NURSING > QUESTIONS & ANSWERS > NR 509 Midterm- chapters 1, 2, 3, 4 Already Passed (All)

NR 509 Midterm- chapters 1, 2, 3, 4 Already Passed

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NR 509 Midterm- chapters 1, 2, 3, 4 Already Passed 4 categories of adult PMH Correct Answer- Medical, surgical, OBGYN, psych,. 5 steps to generating clinical hypothesis Correct Answer- 1. select most specific and critical findings to support hypothesis. 2. Match findings against all conditions that can produce them 3. eliminate diagnostic possibilities that fail to explain things 4. weight the competing possibilities and select most likely diagnosis 5. give special attention to potentially life-threatening complications 7 attributes of a symptom Correct Answer- 1. Location- where is it, does it radiate? 2. Quality- what does it feel like? 3. Quantity or Severity- how bad is it? (for pain, how bad is it on a scale of 1 to 10?) 4. Timing: Onset, duration, & frequency- when did it start, how long does it last, how often does it occur? 5. Setting in which it occurs- include environmental factors, personal activities (walking), emotional reactions, and any other contributing factors 6. Factors that aggravate or relief the symptom- what makes it better? what makes it worse? 7. Associated manifestations OLDCART Onset, Location, Duration, Character, Aggravating/Alleviating Factors, Radiating, Timing Ambulatory BP monitoring Correct Answer- automated- provides 24hr average of BP. Show nocturnal dips (normal) or stays elevated (sign of CV disease). Often expensive and not covered by insurance auscultatory gap Correct Answer- a brief period when Korotkoff sounds disappear during auscultation of blood pressure; common with hypertension Brachial artery location and BP readings Correct Answer- if below heart, readings are high. If above heart, bp readings are low. Causes of orthostatic hypotension Correct Answer- Drugs, moderate to severe blood loss, prolonged bed rest, and autonomic nervous system diseases Childhood illness to be assessed on PMH Correct Answer- MMR, whooping cough, chickenpox, rheumatic fever, scarlet fever, polio, & any chronic childhood illness Health Maintenance Correct Answer- UTD on immunizations & screenings? TB test, paps, mammograms, stool tests, colonoscopy, cholesterol. How to estimate systolic pressure Correct Answer- palpate radial artery w/one hand, rapidly inflate cuff until radial pulse disappears- note the measurement and add 30 mmHG identification of diastolic Correct Answer- disappearance point, usually 3 mmhg below muffling point masked HTN office BP Correct Answer- <140/90 but elevated daytime BP >135/85 measurement of orthostatic hypotension Correct Answer- supine 3-10 mins, sit up and measure within 3 mins. Drop of SBP 20 or more OR DBP drop 10 of more within 3 mins of standing nocturnal hypertension Correct Ans

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