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WTCC |\NUR |\ 111 |\Lab |\Exam |\ 1 |\with |\answers
Purpose |\of |\physical |\assessment |- |\CORRECT |\ANSWERS |\✔✔gather |
baseline |\data Purpose |\of |\physical |\assessment |- |\CORRECT |\ANSWERS |
✔✔support/refute |(validate) |\subjective |\data Purpose |\of |\physical |\assessment |- |\CORRECT |\ANSWERS |
✔✔identify/confirm |\nursing |\dx Purpose |\of |\physical |\assessment |- |\CORRECT |\ANSWERS |\✔✔reassess Purpose |\of |\physical |\assessment |- |\CORRECT |\ANSWERS |\✔✔evaluate |
the |\outcome |\of |\care a |\criteria |\for |\an |\effective |\physical |\examination |\environment |- |
CORRECT |\ANSWERS |\✔✔privacy criteria |\for |\an |\effective |\physical |\examination |\environment |- |
CORRECT |\ANSWERS |\✔✔adequate |\lighting
criteria |\for |\an |\effective |\physical |\examination |\environment |- |
CORRECT |\ANSWERS |\✔✔exam |\table criteria |\for |\an |\effective |\physical |\examination |\environment |- |
CORRECT |\ANSWERS |\✔✔quite criteria |\for |\an |\effective |\physical |\examination |\environment |- |
CORRECT |\ANSWERS |\✔✔comfortable |\patient criteria |\for |\an |\effective |\physical |\examination |\environment |- |
CORRECT |\ANSWERS |\✔✔infection |\control |\precautions criteria |\for |\an |\effective |\physical |\examination |\environment |- |
CORRECT |\ANSWERS |\✔✔keep |\yourself |\safe criteria |\for |\an |\effective |\physical |\examination |\environment |- |
CORRECT |\ANSWERS |\✔✔have |\equipment |\available criteria |\for |\an |\effective |\physical |\examination |\environment |- |
CORRECT |\ANSWERS |\✔✔minimize |\pt. |\position |\changes one |\of |\ 5 |\items |\needed |\when |\preforming |\a |\basic |\assessment |- |
CORRECT |\ANSWERS |\✔✔stethoscope
Inspection |- |\CORRECT |\ANSWERS |\✔✔- |\looking |\for |\wounds, |\see |
improvement/decline, |\evidence |\of |\neglect, |\Environmental |\safety Palpation |- |\CORRECT |\ANSWERS |\✔✔touching, |\using |\fingertips |\or |
back |\of |\hand |\to |\assess, |\can |\assess |\skin |\temp, |\moisture, |\blanching, |
edema, |\thickness, |\pain |\level, |\turgor, |\can |\assess |\abdomen |\whether |
hard/soft, |\shape, |\masses, |\distention, |\can |\assess |\fontanels |\of |\a |\baby Percussion |- |\CORRECT |\ANSWERS |\✔✔touching, |\using |\fingertips |\or |
back |\of |\hand |\to |\assess, |\can |\assess |\skin |\temp, |\moisture, |\blanching, |
edema, |\thickness, |\pain |\level, |\turgor, |\can |\assess |\abdomen |\whether |
hard/soft, |\shape, |\masses, |\distention, |\can |\assess |\fontanels |\of |\a |\baby Auscultation |- |\CORRECT |\ANSWERS |\✔✔listening |\to |\sounds |\body |
makes, |\usually |\w/stethoscope, |\diaphragm |\best |\for |\high |\pitch |
sounds |(bowels, |\breath, |\normal |\heart |\sounds), |\bell |\better |\for |\low |
pitch |\sounds |(murmurs, |\extra |\heart |\sounds) Olfaction |- |\CORRECT |\ANSWERS |\✔✔using |\the |\sense |\of |\smell |\to |
detect |\abnormalities |\that |\go |\unrecognized head |\to |\toe |\assessment |- |\CORRECT |\ANSWERS |\✔✔a |\full |\assessment |
of |\all |\body |\systems, |\used |\upon |\admission |\usually, |\and |\during |\an |
