Week 2 Material + EAQ 2 Flashcards

Question

During a preoperative patient assessment, which precaution should the unscrubbed perioperative team member use to prevent a high-risk patient from developing a medical device–related PI? A. Place multiple blankets between the patient and support surface. B. Perform a preoperative patient skin assessment. C. Place a barrier sleeve underneath the BP cuff. D. Place a folded sheet under the patient’s forehead when the patient is in the prone position.

Answer 1

C. Place a barrier sleeve underneath the BP cuff.

Answer 2

D. Friction

Answer 3

C. Lifting the patient’s heels during the lateral transfer

Answer 4

A. Forehead, eyes, ears, chin, breasts, and toes

Answer 5

B. Use appropriate personal protective equipment.

Answer 6

C. Granulation tissue

Answer 7

B. Length and width

Answer 8

C. Apply ointment to necrotic tissue in the wound while avoiding contact with surrounding skin.

Answer 9

A. Reposition the patient at least every 2 hours.

Answer 10

Inspection Auscultation Palpation Percussion

Answer 11

Variables: -Onset -Location -Duration -Characteristics -Aggravating factors -Relief factors -Treatment

Answer 12

Subjective

Answer 13

inflammation, may be associated with infection

Answer 14

Objective data Temperature -Hypothermia -Hyperthermia Moisure -Diaphoresis [hot, sweaty] -Dehydration [lack of fluid]

Answer 15

Objective data- Skin Texture Thickness Edema Mobility & turgor Vascularity or bruising -Lesions ◦ Color ◦ Elevation ◦ Pattern or shape ◦ Size ◦ Location and distribution on body ◦ Exudate

Answer 16

Inspect and palpate ◦ Color ◦ Texture ◦ Distribution ◦ Lesions

Answer 17

Inspect and palpate ◦ Shape and contour > Profile sign – Clubbing ◦ Consistency ◦ Color > Capillary refill

Answer 18

◦ A—asymmetry ◦ B—border ◦ C—color ◦ D—diameter ◦ E—elevation and enlargement

Answer 19

Subjective

Answer 20

fainting or passing out.

Answer 21

Periphery- hands/feet

Answer 22

Perform screening neurologic examination on well persons with no significant findings from history Perform complete neurologic examination on persons with neurologic concerns, e.g., headache, weakness, loss of coordination, or who have shown signs of neurologic dysfunction Perform neurologic recheck examination on persons with demonstrated neurologic deficits who require periodic assessments, e.g., hospitalized persons or those in extended care or if status changes

Answer 23

Mental Status Cranial Nerves Motor System Sensory Function Reflexes

Answer 24

1) Assess Level of Consciousness (LOC) ◦ Patient alert, opens eyes spontaneously, answers to person, place or time ◦ Abnormal: stuporous (lack of mental function), unresponsive and comatose 2) Assessment of pupils ◦ PERRL: pupils equal (involuntary movements), round, reactive to light ◦ Abnormal: nystagmus, constricted, dilated, unequal pupils 3) Movements of body ◦ Smooth and symmetric ◦ Abnormal: abnormal flexion and extension, hemiplegia (paralysis) vs. hemiparesis (weakness)

Answer 25

4) Cranial Nerves 5) Muscle Bulk ◦ Relaxed muscles, resistance, grips equal ◦ Abnormal: no resistance, floppy, spasticity, rigidity 6) Walking ◦ Smooth without swaying ◦ Abnormal: scissoring gait, Parkinson’s gait, dystonia ◦ Test: Romberg – standing position with eyes closed

Answer 26

◦ Penlight ◦ Tongue blade ◦ Cotton swab ◦ Cotton ball ◦ Tuning fork ◦ Percussion hammer ◦ Occasionally need: familiar aromatic substance

Answer 27

On Old Olympus’ Towering Tops, A Finn And German Viewed Some Hops or Ooh, Ooh, Ooh To Touch And Feel Very Good Velvet. A Heaven!

