Maryville NURS 612 Exam 2
midsystolic murmur that radiates to left sternal border with a medium pitch; a coarse thrill is palpated as well? - correct
... [Show More] answer Aortic stenosis
During percussion, the patient holds his or her arms in front in order to? - correct answer Expose maximum lung area
List 2 HPI questions for Chest pain - correct 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 - correct 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 - correct 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? - correct answer Nodule
What would you ask a young woman with possible thyroid issues? - correct answer Have you been fatigued or had a change in your sleep patterns
Pt c/o allergies and wheezing what would you suspect? - correct answer Asthma
How do you assess for epitrochlear nodes - correct 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? - correct answer Hypertension HA
18 y/o with skin irritation that just started shaving? - correct answer folliculitis
List 2 normal findings of when palpating the precordium - correct 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? - correct 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 - correct answer pnuemonia
What are some physical findings of a patient that is SOB? - correct answer use of accessory muscles, are they able to perform ADLs, tripoding
What are you looking for if murmur is heard - correct answer T-DIPQ-LRV (timing, duration, intensity, pitch, quality, location, radiation, variation with resp phase [Show Less]