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A comprehensive set of questions and answers covering various aspects of advanced health assessment, including musculoskeletal, neurological, and genitourinary systems. It is designed to help students prepare for the nurs 612 final exam at maryville university. Detailed explanations for each answer, making it a valuable resource for understanding key concepts and clinical applications.
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While palpating the patient's knee, the nurse finds effusion in the joint. What further assessment will support this finding? - ...ANSWER....Testing for ballottement is a test to detect fluid in the joint improved by bending forward.
Lumbar stenosis, narrowing of the spinal canal, causes prolonged standing stenosis? - ...ANSWER....Pain associated with Which assessment finding is associated with lumbar
factors for osteoarthritis include obesity, aging, and a Risk factors for osteoarthritis - ...ANSWER. ...........Risk
Peripheral neuropathy heredity? Which of the Following disorders is known to be
The Examiner asks the patient to close her eyes and then place a vibrating tuning fork on the patients ankle and asks her to indicate what is felt. What is being assessed? - ...ANSWER....Primary sensory function changes, muscle weakness bladder dysfunction, sexual dysfunction, sensory Multiple sclerosis - ...ANSWER....Fatigue, bowel and muscle activation. disorder of neuromuscular junction involved with Myasthenia gravis - ...ANSWER....An autoimmune Whisper Test - ...ANSWER....CN V111 acoustic Seizure disorder - ...ANSWER....Huntington Chorea Huntington Chorea Meningitis
...ANSWER....CN V11 facial Patient puffs out cheeks and shows teeth - ...ANSWER....CN X1 Spinal accessary Patient shrugs shoulders against examiner's hands - ...ANSWER....CN 1 Olfactory Smell test with coffee, orange and cloves - ...ANSWER....CN 111 oculomotor Eyes constrict and dilate in response to light - glossopharyngeal ...ANSWER....CN V11 and CN 1X Facial and Taste test with sugar, salt, and lemon -
...ANSWER....CN V Trigeminal patient clinches teeth (temporal muscles contracted) -
functioning of the nerves in which location of the The abdominal reflexes are tested to assess Under what conditions should a patient be tested for clonus? - ...ANSWER....When deep tendon reflexes are hyperactive Clonus, repeated reflex muscle movement, is tested when a patient has hyperactive reflexes. It is found with diseases of the upper motor neuron. Nuchal rigidity, neck stiffness, is a sign of meningeal irritation. Absent reflexes are associated with lower motor neuron diseases. Decorticate positioning, a state of flexion with the arms adducted, occurs with hemispheric lesion of the cerebral cortex.
commonly with age. Lordosis, scoliosis, and ankylosis posterior curvature of the thoracic spine, occurs patients? - ...ANSWER....Kyphosis, advanced Which change is most commonly observed in aging
(carpal tunnel) Tinal sign - ...ANSWER....Median nerve integrity
root irritation Straight leg raising - ...ANSWER....L4, L5, S1 nerve nerve root irritation Femoral stretch test - ...ANSWER....L1, L2, L3, L Varus-valgus stress test - ...ANSWER....Medial or lateral collateral ligament instability of the knee (MCL) Bulge sign - ...ANSWER....Effusion of the knee Anterior and posterior drawer test - ...ANSWER....Anterior and posterior cruciate ligament integrity (ACL and PCL) (carpal tunnel) Phalen test - ...ANSWER....Median nerve integrity
Thomas test - ...ANSWER....Flexion contracture of hip Trendlenburg sign - ...ANSWER....Weak hip abductor Herberden nodes and bouchard nodes noted on the hands - ...ANSWER. .. Osteoarthritis Low back pain that radiates to the buttocks and posterior thigh with tenderness over the spine - ...ANSWER....Lumbar disk herniation (lumbaosacral radiculopathy) Heat redness, swelling, and tenderness to the metatarsophalangeal joint - ...ANSWER... Gouty arthritis of the great toe Subcutaneous nodules on the forearm near the elbow
tenderness, swelling, and boggy sensation with palpation along the grooves of the olecranon process;
Unilateral facial pain that worsens with joint movement
...ANSWER....Paget disease Excessive bone resorption and bone formation - ...ANSWER. ...... Fibromyalgia Painful, nonarticular musculoskeletal condition - swelling - ...ANSWER. ....... Bursitis to limitation with motion, point tenderness, and Inflammation of this structure adjacent to a joint leads Avascular necrosis of the femoral head - ...ANSWER....Legg-Callve-Perthe disese ...ANSWER. ...... Gout Sudden onset of hot, swollen joint(s) -