Answer 28

visual acuity, visual fields, fundoscopic exam

Answer 29

pupil size, shape and reaction to light (direct and consensual) and accommodation PERRLA – pupils equal, round, reactive to light and accomodation

Answer 30

temporal and masseter muscles, jaw movement Sensory – opthalmic, maxillary and mandibular

Answer 31

Sensory – taste Motor – facial movement, expression, closing eyes

Answer 32

hearing, air and bone conduction, balance

Answer 33

Motor – pharynx Sensory – taste - posterior tongue

Answer 34

sternocleidomastoid and trapezius

Answer 35

◦ Rapid Alternating Movements (RAM) ◦ Finger-to-Finger/Nose Test

Answer 36

Stereognosis – identify a familiar object Graphesthesia – identify a number Two-Point Discrimination – distance at which two points are felt

Answer 37

Deep tendon reflexes (myotatic), e.g., knee jerk Superficial, e.g., corneal reflex, abdominal reflex Visceral, e.g., pupillary response to light Pathologic (abnormal), e.g., Babinski’s reflex or extensor plantar reflex - Pediatrics

Answer 38

bilaterally

Answer 39

0-4 0- no response 4- hyperactive ---- 4+ Very brisk / Hyperactive ◦ 3+ More brisk than expected ◦ 2+ Average / expected (normal) ◦ 1+ Sluggish or diminished response ◦ 0 No response

Answer 40

Most common scoring system used to describe the level of consciousness in a person following a traumatic brain injury. Basically, it is used to help gauge the severity of an acute brain injury.

Answer 41

Joints ◦ Pain ◦ Stiffness ◦ Swelling, heat, and redness Muscles ◦ Pain (cramps) ◦ Weakness Bones ◦ Pain ◦ Deformity ◦ Trauma (fractures, sprains, dislocations)

Answer 42

Functional assessment (ADL’s) ◦ Bathing ◦ Toileting ◦ Dressing/Grooming ◦ Eating ◦ Mobility ◦ Communicating Self-care behaviors

Answer 43

◦ Inspection Size and contour of joint Skin and tissues over joint – color, swelling, deformities ◦ Palpation Skin temperature Muscles, bony articulations, area of joint capsule ◦ Range of motion Active Passive ◦ Muscle testing Apply opposing force Grading muscle strength

Answer 44

Maximum movement that is possible for that joint Determined by genetics, disease, amt of physical activity

Answer 45

Size (diameter <6 mm) Number—The healthy adult may have as many as 40 nevi throughout the body. Color/degree of pigmentation Location—Nevi can be found on all body surfaces but are rarely found on the scalp, breasts, and buttocks. Shape Surface Symmetry Border (regular vs. irregular)

Answer 46

Scalp Breasts Buttocks

Answer 47

1- turgor 2- hydration

Answer 48

Speech sounds

Answer 49

Gag reflex Swallowing

Answer 50

Odor identification

Answer 51

Atrophy Tremors Fasciculation

Answer 52

Tone Strength

Answer 53

Heel > ball

Answer 54

CN I is responsible for smell CN II is responsible for vision.

Answer 55

III, IV, and VI.

Answer 56

CN V governs facial sensation and chewing. CN VII controls facial muscles and sense of taste.

Answer 57

CN IX controls swallowing movements. CN X governs swallowing and speech.

Answer 58

CN XI is responsible for shoulder and head movement. CN XII controls tongue movement.

Answer 59

Graphesthesia Graphesthesia, or the ability to identify writing on the skin, is the cortical sensory function assessed by drawing a number 8 on the patient’s hand.

Answer 60

Size The nurse should evaluate the size of the pupils as part of the assessment of the cranial nerves of the eyes. Color The nurse would not evaluate eye color as part of the assessment of the cranial nerves of the eyes. Correct Equality The nurse should evaluate the equality of the pupils as part of the assessment of the cranial nerves of the eyes. Response to light The nurse should evaluate the response of the pupils to light as part of the assessment of the cranial nerves of the eyes.

