NR304 Assessment ESE Study Guide 3 Essay

3466 Words Aug 29th, 2015 14 Pages
NR304 Assessment ESE Study Guide
Chapter
Page No.
Question
Answer
18
476
Peripheral Vascular

1. PVD assessment: ulcers (arterial vs. venous)
a) Arterial deficient ulcers occur on _____?
b) Venous ulcers occur at ______ because of fragile tissue w/ poor drainage.

2. Assessment of legs
a) Color: If peripheral vessels are constricted the skin will be _____.
b) Color: If the vessels are dilated the skin tone will be _______.
c) Color: An elevated leg that is pale indicates?
d) Color: _______ must be reported to the physician immediately.
e) Color: a _____ discoloration over the tibial surface is associated with ____ disease. The color stems from blood leaking out of a vessel.
f) Texture: thickened skin w/ brown discoloration can
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c) What tool do you use to assess ROM?
d) Strength: How is muscle strength rated?

3. Muscle atrophy: Name a s/s that you would see in someone with atrophy of the abdominal muscles.
a) What may a pt have if they are unable to perform abduction of the shoulders, has pain, tenderness, & muscle atrophy?
4. Muscle weakness: What test is used to assess muscle weakness in children?
a) Muscle weakness is common as a person _________, especially with __________.
b) __________ can also cause muscle weakness.
5. Hip dysfunction: Before testing for ROM of the hips you should know…?
a) Decrease abduction common in aging
b) Congenital (ortoloni’s, barlow’s)

6. ______ are all characteristics that provide data related to joints.

7. Internal & external rotation
8. Spination & pronation
9. Abduction & adduction
10. Flexion & hyperextension
11. Circumduction
12. Dorsiflexsion
13. Eversion
14. Inversion

15. What is a contracture?
16. Bulge sign?
17. McMurray’s test?

1. Anoxia. Ex: a baby required resuscitation after delivery.
a) Protein deficiency
b) 30%
2.
a) Use an orderly approach: head to toe, proximal to distal, compare the sides of the body for symmetry.
b) Push the joint beyond its normal range.
c) Goniometer
d) Rated on a scale of 0-5, 0 being the absence of strength and 5 indicating normal/maximum strength.

3. Constipation or abdominal distention.
a) Rotator cuff tears

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