NR304 Assessment ESE Study Guide Chapter Page No. Question Answer 18 476 Peripheral Vascular 1. PVD assessment: ulcers (arterial vs. venous) a) Arterial deficient ulcers occur on _____? b) Venous ulcers occur at ______ because of fragile tissue w/ poor drainage. 2. Assessment of legs a) Color: If peripheral vessels are constricted the skin will be _____. b) Color: If the vessels are dilated the skin tone will be _______. c) Color: An elevated leg that is pale indicates? d) Color: _______ must be reported to the physician immediately. e) Color: a _____ discoloration over the tibial surface is associated with ____ disease. The color stems from blood leaking out of a vessel. f) Texture: thickened skin w/ brown discoloration can …show more content…
2. Pain felt upon sudden release of pressure 3. a) Aortic aneurysm or increased pulse pressure. b) Place hand above right knee and ask pt to raise the leg to meet your hand. Pain may indicate appendicitis. c) While palpating the liver ask the pt to take a deep breath. Sharp abdominal pain occurs in pt’s with cholecystitis. (in the RUQ) d) Pain in the RLQ upon palpation of the LLQ. 4. Light palpation: used to find areas of tenderness. Deep palpation used to find masses and areas of deep tenderness. 5. a) Flat, rounded, & scaphoid contours. A protuberant abdomen is only normal in pregnancy, obesity, & ascites. b) Macules, moles, & freckles. c) Normal bowel sounds (occurring 5-30 times per min) & borborygmi (stomach growling). Normal bowel sounds are irregular, high pitched, gurgling sounds. d) Hyperactive: loud, high pitched, & rushing. Occur w/ diarrhea & gastroenteritis. Hypoactive: slow & sluggish. Occur after abdominal surgery or bowel obstruction. Bruits pulsatile and blowing. A venous hum is soft, continuous, and low pitched (indicates portal tension). Friction rub is rough grating sound caused by the rubbing together of organs. e) Flat- short and abrupt f) Tympany- loud hollow sound g) Dullness- short, high-pitched. 23 Musculoskeletal 1. Muscle mass difference: periods of __________ can result in decreased muscle tone. a) _________ interferes with bone growth and muscle tone. b) By the age of 80, about _____ of muscle mass is lost. 2. Musculoskeletal
4. Fried Foods. Grease is extremely hard on the intestines and with irritate it really fast.
Equality means that everyone has the right to be treated equally and appropriate for their individual needs.
2. Working according to the agreed ways means following the organisation’s policy and procedures in relation to pressure areas. It also means following the individual care plans and respecting the instructions in place. For example making sure a resident is turned every two hours, applying Cavilon cream on areas; fill in turning charts, prompt fluid intake. Under the duty of care a care assistant must always be aware of and raise concerns regarding possible pressure areas. Always record information in care plans accurately and in confidentiality.
2. If you were the doctors on the scene, what diagnosis would you give this patient? (You may use the internet to help diagnose the patient.)
Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.
Causes of the Russian Revolution 2 - What were the causes of the Russian Revolution? (n.d.).
Nestled in Southern Indiana just west of Louisville, Kentucky and south of Indianapolis, Indiana is Dubois County, Indiana. Dubois County is comprised of the towns of Birdseye, Ferdinand, Holland, Huntingburg and Jasper. Of those towns, Jasper is the largest and is the county seat (Kelly School of Business, 2014). Over fifty-two percent of the population consists of adults ranging from 25-64 years of age (Kelly School of Business, 2014). The leading cause of mortality in this county is heart disease, cancer, suicide and injuries (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011).
brought in to sit with the patient. A family member could have been asked to sit with the patient. More frequent rounds to check on Mr. J. could have been implemented.
Normally, a murmur is a blowing, whooshing, or rasping sound heard during a heartbeat. (NIH.GOV)That is what Dr.Baker probably heard when doing the examination.
After Columbus mistakenly discovered the Americas in 1492, European countries were soon setting out to establish themselves in this new world. Spain was first to establish itself in the new world, using their powerful military and their navy. The new colonies were completely dictated by the king of Spain, such one of his policies allowing colonists to use the native tribes for forced labor. France was the second major power to establish itself. Their main focus was fur trapping and fur trading. The French quickly learned to work with the Native Americans. The few French settlers, who did come to America, were focused on fur trapping and trading. Because of this, most French settlements were either military forts or trading posts. England
Never events are serious medical errors that are often preventable. When such events transpire, it is necessary to fully assess the situation so that these errors can be prevented in the future. Root cause analysis (RCA) is a tool employed by healthcare facilities to analyze adverse events and the systems that lead to them.
5) You examine Martha's abdomen and find that she has an enlarged liver ("hepatomegaly") and a moderate degree of ascites (water in the peritoneal cavity). Explain these findings.
This is an unexpected finding for someone with adequate nutrition, and could be a sign of dehydration.
Digestion in the colon consists of two main mechanisms, the first one is mechanical digestion in which digestion starts when the chyme passes through ileocecal sphincter; the characteristic movement of the colon is haustral churning in which colon walls contract and squeeze contents into the second haustrum. The final digestion mechanism is chemical digestion in which microorganisms that inhabit the lumen of large intestine digest and ferment colon contents and release gases as carbon dioxide, two mechanisms are challanging drug absorption from the colon. [11]