Answer 61

Symmetry When evaluating the vagus nerve (CN X), the nurse should inspect the symmetry of the palate and uvula because the vagus nerve provides motor supply to the pharynx.

Answer 62

Hearing The nurse would assess the patient’s hearing when evaluating the acoustic nerve (CN VIII). Balance The nurse would assess the patient’s balance when evaluating the acoustic nerve (CN VIII).

Answer 63

Finger-to-nose test The nurse should evaluate the ability of the patient to touch a finger to the nose to assess the accuracy of the patient’s movements. Correct Finger-to-finger test The nurse should evaluate the ability of the patient to touch a finger to another finger to assess the accuracy of the patient’s movements. Heel-to-shin test The nurse should evaluate the ability of the patient to touch the heel to the shin to assess the accuracy of the patient’s movements.

Answer 64

Primary ─ Macule ─ Papule ─ Patch ─ Plaque ─ Nodule ─ Wheal ─ Tumor ─ Urticaria (hives) ─ Vesicle ─ Cyst ─ Bulla ─ Pustule Secondary ─ Crust ─ Scale ─ Fissure ─ Erosion ─ Ulcer ─ Excoriation ─ Scar ─ Atrophic scar ─ Lichenification ─ Keloid

Answer 65

5 Full ROM/full resistance 100% Normal 4 Full ROM/some resistance 75% Good 3 Full ROM 50% Fair 2 Full ROM/passive-w/ support 25% Poor 1 Slight contraction 10% Trace 0 No contraction 0% Zero

Answer 66

1+ A diminished or barely palpable pulse is documented as 1+. A normal and expected pulse strength is documented as 2+. A full, strong pulse is documented as 3+. A bounding pulse is documented as 4+.

Answer 67

Paresthesias [Tingling or prickling, “pins-and-needles” sensation] Normally, calcium ions block the movement of sodium into cells. When calcium is low, this allows sodium to move freely into cells, creating increased excitability of the nervous system. Initial symptoms are paresthesias. This can lead to tetany if untreated. Headache, pallor, and blurred vision are not signs of hypocalcemia.

Answer 68

Client’s age Type of Insurance Occupation status Biographical information is factual demographic data about the client usually obtained by the admitting office staff. The client’s age, types of insurance, and occupation status are considered biographical information. If the client presents with an illness, the nurse gathers details about the symptoms of the illness, which is descriptive information, not biographical information. The nurse obtains information about family structure while assessing the family history of the client. It is not biographical information.

Answer 69

Participate in the bedside rounds. The nurse would participate in bedside rounds with the health care team from the previous shift. The nurse who is completing care for one shift prepares the change-of-shift report to communicate client details to the nurse on the next shift. These bedside rounds provide patient-centered care, because the nurse shares information about the client’s condition, status of problems, and treatment plan for the next shift. The nurse can meet the client’s family after obtaining firsthand information from the nurse completing the shift. The nurses review the client’s medical reports and discuss treatment plans for the next shift after completing bedside rounds. The nurse may meet the client during bedside rounds or after obtaining the handover report.

Answer 70

Arrange cues into clusters that form patterns. A concept map is a visual representation of the connection between the client’s many health problems. The first step is to arrange all the cues into clusters that form patterns. This helps the nurse identify specific nursing diagnoses for the client. During the assessment stage, the nurse assesses the client and gathers information. This step is performed before preparing the concept map. After placing all cues into clusters, the nurse begins to identify patterns reflecting the client’s problem. The concept map helps the nurse obtain a holistic view of the client’s needs. The next step is to identify specific diagnoses so that appropriate nursing interventions can be provided

Answer 71

Respiratory and urinary Increased respirations blow off carbon dioxide (CO 2), which decreases the hydrogen ion concentration and the pH increases (less acidity). Decreased respirations result in CO 2 buildup, which increases hydrogen ion concentration and the pH falls (more acidity). The kidneys either conserve or excrete bicarbonate and hydrogen ions, which helps adjust the body’s pH. The buffering capacity of the renal system is greater than that of the pulmonary system, but the pulmonary system is quicker to respond. Skeletal and nervous systems do not maintain the pH, nor do muscular and endocrine systems. Although the circulatory system carries fluids and electrolytes to the kidneys, it does not interact with the urinary system to regulate plasma pH.

Answer 72

Tissue turgor Skin elasticity will decrease because of a decrease in interstitial fluid. The pulse rate will increase to oxygenate the body’s cells. Specific gravity will increase because of the greater concentration of waste particles in the decreased amount of urine. The temperature will increase, not decrease.

Answer 73

Close the door after entering the room. Greet the client using his or her last name. Introduce oneself with a smile and explain the reason for the visit.

Answer 74

Fourth The fourth Korotkoff sound represents the diastolic pressure in children. The first Korotkoff sound represents the systolic pressure. The fifth Korotkoff sound represents the diastolic pressure in adults and adolescents. A blowing or swishing sound occurs in the second Korotkoff sound.

Answer 75

The illness persists for longer than 6 months. The client may develop a life-threatening relapse. The illness affects the functioning of one or more systems.

Answer 76

The nurse leans forward attentively during the discussion.

Answer 77

Explain medical health records are confidential.

Answer 78

Ask about the client’s current concerns

Answer 79

"I have just one more question for you."

Answer 80

Left lateral recumbent position

Answer 81

During a deep palpation, the area under the examination is depressed to 2 inches using one or both hands. When both the hands are used for palpation, the sensing hand is relaxed and placed over the client’s skin. Then the active hand is placed over the sensing hand, and pressure is applied on the sensing hand.

Answer 82

Fingertips

Answer 83

Record objective information using accurate terminology.

Answer 84

During mealtime When preparing medication When administering insulin injections

Answer 85

Nursing diagnoses involve the client when possible. Nursing diagnoses involve the sorting of health problems within the nursing domain. Nursing diagnoses involve clinical judgment about the client’s response to health problems.

Answer 86

Validation The nurse is validating the presence of fever in the client. Validation is the process of gathering more assessment data; it involves clarifying vague or unclear data. Assessment is the first step of the nursing process; it involves collecting information from the client and secondary sources. During interpretation, the nurse recognizes that further observations are needed to clarify information. Data documentation is the last part of a complete assessment. The nurse must document facts in a timely, thorough, and accurate manner to prevent information from getting lost.

Answer 87

"At which age did your child cut their first tooth?" "What was your child’s approximate length at 1 year of age?" "What was your child’s approximate weight at 6 months, and 1, 2, and 5 years of age?"

Answer 88

Maintenance The client is in the maintenance stage of human behavior change. During this stage, the client has managed to incorporate the changes into the lifestyle. This stage begins 6 months after the action has started and continues indefinitely. The action stage lasts for 6 months from the time the client has incorporated the changes into the lifestyle. During the preparation stage, the client begins to realize that the advantages of the change outweigh the disadvantages. The client starts making small changes in preparation for major changes the following month. During the contemplation stage, the client is still considering whether to incorporate changes in the next 6 months.

Answer 89

Conduction hearing loss During a Weber test, conduction hearing loss often causes the tuning fork to be heard better and more clearly in the impaired ear. People with sensorineural hearing loss will hear the sound better in the normal (in this case the left) ear. Mixed hearing loss is a combination of both conduction and sensorineural hearing loss and would not result in the findings observed with the Weber test. The client does not have normal hearing.

Answer 90

Magicoreligious belief An African American client may have magicoreligious beliefs, which focuses on hexes or supernatural forces that cause illness. Such clients may believe illness is a punishment for sins. The yin/yang belief system does not consider illness as a punishment. The biomedical belief system maintains that health and illness are related to physical and biochemical processes with disease being a breakdown of the processes. The belief of determinism focuses on outcomes that are externally preordained and cannot be changed.

Answer 91

Elevated intraocular pressure In glaucoma, there is an obstruction of the outflow of aqueous humor due to intraocular structural damage, which may result from elevated intraocular pressure. Blurred central vision is seen in macular degeneration. Increased opacity of the lens may be seen in cataracts. Retinopathy may result from the changes in retinal blood vessels.

Answer 92

Infiltration The client with blanched skin, edema of 15.2 cm, cool temperature, and pain at the site of catheterization has symptoms of grade 2 infiltration. Phlebitis is an inflammation of the inner layer of the vein. The findings for this include redness, tenderness, pain, and warmth along the course of the vein starting at the access site. If there is infection, there will be findings that include redness, heat, swelling at catheter-skin entry point, and possible purulent drainage. Circulatory overload can occur if intravenous solutions are infused too rapidly or in great amounts.

Answer 93

Loss of elasticity of the lens Presbyopia is defined as impaired near vision caused by a loss of elasticity of the lens. This condition is reported in middle-aged and older adults. Increased opacity of the lens is seen in cataracts. Elevated intraocular pressure is associated with glaucoma. Retinopathy causes noninflammatory eye changes.

Answer 94

Erythema Erythema occurs due to an increased visibility of oxyhemoglobin, which is caused by increased blood flow. Pallor is caused by a reduced amount of oxyhemoglobin or a reduced visibility of oxyhemoglobin. Vitiligo is a pigmentation disorder caused by autoimmune diseases. Cyanosis is a bluish discoloration of the skin around the lips; this occurs due to an increased amount of deoxygenated hemoglobin in the blood.

Answer 95

Impairment of the extraocular muscles Strabismus is a condition where the eyes appear crossed; this condition is caused by the impairment of the extraocular muscles. A loss of lens elasticity may lead to presbyopia, which causes impaired near vision. An obstruction of the aqueous humor outflow may lead to glaucoma. The progressive degeneration of the center of the retina indicates macular degeneration and leads to blurred central vision.

Answer 96

Strabismus

Answer 97

Cranial nerve XI Cranial nerve XI (the spinal accessory nerve) is the motor nerve that coordinates the movement of head and shoulders.

Answer 98

head and shoulders.

Answer 99

Fosters development of nursing knowledge Provides precise definition of the client’s problem Distinguishes the nurse’s role from that of other care providers The use of standard formal nursing diagnostic statements fosters the development of nursing knowledge, which is important to be able to assess a client’s specific risk for problems, identify them early, and take preventive action. Nursing diagnostic statements provide precise definitions of the client’s problem. They give the nurses and other members of the health care team a common language for understanding the client’s needs. Nursing is emphasized as an independent practice when the nurse formulates nursing diagnoses and individualized nursing care plans. This distinguishes the nurse’s role from that of other care providers. Nursing diagnostic statements allow nurses to communicate what they do among themselves with other health care professionals and the public. A nursing diagnosis helps the nurse focus on the scope of nursing practice and to deliver effective health care.

Answer 100

Intermittent An intermittent fever is characterized by fever spikes interspersed with normal temperatures. In this type of fever, the body temperature returns to normal at least once in 24 hours. In the case of sustained fever, there is a constant body temperature greater than 100.4°F (38°C). In relapsing fever, there is an occurrence of periods of febrile episodes with acceptable temperature values. In remittent fever, the body temperature increases and decreases without returning to normal body temperature levels.

Answer 101

"I will advise a client with a blood pressure of 130/80 mm Hg to follow up in a year." A client with prehypertension tends to have a blood pressure (BP) between 120/80 and 139/89 mm Hg. These clients should be rechecked in a year. Clients with BP less than 120/80 mm Hg are considered normal. These clients should be rechecked in 2 years. Clients with stage 1 hypertension have a BP between 140/90 and 159/99 mm Hg. These clients should be rechecked in 2 months to confirm stage 1 hypertension. Clients with stage 2 hypertension have a BP greater than 160/100 mm Hg. These clients should be rechecked in 1 month. If a client’s BP is greater than 180/110 mm Hg, then the client should be treated immediately or within 1 week.

