Maryville NURS 612 Exam 2

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Maryville NURS 612 Exam 2 midsystolic murmur that radiates to left sternal border with a medium pitch; a coarse thrill is palpated as well? - ANSWER --Aortic stenosis During percussion, the p... atient holds his or her arms in front in order to? - ANSWER --Expose maximum lung area List 2 HPI questions for Chest pain - ANSWER --1. does the pain radiate to the arm or jaw 2. Are there associated symptoms such as SOB, sweating or N/V List 2 patient educations regarding sun exposure - ANSWER --1. Apply SPF of 30 or after and reapply every 30 min to an hour 2. wear long sleeves and hat and avoid peak sun hours When looking for skin cancer what does 'ABCDE' stand for - ANSWER --A - Asymmetry - halves do not match and not equal B - Borders - are they irregular, ragged, blurred C - Color - is it the same throughout or varying in shades across area D - Diameter - is it > 6mm E - evolving/elavation What is a skin lesion that resembles a lipoma and is > 1.5 mm considered? - ANSWER --Nodule What would you ask a young woman with possible thyroid issues? - ANSWER --Have you been fatigued or had a change in your sleep patterns Pt c/o allergies and wheezing what would you suspect? - ANSWER --Asthma How do you assess for epitrochlear nodes - ANSWER --palpated the groove between the tricep and bicep found proximal and slightly anterior to the medial epicondyle of the humerous What type of headache starts in the morning and eases up throughout the day? - ANSWER --Hypertension HA 18 y/o with skin irritation that just started shaving? - ANSWER --folliculitis List 2 normal findings of when palpating the precordium - ANSWER --1. No heaves or thrills 2. Apical pulse is at midclavicular line and 5th IC space <1cm If the patient has a history of asthma and is exposed to allergens, what would you expect if the patient comes in with wheezing? diagnosis? - ANSWER --SOB, coughing, chest tightness; Acute asthma exacerbation; patient says I was exposed to allergens and now I have a fever, what would the diagnosis be - ANSWER --pnuemonia What are some physical findings of a patient that is SOB? - ANSWER --use of accessory muscles, are they able to perform ADLs, tripoding What are you looking for if murmur is heard - ANSWER --T-DIPQ-LRV (timing, duration, intensity, pitch, quality, location, radiation, variation with resp phase HA with rapid and sudden onset, what are some of the differential diagnoses that you would think of - ANSWER --Intracranial bleed or subarachnoid hemorrhage HA with rapid and sudden onset in patient with cardiac issues what differential diagnosis - ANSWER --CVA What cranial nerves should always be assessed with HA - ANSWER --2 (optic) & 12 (Hypoglossal) HA with fever, chills, and neck pain could indicate what - ANSWER --meningitis Important HPI questions for HA - ANSWER --Onset and location A 26 y/o female presents with complaints of fatigue and hair falling out what lab would you check - ANSWER --TSH A 16 y/o female comes in saying that her periods are irregular what is one thing to check - ANSWER --TSH An older patient asks the examiner, "Is this spot on my chin a cancer?" Which of the following would indicate a need for further medical investigation? - ANSWER --bleeds easily when touched While examining the skin of an 87-year-old woman, the examiner observes significant tenting. What age-associated changes best explains this finding - ANSWER --loss of adipose tissue and elasticity Which of the following may be associated with neurofibromatosis or pulmonary stenosis - ANSWER --Café au lait spots Which lesion is an expected finding on the skin of healthy older adults - ANSWER --cherry angioma Hyperkeratosis is noted on a patient's palms and soles. The examiner recognizes that this - ANSWER --normal finding Which of the following findings suggests that a patient has a fungal infection of the nail beds - ANSWER --The nail plate is yellow and crumbling. If you are assessing a skin lesion and it feels rubbery, what do you think of it? - ANSWER --cyst If you have a patient that comes in to the clinic with cellulitis, what are some of the things that you are going to look for and decide to send the patient to the ED - ANSWER --failed oral antibx, risk factors such as immunocomprimised [Show More]

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