University:
Chamberlain University
Course:
NR 509 | Advanced Health Assessment
Academic year:

2020
Views:

418

Pages:

1
Author:

Alexa Livingston

             Which of the following statements about the Epidermis is true? - Completely replaced every 4 weeks - Contains the horny cell layer Which of the following are linked to hypothyroidism? - Myxedema - Decreased metabolism - Constipation (everything slows down) - puffy eyes - dry hair • hyperthyroidism: diarrhea, tachycardia, graves’ disease Glaucoma is loss of peripheral vision. Muscular degeneration is loss of central vision. Cataract pts c/o cloudy or blurry vision When assessing a client’s peripheral vision, which exam should the nurse use? - Confrontation test • Snellen – assess central vision at 20 ft • PERRLA – assess consensual pupilar reaction • Cardinal gaze – assess for extraocular muscles of the eyes/unconfortable movements of the eyes, nystagmus • Corneal light – deviation in alignment, strabismus Infants’ posterior fontanel is triangle shaped and closes at least 2 months. Infants’ anterior fontanel is diamond shaped and closes at least 4 months. Which response made by the student nurse requires additional education? - All lymph nodes are firm and easily felt around the neck • Cervical lymph nodes may be palpable nodes may fee discrete, movable, soft, and nontender in a healthy person. • Other lymph nodes in a healthy person may be nonpalpable if no infection is present • All lymph nodes are firm and easily felt around the neck • When an infection is present, lymph nodes become tender, firm, and immovable • Lymph nodes are pea sized, oval shaped, and can be located throughout the body A client c/o of a “head cold”. Which of the following is the best action to take to assess this client’s sinuses? - Palpate above the eyebrows and below the cheek bones • using your thumbs, press the frontal sinuses by pressing firmly up and under the eyebrows and over the maxillary sinuses below (not over) the cheekbones. Take care not to press directly on the eyeballs. When assessing the ear with the otoscope, which findings of the tympanic membrane may indicate infection? - red color, yellow serous fluid • good finding is pearly gray color, shiny and translucent appearance When treating a client with epistaxis (nose bleed) have the client sit upright, tilt head forward, pinch nose, apply cold compress (vasoconstriction). Seek medical help if exceeds 10-20 min A client wants to know how to prevent skin cancer. Which of the following is the nurse’s best response? - “if you have a strong family hx of skin cancer, make sure to protect yourself from the sun.”