annual |\physical |\assessment
focused |\assessment |- |\CORRECT |\ANSWERS |\✔✔more |\specific |, |\focuses |\on |\problem |\at |\hand |\per |\the |\patient |\complaint, |\used |\often |\in |\acute |\situations |\and |\in |\ER, |\more |\narrow |\assessment developmental |\considerations |\with |\children |- |\CORRECT |\ANSWERS |
✔✔get |\down |\on |\child's |\level; |\consider |\their |\developmental |
achievement |\to |\that |\point. |\With |\young |\toddlers, |\build |\trust |\w/the |
parent |\first |\and |\the |\child |\will |\see |\that |& |\be |\more |\willing |\to |\interact |\w/you. |\With |\older |\toddlers, |\may |\need |\to |\show |\them |\how |\you |\are |
going |\to |\perform |\a |\technique, |\let |\them |\explore |\the |\equipment |
when |\you |\can, |\be |\honest |\w/them. developmental |\considerations |\with |\adolescents |- |\CORRECT |\ANSWERS |\✔✔treat |\them |\as |\individuals/adults, |\make |\them |\aware |\and |\a |\part |
of |\their |\treatment |\and |\be |\honest. |\They |\have |\a |\right |\to |
confidentiality |& |\you |\can |\speak |\w/them |\alone |\after |\discussing |
historical |\info |\w/them |& |\the |\parents. developmental |\considerations |\with |\young |\adults |- |\CORRECT |
ANSWERS |\✔✔assess |\ADLs, |\relationships, |\religious |\pursuits developmental |\considerations |\with |\older |\adults |- |\CORRECT |
ANSWERS |\✔✔do |\not |\stereotype |\about |\their |\level |\of |\cognition, |\give |
time |\to |\answer |\questions, |\take |\into |\consideration |\some |\sensory |\
normal |\vesicular |\sounds |- |\CORRECT |\ANSWERS |\✔✔soft, |\low |\pitch |
inspirations |\heard |\the |\longest, |\3: normal |\bronchovesicular |\sounds |- |\CORRECT |\ANSWERS |\✔✔inspiration |\and |\expiration |\sounds |\are |\even, |\1: normal |\bronchial |\sounds |- |\CORRECT |\ANSWERS |\✔✔expiration |\heard |
the |\longest, |\2: crackles |- |\CORRECT |\ANSWERS |\✔✔abnormal |\breath |\sound, |\high |
pitched, |\head |\at |\end |\of |\inspiration, |\not |\cleared |\by |\cough rhonci |- |\CORRECT |\ANSWERS |\✔✔abnormal |\breath |\sound, |\head |\over |
trachea, |\loud, |\low |\pitched, |\sometimes |\cleared |\by |\cough wheezes |- |\CORRECT |\ANSWERS |\✔✔abnormal |\breath |\sound, |\heard |
over |\all |\lung |\fields, |\high |\pitched, |\continuous |\musical |\sound, |\usually |\louder |\on |\expiration pleural |\friction |\rub |- |\CORRECT |\ANSWERS |\✔✔abnormal |\breath |
sound, |\over |\anterior |\lateral |\lung, |\dry, |\rubbing |\quality |\heard |\during |
inspiration |\and |\expiration, |\not |\cleared |\by |\coughing
normal |\BP |\for |\adults |- |\CORRECT |\ANSWERS |\✔✔120/ S1 |- |\CORRECT |\ANSWERS |\✔✔Lub |\sound, |\heard |\best |\at |\PMI/apex |\of |
heart, |\mitral |\and |\tricuspid |\valves |\close, |\ventricles |\contract, |\systole systole |- |\CORRECT |\ANSWERS |\✔✔ventricles |\are |\contracting, |\Lub |
sound S2 |- |\CORRECT |\ANSWERS |\✔✔Dub |\sound, |\heard |\best |\at |\base |\of |\heart |\or |\2nd |\intercostal |\space, |\aortic |\and |\pulmonic |\spaces, |\valves |\close, |
ventricles |\relax |\and |\refill, |\diastole diastole |- |\CORRECT |\ANSWERS |\✔✔ventricles |\fill, |\Dub |\sound |\heard S3 |- |\CORRECT |\ANSWERS |\✔✔common |\in |\children/young |\adults, |\lub |
dub-bee S4 |- |\CORRECT |\ANSWERS |\✔✔heard |\before |\s1, |\pathological |\in |\adults |
TEN-nes-see murmur |- |\CORRECT |\ANSWERS |\✔✔turbulent |\blood |\flow
skin |\abnormalities |- |\CORRECT |\ANSWERS |\✔✔tenting |\w/turgor |\check, |
jaundice, |\erythema, |\cyanosis, |\pallor, |\bruises, |\lesions, |\Braden |\scale, |
carcinomas, |\melanoma capillary |\refill |- |\CORRECT |\ANSWERS |\✔✔Checking |\for |\circulation |\of |
peripheral |\extremities edema |- |\CORRECT |\ANSWERS |\✔✔Abnormal |\accumulation |\of |\fluid |\in |
interstitial |\spaces |\of |\tissues, |\check |\for |\pitting |(1-4) clubbing |- |\CORRECT |\ANSWERS |\✔✔indicative |\of |\poor |\oxygenation, hyperopia |- |\CORRECT |\ANSWERS |\✔✔farsightedness, |\can |\see |\distance |\but |\not |\close, |\considered |\abnormal myopia |- |\CORRECT |\ANSWERS |\✔✔can |\see |\close |\objects, |\but |\not |\far, |
considered |\abnormal presbyopia |- |\CORRECT |\ANSWERS |\✔✔impaired |\vision |\near |\middle |
age, |\caused |\by |\loss |\of |\elasticity |\of |\lens, |\considered |\abnormal strabismus |- |\CORRECT |\ANSWERS |\✔✔congenital |\condition, |\both |\eyes |\do |\not |\focus |\on |\object |\at |\the |\same |\time, |\eyes |\appear |\crossed, |
considered |\abnormal
nystagmus |- |\CORRECT |\ANSWERS |\✔✔involuntary, |\rhythmical |
oscillation |\of |\eyes, |\result |\of |\local |\injury |\to |\eye |\muscles/local |
structures |\or |\disorder |\of |\cranial |\nerves, |\have |\pt |\look |\far |\right |\or |
left |\to |\initiate |\nystagmus, |\considered |\abnormal cataracts |- |\CORRECT |\ANSWERS |\✔✔indicated |\by |\cloudy |\pupils, |\also |
considered |\abnormal visual |\fields |- |\CORRECT |\ANSWERS |\✔✔have |\pt |\cover |\left |\eye |(for |
example) |\and |\you |\cover |\right. |\Bring |\finger |\outside |\visual |\field |\and |
slowly |\bring |\it |\in, |\pt |\reports |\when |\finger |\can |\be |\seen. |\If |\you |\see |
the |\finger |\before |\pt |\portion |\of |\pt's |\visual |\field |\is |\reduced 6 |\directions |\of |\gaze |- |\CORRECT |\ANSWERS |\✔✔up, |\down, |\left |\right, |
right |\diagonally, |\left |\diagonally, |\then |\have |\eyes |\converge |\and |\look |
for |\pupils |\to |\reduce |\in |\size consensual |\response |- |\CORRECT |\ANSWERS |\✔✔when |\pupils |\react |
together |\to |\pen |\light PERRLA |- |\CORRECT |\ANSWERS |\✔✔Pupils, |\Equal, |\Round, |\React |\to, |
Light, |\Accommodate |(eyes |\converge |& |\pupils |\decrease |\in |\size)
knee-chest |- |\CORRECT |\ANSWERS |\✔✔position |\of |\examination, |
provides |\maximum |\exposure |\for |\rectal |\exam, |\uncomfortable |\and |
embarrassing macule |- |\CORRECT |\ANSWERS |\✔✔flat, |\non |-palpable, |\EX: |\freckle |\or |
petechiae papule |- |\CORRECT |\ANSWERS |\✔✔palpable, |\solid |\elevation |\in |\skin nodule |- |\CORRECT |\ANSWERS |\✔✔elevated, |\solid |\mass, |\deeper/firmer |\than |\papule, |\EX: |\wart tumor |- |\CORRECT |\ANSWERS |\✔✔solid |\mass |\that |\extends |\deep |
