NR 509 / NR509 Advanced Physical
Assessment Final Exam Study Guide |
Already Rated A Guide| Latest 2021/2022
| Chamberlain
1. Know what brief test you
... [Show More] can do to assess memory
· Serial 7's: poor performance may result from delirium, the late stages of
dementia, intellectual disability, anxiety or depression. Also need to consider
educational level.
· Spelling backward
· New learning activity: 3 to 4 word recall- give the patient 3 words and have
them repeat them so that you know they heard them. Then ask them to recall
the words 3-5 minutes later.
2. Delirum
· acute, worse at night, lasts hours to weeks, disrupted sleep, general illness
and/or drugs present, disturbed LOC, hesitant/slow/rapid/incoherant speech,
disorganized thought process, immediate and recent memory impaired,
delusions common
3. Dementia
· insidious, slowly progressive, lasts months to years, fragmeted sleep, general
illness often absent, LOC usually normal, difficulty finding words, flat,
depressed, recent memory and new learning impaired
4. Know what an ulcer due to venous insufficiency looks like
· Usually appears over the medial and sometimes lateral malleolus. Ulcer
contains small, painful granulation tissue and fibrin; necrosis or exposed
tendons are rare. Borders are irregular, flat, or slightly steep. Pain effects
QOL in 75% of patients. Associated findings include edema, reddish
pigmentation and purpura, venous varicosities, the eczematous changes of
stasis dermatitis (redness, scaling, and pruritis), and at times cyanosis of the
foot when dependent. Gangrene is rare.
5. Know why venous insufficiency causes edema, swelling, and ulceration
· It arises from chronic obstruction and incompetent valves in the deep venous
system.
6. Know the causes of increased jugular venous pressure
· Highly correlated with both acute and chronic heart failure. Also seen in
tricuspid stenosis, chronic pulmonary hypertension, superior vena cava
obstruction, cardiac tamponade, and constrictive pericarditis.
7. Know what a retracted tympanic membrane with effusion looks like
· amber fluid behind the ear drum is characteristic
8. Know the signs of ectopic pregnancy
· range from subacute, approx. 80-89%, to shock from rupture and
intraperitoneal hemorrhage (10-30% of cases).
· Most common clinical features: abdominal pain, adnexal tenderness, and
abnormal uterine bleeding. In more than half there is a palpable adnexal
mass that is typically large, fixed, and ill-defined at times with adherent
omentum or small or large bowel. In milder cases, there may be a prior
history of amenorrhea or other symptoms of pregnancy.
9. Know the signs of prostatitis: acute
· presents with fever and urinary tract symptoms such as frequency, urgency,
dysuria, incomplete voiding and sometimes low back pain. The gland feels
tender, swollen, "boggy" and warm.
10. Know the signs of prostatitis: chronic [Show Less]