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55 Cards in this Set
- Front
- Back
Why is measuring blood pressure important
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better undesrtand how hard the heart pumps blood and then relaxes
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what does _____ jugular venous pulse tell nurse
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determines hemodynamics of RIGHT side of heart
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on exam the nurse would find if pt is in right sided heart failure
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Increasing jugular venous pressure
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a pt is scheduled for ECG and wants to know why - the best answer is that an ECG
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Assess the structure of heart especially the valves (ECG)
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when a pt has paradoxical split 1 - it measures
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split WIDER on EXPIRATION
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in elderly - what is usually a normal finding
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SYSTOLIC MURMOR - normal in elderly
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a pt suspected of having a obstructed coronary arteries - what test provides most conclusive information
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cardiac catheterization
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S1 loudest at what auscultatory site
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S1 - loudest at MITRAL
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what auscultating site would physiogic SPLITS be better heard?
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?
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what would RN suspect when cardiac patient complains of not sleeping well and having to get up frequently at night to urine
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increased urinating at night may indicate HEART FAILURE
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rn taking history of patient suspected of having cardiovasculardisease - pt has HYPERTENSION - what extra heart sound would be heard?
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HTN = S4
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what is true concerning blood pressure
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a difference of less than 5-10 more HG between arms is considered NORMAL.
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When assessing central and peripheral arteries for bruits - what sound should be heard?
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NO sound
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which of the following characteristsc noted when palpating pulses?
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amplitude
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4th heart sound S4 is best heard where
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WITH BELL AT APEX
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where would nurse begin when palpating distended bladder
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Symphis Pubis
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which organ in LUQ and its secretion contribute to digestion?
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Pancreas
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RN assessses spine ROM - besides flexion, hyperextension and lateral bending - Spinal Rom test includes
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ROTATION
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positive MCMURRAY test indicates
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torn meniscus
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sour on client tongue (lemon) =
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CN 9 Glossopharyngeal
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rapid alternative movements is for what assessement RAM
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Coordination
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pt skin color has melanin and carotene in skin plus what
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volume of blood circulating in dermis
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pallor =
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ashen gray
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collection of localized blood with trauma is called
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hematoma
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expected change due to aging is
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receding of gingivae
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herniated discc assessment best done by
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compressing the area right above patella
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cerebrum function =
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memory
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cerebellum function -
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balance /cioordination
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frontal lobe occulsion =
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difficult REASONING
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freckles are considered
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macules
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"run together" =
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confluent
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ABCD of melanoma lesion is best defined by
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assymetrical with irregular border
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>110 =
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hyperglycemia
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rheumatic fever weakens the heart valve and indicates whatdisease
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cardiovascular/heart disease
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apical pulse felt to the left =
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hypertrophied
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irregular rhythm and alternating bw weak and strong beats is known as
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bigeminal pulse
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S3 3rd heart sound is best heard where
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WITH BELL AT APEX
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S4 4th bell sound heard where?
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WITH BELL AT APEX
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The two parts of the nervous system are the:
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The nervous system can be divided into two parts?central and peripheral. The central nervous system includes the brain and spinal cord. The peripheral nervous system includes the 12 pairs of cranial nerves, the 31 pairs of spinal nerves, and all their branches.
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1 of 1 points
Correct The wife of a 65-year-old man tells the nurse that she is concerned because she has noted a change in her husband?s personality and ability to understand. He also cries and becomes angry very easily. The nurse recalls that the cerebral lobe responsible for these behaviors is which of the following? |
The FRONTAL lobe has areas concerned with personality, behavior, emotions, and intellectual function.
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Which of the following statements is accurate concerning areas of the brain?
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The hypothalamus is a vital area with many important functions: temperature controller, sleep center, anterior and posterior pituitary gland regulator, and coordinator of autonomic nervous system activity and emotional status.
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The area of the nervous system that is responsible for mediating reflexes is the:
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he spinal cord is the main highway for ascending and descending fiber tracts that connect the brain to the spinal nerves, and it mediates reflexes.
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The nurse is testing the function of cranial nerve XI. Which of the following best describes the response the nurse would expect if the nerve is intact?
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Examine the sternomastoid and trapezius muscles for equal size. Check equal strength by asking the person to rotate the head forcibly against resistance applied to the side of the chin. Then ask the person to shrug the shoulders against resistance. These movements should feel equally strong on both sides
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A patient is being assessed for range of joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called:
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Moving a limb toward the midline of the body is called ADDUCTION; abduction is moving a limb away from the midline of the body.
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are the functional units of the musculoskeletal system because they permit the mobility needed for activities of daily living.
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Joints
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Fibrous bands running directly from one bone to another that strengthen the joint and help prevent movement in undesirable directions are called .
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ligaments
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The nurse notices that a woman in an exercise class is unable to jump rope. The nurse knows that to jump rope, one?s shoulder has to be capable of:
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Circumduction is defined as moving the arm in a circle around the shoulder.
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A woman who has had rheumatoid arthritis for years is starting to notice that her fingers are drifting to the side. The nurse knows that this condition is commonly referred to as:
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ulnar deviation
: Fingers drift to the ulnar side because of stretching of the articular capsule and muscle imbalance caused by chronic rheumatoid arthritis. |
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cardiac diet
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cardiac diet increases consumption of fruits and vegetables, whole grains, and fiber and decreases consumption of fats and sodium
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sudden fall of blood glucose followed by a rebound of hyperglycemia caused by excessive insulin
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somogyi effect
(rebound high blood sugar in response to low blood sugar) |
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is defined as an increase in the blood sugar in the morning and is typically invoked in the context of diabetes
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DAWN effect
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somygyi effect is different from Chronic Somogyi rebound in that dawn effect is not associated with
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nocturnal hypoglycemia.
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angina most related with MI
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Chronic unstable angina
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ECG can diagnose angina, what is the primary cause of it
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inadequate o2 supply to myocardium
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ulcerative colitis diet
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high protein high calorie
avoid grains nuts whole fruits and raw vegetables |