through |\subcut. |\tissue, |\larger |\than |\1-2 |\cm, |\ex: |\Epithelioma wheal |- |\CORRECT |\ANSWERS |\✔✔irregularly |\shaped, |\elevated |\area, |
localized |\edema, |\EX: |\Hive, |\mosquito |\bite vesicle |- |\CORRECT |\ANSWERS |\✔✔elevation |\of |\skin |\fill |\w/serous |\fluid |
EX: |\Herpes, |\chickenpox pustule |- |\CORRECT |\ANSWERS |\✔✔similar |\to |\vesicle, |\but |\filled |\w/pus |
EX: |\acne, |\staph |\infection
ulcer |- |\CORRECT |\ANSWERS |\✔✔deep |\loss |\of |\skin |\that |\extends |\to |
dermis, |\frequently |\bleeds |& |\scars |\EX: |\venous |\stasis |\ulcer atrophy |- |\CORRECT |\ANSWERS |\✔✔thinning |\of |\skin |\w/ |\loss |\of |\normal |
skin |\furrow, |\appears |\shiny, |\translucent |\EX: |\Arterial |\insufficiency plaque |- |\CORRECT |\ANSWERS |\✔✔lesions |\run |\together, |\EX: |\Eczema, |
psoriasis capillary |\refill |- |\CORRECT |\ANSWERS |\✔✔Checking |\for |\circulation |\of |
peripheral |\extremities normal |\lymphnode |- |\CORRECT |\ANSWERS |\✔✔mobile, |\tender, |
palpable, |\sometimes |\warm, |\use |\pads |\of |\fingers |\to |\palpate abnormal |\lymphnode |- |\CORRECT |\ANSWERS |\✔✔large, |\inflamed, |
tender |\or |\non |\tender, |\hard suprasternal |\notch |- |\CORRECT |\ANSWERS |\✔✔indention/gap |\b/t |
clavicles manubrium |- |\CORRECT |\ANSWERS |\✔✔bone |\directly |\below |
suprasternal |\notch
lordosis |- |\CORRECT |\ANSWERS |\✔✔sway |\back, |\lower |\lumbar |\curve |
assoc. |\w/pregnancy Kyphosis |- |\CORRECT |\ANSWERS |\✔✔hunchback, |\little |\old |\ladies Scoliosis |- |\CORRECT |\ANSWERS |\✔✔assoc |\w/adolescents, |\s-curve |\in |
the |\back Hypertonicity |- |\CORRECT |\ANSWERS |\✔✔muscle |\rigidity hypotonicity |- |\CORRECT |\ANSWERS |\✔✔muscles |\are |\flaccid, |\floppy, |
such |\as |\in |\unconscious |\pt |\or |\paraplegic plantar |\flexion |- |\CORRECT |\ANSWERS |\✔✔pointing |\toes, |"planting" |
foot dorsiflexion |- |\CORRECT |\ANSWERS |\✔✔pulling |\toes |\upward flexion |- |\CORRECT |\ANSWERS |\✔✔decreasing |\the |\angle extension |- |\CORRECT |\ANSWERS |\✔✔increasing |\the |\angle
level |\of |\consciousness |- |\CORRECT |\ANSWERS |\✔✔oriented |\to |\place, |
person, |\time? |\Eyes |\open |\to |\questions? |\LOC |\can |\be |\impacted |\by |
neuro |\or |\respiratory |\injury/disease 5 |\P's |- |\CORRECT |\ANSWERS |\✔✔Pulse, |\Pallor, |\Pain, |\Paresthesia, |
Paralysis |(And |\6th |\P |\is |\Polar/Poikylothermia) Glascow |\Coma |\Scale |- |\CORRECT |\ANSWERS |\✔✔allows |\evaluation |\of |
pt's |\neurological |\status |\over |\time, |\higher |\score= |\better |\the |\pt's |
neurological |\function Receptive |\aphasia |- |\CORRECT |\ANSWERS |\✔✔can't |\understand |\written |& |\verbal |\speech expressive |\aphasia |- |\CORRECT |\ANSWERS |\✔✔can't |\speak |\or |\write |\but |\understands |\spoken |& |\written |\speech motor |\sensory |\nerves |- |\CORRECT |\ANSWERS |\✔✔sharp/dull |\test, |\have |\pt. |\smile, |\elicit |\gag |\reflex, |\say |"ah", |\ask |\to |\shrug |\shoulders, |\stick |
tongue |\out cranial |\nerves |\associated |\with |\eyes |- |\CORRECT |\ANSWERS |\✔✔assess |
directions |\of |\gaze, |\have |\pt |\read |\Snellen |\chart, |\test |\light |\reflexes |, |
touch |\cornea |\w/wisp |\of |\cotton
