Midterm Exam: NR569/ NR 569 (New 2023/
2024 Update) Differential Diagnosis in Acute
Care Practicum Exam Review| Week 1-4|
Questions and Verified
... [Show More] Answers| 100%
Correct - Chamberlain
Physical Assessment of the Skin (Order)
Answer:
1.Ask the patient to change into a gown with the opening in the back and clothes removed
except for underwear.
2.Perform hand hygiene.
3.Start by examining the hair and scalp. Note the distribution, texture, and quantity of of hair.
Then, using your fingers or a cotton-tipped applicator, separate the hair to examine the scalp
from one side to the other.
4.Now inspect the head and neck, including forehead, eyes (including eyelids, con- junctivae,
and sclerae), nose, ears, cheeks, lips, oral cavity, and chin. Examination should also include
inspection of terminal hair of the eyebrows, eyelashes, and beard.
5.Ask the patient to lean forward and inspect the upper back.
6.Now inspect the shoulders, arms and hands. Inspect the fingernails. Note their color, shape, and
any lesions. Longitudinal bands of pigment are normal in people with darker skin.
7.Now inspect the chest and abdomen. You may want to inspect the axillae at this point.
8.Inspect the anterior thighs and legs.
9.Inspect the feet and toes. Inspect and palpate the toenails, and inspect the soles and areas
between toes.
10.Inspect the lower back and anterior thighs and legs.
11.Inspect the breasts, axillae, and genitalia, including axillary and pubic hair.
QUESTION
Hypersensitivity Reaction Type I
Answer:
Reaction mediated by IgE a
- Examples: Systemic anaphylaxis and localized anaphylaxis such as asthma, hives, food
allergies and eczema.
QUESTION
Hypersensitivity Reaction Type II
Answer:
Cytotoxic reaction medicat
IgM antibodies.
- Examples: Blood transfusion reactions, erythroblastosis fetalis, and hemolytic anemia.
QUESTION
Hypersensitivity Reaction Type III
Answer:
Reaction mediated by immune complex- es.
- Examples: Localized Arthus reaction and generalized reactions suc
sickness, necrotizing vasculitis, glomerulonephritis, rheumatoid arthri
temic lupus erythematosus.
QUESTION
Hypersensitivity Reaction Type IV
Answer:
Delayed reaction mediated response.
- Examples: Contact dermatitis, tubercular lesions, and graft rejectio
QUESTION
Urticaria
Answer:
A cutaneous disorder characterized by the presence of transient, pruritic, erythematous, slightly
edematous plaques. Also known as HIVES.
- Causes include: physical stimuli, medications, infections, and autoimmu ease. [Show Less]