*NURSING > QUESTIONS & ANSWERS > Health Assessment HESI Review #2 (A GUARANTEED) (All)

Health Assessment HESI Review #2 (A GUARANTEED)

Document Content and Description Below

Health Assessment HESI Review #2 (A GUARANTEED) Characteristics of palpable nodes Location Size Shape Delimitation Mobility Consistency Tenderness Myxedema (Hypothyroidism) A deficiency of t... he thyroid hormone. This reduces metabolic rate, and when severe causes non pitting edema or myxedema. Symptoms: fatigue, cold intolerance, coarse/dry hair and skin, and weight gain. What is the best indicator of Parathyroid Problems? Decrease in client's calcium compared with preoperative value. Grave's Disease (hyperthyroidism) Increased production of thyroid hormones causes an increased metabolic rate. Symptoms: exophthalmos, fatigue, nervousness, weight loss, cramps, and heat intolerance. Cushing Syndrome Excessive secretion of ACTH and chronic steroid use. Symptoms: "moon like" face, Buffalo hump, hirsutism Lymphadenopathy Enlargement of lymph nodes greater than 1 cm. This occurs from infection, allergy, or neoplasm. Contusion (Bruise) 1. Red, blue, or purple 2. Blue to purple 3. Blue- green 4. Yellow 5. Brown to disappearing Serous Exudate Clear or straw colored. Normal part of healing process. Serosanguineous Exudate Pink colored due to blood mixed with serous drainage. Normal part of healing process. Sanguineous Exudate Red drainage from trauma to a blood vessel. May occur with wound cleansing or put her trauma to the wound bed. Abnormal to the wound healing process. Hemorrhage Exudate Frank blood leaking from a blood vessel. May require emergency treatment to control bleeding. And a normal part of the healing process. Purulent Drainage Yellow, gray, or green drainage due to infection in the wound. Polycyclic Annular lesions grow together (Lichen planus, psoriasis) ABCDE rule Asymmetry Border Color Diameter greater than 6mm Elevation or Evolution Xerosis Dry skin Senile purpura Common in the aging Adult - a minor trauma that may produce dark red discolored areas. Function of the skin Protection Prevents penetration Perception Temperature regulation Identification Communication Wound repair Absorption and excretion Production of vitamin D clubbing of nails Nail base feels spongy and is curved more than 180 degrees. occurs with congenital cyanotic heart disease, lung caner, and pulmonary diseases. Diaphoresis Profuse perspiration (sweating) Accompanied increased metabolic rate such as fever or heavy activity. Annular Circular, begins in the center and spreads to the periphery. Linear A scratch, streak, line, or stripe Target Iris, resembles iris of the eye. Concentric rings of color in lesions. Seen with erythema multiforme. Confluent Lesions run together [Show More]

Last updated: 2 years ago

Preview 1 out of 16 pages

Buy Now

Instant download

We Accept: