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Health Asses Exam 3
| Question | Answer |
|---|---|
| What are the functions of the lymphatic system? | maintains fluid, protein balance, functions with immune system to fight infection |
| What is normal for epitrochlear nodes? | not palpable, 2cm or less |
| What is abnormal for epitrochlear nodes? | enlarged with regional inflammation |
| What is subjective information to collect when assessing a client with arterial, venous, and lymphatic disorder? | Ask pt about their person and family history. Ask about their personal behavior and lifestyle. Diet, activity level, smoking, history of lymphatic disorders |
| What are the 7 Ps | o Pain o Polar: inability to maintain constant core temp o Paresthesia: tingling or “pins and needles” o Paralysis o Pallor: pale skin o Pulse o Perfusion: cap refill |
| What is the function of the spleen? | The spleen also resides in the abdominal cavity; it stores red blood cells and platelets, produces new red blood cells and macrophages, and activates B and T lymphocytes. |
| What is the most appropriate intervention for constipation related to opioid? | Stool softener or laxatives |
| What disease(s) are associated with jaundice and splenomegaly in African Americans? | Sickle cell anemia |
| What causes coffee ground emesis? | Digested blood |
| What PE tests do you do for appendicitis | Iliopsoas muscle test. Pt lays supine, lift right leg straight up, knee straight. Push down lower part right thigh pt pushes up. Pain with contraction iliopsoas muscle is inflamed, with an inflamed or perforated appendix. Pain is usually felt in the RLQ. |
| What is the weight gain for the 1st trimester of pregnancy? | little to no weight gain |
| What is the weight gain for the 2nd trimester of pregnancy? | 10lbs |
| What is the weight gain for the 3rd trimester of pregnancy? | 25-30lbs |
| What are religious considerations during labor and delivery for moms and babies | Some religions women may not be left alone with men in the room or men may not be allowed in the room at all. Circumcision in baby boys |
| What is management of pyelonephritis during pregnancy? | Requires IV antibiotics to prevent generalized sepsis |
| What does a neurologic assessment of a newborn consist of? | Muscle size, symmetry, strength, tone, movement, developmental maturation and reaction to touch. |
| What is acrocyanosis? is it normal and what to do if you see it in a newborn? | Acrocyanosis: cyanosis of the lips, hands, and feet. This will typically resolve within 24-48 hours. Changes in color my signal to sepsis, cardiopulmonary problems, or hematologic disorders |
| What assessment of lifestyle and personal habits associated with risk factors in children- what questions do you ask to assess lifestyle and associated risks | Does the baby sleep on their back? Do they sleep in their own bed or room? Does the baby fall asleep with a bottle? Is the car seat approved for infants? Have you learned CPR? Has the baby had any accidents or injuries? |
| What are Mongolian spots? What population do you see them in? | Mongolian spots: bluish pigmented areas on lower back or buttocks. Common in infants of Asian, African, or Hispanic descent |
| No laboratory or diagnostic tests are recommended specifically for children and adolescent- screening questionnaires may indicate those more at risk for which additional tests may be necessary | Lead-Risk, TB screening, immunizations, car safety, poison control, safety at home, fire safety, water safety, outdoor safety, drug and alcohol use, nutrition and obesity, contraception and STIs, violence and suicide. |
| What pulse difference between upper and lower extremities indicates in a child? | Coarctation of the aorta. After the aorta leaves the heart, if a narrowing of the vessel is found, then the lower extremities are not well oxygenated, and pressure increases on the left side of the heart |
| How to document specifically the PERRLA/corneal light reflex/extraocular movement eye exam in a child? | PERRL(A). EOMs at 180 degrees. Corneal light reflexes equal. Red reflex present. No deviation during cover and alternate cover tests. Funduscopic examination reveals a distinct disk with no vessel nicking |
| What are reasons elder abuse may not be reported? | A victim may deny abuse or choose not to report it because of shame, fear of abandonment, worry about retaliation, or dementia |
| What is priority intervention when pulse is not palpable with doppler? | Quickly assess the 7 Ps and notify the provider immediately |
| What are signs of acute arterial occlusion? | 7 Ps: o Severe Pain o Polar: inability to maintain constant core temp o Paresthesia: tingling or “pins and needles” o Paralysis of limb o Pallor: pale skin o Weak Pulse o Perfusion: cap refill |
| What are ways to encourage elderly clients to receive adequate nutritional intake when in hospital? | Allow client to eat with others, make sure food is accessible, provide needs before meals, avoid mealtime interruptions, has glasses, dentures, and any assistive devices, promote physical activity to increase appetite |
Created by:
jowalker
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