Answer 102

Arcus senilis In older adults, the iris becomes faded and a thin white ring (known as arcus senilis) appears around the margin of the iris. A cataract is a condition involving increased opacity of the lens that blocks light rays from entering the eye. The presence of redness indicates allergic or infectious conjunctivitis. Macular degeneration is marked by a blurring of central vision caused by progressive degeneration of the center of the retina.

Answer 103

Trauma Paronychia is an abnormality of the nail bed. The condition is marked by inflammation of the skin at the base of the nail; this condition may be caused by trauma or a local infection. Trichinosis is associated with red or brown linear streaks in the nail bed. Pulmonary diseases can cause changes in the angle between nail and nail base, which is a phenomenon known as clubbing. Koilonychia, a concave curvature of the nails, may occur as a result of iron-deficiency anemia.

Answer 104

Inactivity

Answer 105

Lithotomy position

Answer 106

Abducens nerve The abducens nerve is the VI cranial nerve, which helps in lateral movement of the eyeballs. Damage to this nerve limits lateral movement of the eyeball. Injury to the optic nerve causes changes in visual acuity. Injury to the facial nerve results in loss of facial expressions and loss of taste perception from the anterior third of the tongue. Injury to the oculomotor nerve limits the extraocular movements and pupillary responses.

Answer 107

Family practices

Answer 108

Obtaining the client’s attention before speaking

Answer 109

Using medical terminology

Answer 110

The nurse talks only to the interpreter about the client.

Answer 111

Assess the client’s barriers to learning self-injection techniques.

Answer 112

Expectoration of blood

Answer 113

The first step while assessing the visual level of the client is to direct the client to stand or sit 60 cm away at eye level. Next, the nurse would ask the client to gently close or cover one eye and look at the nurse’s eye directly opposite. Then, the nurse would also close his or her right eye to superimpose the field of vision. After this, the nurse would move a finger equidistant between the nurse and the client outside the field of vision. Finally, the nurse would ask the client to report when he or she is able to see the finger.

Answer 114

Gather more information. Identify related factors. Review all defining characteristics.

Answer 115

"I would examine the client in noise-free areas." "I would wear eye shields while examining a client with excessive drainage."

Answer 116

breakdown of skin integrity

Answer 117

Inspect and Palpate

Answer 118

Subjective

Answer 119

OLD CARTS Onset Location Duration Character Alleviating Radiation Temporal patterns Symptoms

Answer 120

SUBJECTIVE

Answer 121

FILTER THE LYMPH AND ENGULF PATHOGENS TO PREVENT HARMFUL SUBSTANCES FROM ENTERING THE CIRCULATION

Answer 122

HEAD AND NECK, ARMS, INGUINAL AREA, AND AXILLAE

Answer 123

A. Xerosis.

Answer 124

oily skin.

Answer 125

A. Color variation

Answer 126

B. Dry mucous membranes and cracked lips

Answer 127

dehydration

Answer 128

D. Head and neck, arms, inguinal area, and axillae. Nodes are located throughout the body, but they are accessible to examination only in four areas: head and neck, arms, inguinal region, and axillae.

Answer 129

B. Is mobile and not hard.

Answer 130

Painless, rapidly growing nodules may be cancerous, especially the appearance of a single nodule in a young person. Cancerous nodules tend to be hard and fixed to surrounding structures, not mobile.

Answer 131

C. Distended veins

Answer 132

distended veins.

