyeabnormalities(5)●Abnormalitiesoftheeyelids:○Blepharitis-generalinflammation/rednessoftheeyelids■Staphylococcalinfectionleadstored,scaly,and crustedlids
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2022 NURS190 Physical Assessment Final Exam (32 Solved Assessments) - Page 31 preview imageNURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022NURS 190 PHYSICAL ASSESSMENT FINAL EXAM QUESTIONSAND ANSWERS BEST GRADED A+ GUARANTEED SUCCESSLATEST UPDATE 2022■Theeyeburns,itches,andtears○Basal cellcarcinoma-usuallyseenon thelowerlid andmedial canthus■Papularappearance○Chalazion-firm,nontendernoduleontheeyelidarisingfrominfectionofthemeibomiangland■Notpainfulunlessinflamed○Hordeolum-alsocalledastye■Resultofstaphylococcalinfectionofhairfolliclesonthemarginofthelids■Affectedeyeisswollen,red,andpainful○Entropion-inversionof theeyelid andlashescaused bymusclespasmof theeyelid■Frictionfromlashescancausecornealirritation○Ectropion-eversionofthelowereyelidcausedby muscleweaknessexposingthepalpebralconjunctiva○Ptosis-droopingoftheeyelid■Occurswithcranialnervedamageorsystemicneuromuscularweakness○Periorbitaledema-swollen,puffyeyelids■Occurswithcrying,infection,trauma,systemicproblems(kidneyfailure,heartfailure,allergies)
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Nursing

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