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NUR 2092 Health Assessment Exam 2

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If you are doing a cardiovascular assessment and you are hearing a bruit/swooshing sounds in the patients carotid artery, what does this mean? Correct Answer: Narrow vessel (Most likely filled with plaque buildup) If ...

If you are doing a cardiovascular assessment and you are hearing a bruit/swooshing sounds in the patients carotid artery, what does this mean? Correct Answer: Narrow vessel (Most likely filled with plaque buildup) If you are doing a Snellen eye exam from 20 feet away what are you testing? Correct Answer: Farsided eye sight What are 4 things that the skin does? Correct Answer: Prevention of penetration, temperature regulation, absorbs Vitamin D and wound repair (repairs itself) What cannot the skin do? Correct Answer: Prevent the loss of fluids When you are doing a lung assessment you should listen from what direction to what direction? Correct Answer: Right to left What is the Jaeger card used for? Correct Answer: Testing nearsided eye sight If a mole on a patients skin has abnormal pigmentation and is itchy, at what size does the mole become suspicious? Correct Answer: 6 mm What are you listening for when listening to bowel sounds? Correct Answer: Gurgling If you do not hear any sounds after 1 minute of listening to bowel sounds, what do you do? Correct Answer: Listen for 4 more minutes for a total of 5 minutes. What is a hypoactive bowel sound? Correct Answer: A distant bowel sound (Likely constipation. Only hearing gurgles every 1-2 minutes) What is an indication if a patient has yellow skin? Correct Answer: Jaundice. A liver problem If you are palpating lymph nodes in front of the ear, what lymph nodes are you palpating? Correct Answer: Preoricular If you are doing an abdominal assessment and you only heat a few gurgles every 1-2 minutes, what should you suspect is going on with the patient? Correct Answer: Constipation What should you always ask a patient when doing an abdominal assessment? Correct Answer: When was your last bm (No bm in 3 days indicates constipation) What is cyanoisis? Correct Answer: No oxygen exchange Which of the following patients would take highest priority: Jaundice yellow skin, Pale skin and vomiting or Cyanotic? Correct Answer: Cyanotic (Patient is not getting proper amounts of oxygen exchange)

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