Answer 133

capillary filling

Answer 134

C. Severe dehydration

Answer 135

SUBJECTIVE

Answer 136

SCREENING NEUROLOGIC EXAMINATION –WELL PEOPLE WITH NO HISTORY COMPLETE NEUROLOGIC EXAMINATION – NEUROLOGIC CONCERNS/NEUROLOGIC DYSFUNCTION NEUROLOGIC RECHECK – NEUROLOGIC DEFICITS AND NEED PERIODIC SCREENING

Answer 137

Normal: can walk tandem gait (heal to-toe) with balance, smooth, rhythmic, opposing arm swing is coordinated. Passed Romberg test, can do a shallow knee bend or hop in place Abnormal: ataxia (uncoordinated or steady gait), widened base, staggering, reeling, loss of balance, unequal rhythm of steps, slapping of foot, scraping of toe, positive Romberg

Answer 138

Stereognosis

Answer 139

Graphesthesia

Answer 140

Two-point discrimination

Answer 141

SUBJECTIVE

Answer 142

D. Stimulated by cranial nerves III, IV, and VI.

Answer 143

B. XI; asking the patient to shrug her shoulders against resistance

Answer 144

A. Flexion and extension

Answer 145

C. Soft, whooshing, pulsatile; bell

Answer 146

A. Crepitation

Answer 147

Crepitation

Answer 148

D. Positive Romberg sign.

Answer 149

D. Hyperactive reflexes

Answer 150

Hyperreflexia

Answer 151

wernicke's

Answer 152

cerebellum

Answer 153

C A chilly or air-conditioned environment causes vasoconstriction, which results in false pallor and coolness

Answer 154

d.Elevated pressure related to heart failure.

Answer 155

c. Adduction.

Answer 156

a. Contact the provider with this abnormal finding. (correct)

Answer 157

VII - Facial Facial muscles are mediated by cranial nerve (CN) VII;

Answer 158

(Bell's palsy)

Answer 159

trigeminal nerve. - Facial sensations of pain or touch are mediated by cranial nerve (CN) V trigeminal nerve.

Answer 160

parotid and submandibular - Two pairs of salivary glands accessible to examination on the face are the parotid glands, which are in the cheeks over the mandible, anterior to and below the ear; and the submandibular glands, which are beneath the mandible at the angle of the jaw. The parotid glands are not normally palpable.

Answer 161

XI; asking the patient to shrug her shoulders against resistance - The major neck muscles are the sternomastoid and the trapezius. They are innervated by CN XI, the spinal accessory. The innervated muscles assist with head rotation and head flexion, movement of the shoulders, and extension and turning of the head.

Answer 162

sternomastoid and trapezius. - The major neck muscles are the sternomastoid and the trapezius. They are innervated by CN XI, the spinal accessory

Answer 163

thyroid - The thyroid gland is a highly vascular endocrine gland that secretes thyroxine (T4) and tri-iodothyronine (T3). The other glands do not secrete thyroxine.

Answer 164

head and neck, arms, inguinal area, and axillae. - Nodes are located throughout the body, but they are accessible to examination only in four areas: head and neck, arms, inguinal region, and axillae.

Answer 165

firm but freely movable. - Acutely infected lymph nodes are bilateral, enlarged, warm, tender, and firm but freely movable. Unilaterally enlarged nodes that are firm and nontender may indicate cancer.

Answer 166

Sensory and motor deficits commonly associated with aging

Answer 167

“You need to get up slowly when you’ve been lying down or sitting”

Answer 168

refer the patient because of the suspicion of melanoma on the basis of her symptoms.

Answer 169

circulatory status. The skin holds information about the body's circulation, nutritional status, and signs of systemic diseases as well as topical data on the integument itself.

Answer 170

Clubbing of the nails Clubbing of the nails occurs with cogenotal cyanotic hearty disease and neoplase and pulmonary disease. the other responses are assessment findings not assiciated with pulmonary diseases

Answer 171

An increased loss of elastin and a decrease in subcutaneous fat in the elderly

Week 2 Material + EAQ 2 Flashcards

(259 cards)