Ch 13/18 Resp & Breast/Axillae
The respiratory disorder that occurs when the airway leading to the lungs is inflamed and filled with mucus due to inflammation of the bronchial tubes.
This term describes the specific manner or style in which a patient walks and can be assessed by observing the patient walk across the room.
gait
The peripheral vascular disorder characterized by cool skin, decreased hair growth, & capillary refill greater than 3 seconds.
Peripheral artery disease
This term refers to the first menstrual period.
menarche
This connective tissue attaches bone to bone and helps stabilize a joint while still permitting some movement
ligament
The respiratory assessment finding that is heard in disorders that obstruct the trachea or bronchus such as bronchitis or COPD
Rhonchi
The term used for the force present when an immobile patient repeatedly slides down in bed while the head of the bed is elevated
Shear
The cardiovascular disorder characterized by squeezing or pressure in the chest, diaphoresis and nausea.
Unstable angina
These two ovarian hormones are important for female health and regulation of the menstrual cycle.
estrogen and progesterone
This part of the brain primarily coordinates balance, voluntary movement, muscle tone, and proprioception.
The term used when a newborn boy patient has enlarged breasts.
Gynecomastia
A nurse is providing foot care to a patient with diabetes. The nurse avoids soaking the patient's feet because soaking can cause this softening of the skin, increasing the risk for ulceration and infection.
maceration
The valve that separates the left atrium from the left ventricle
Mitral valve
During assessment, a scrotal mass allows light to pass through when it is composed primarily of this material.
fluid
A patient reports bilateral hand pain and swelling with morning stiffness lasting more than 30 minutes. The nurse notices swelling of the wrists and finger joints. These findings are most consistent with this disorder.
rheumatoid arthritis
The further assessments that need to be included when the nurse finds a lump in a patient's breast. Name 2!
Location
size
shape
consistency
tenderness
mobility
boarders
retractions
The appropriate intervention for a patient on chemotherapy with painful and inflamed oral mucous membranes
oral care (gentle oral care)
symptoms that indicate heart failure. Name 2!
bilateral lower extremity edema
increasing shortness of breath
recent weight gain
difficulty breathing when lying flat
A patient reports difficulty starting urination, a weak urine stream, nocturia, and a sensation that the bladder has not emptied completely. These findings are commonly associated with this condition.
Benign prostate hyperplasia, BPH
A patient suddenly develops difficulty speaking and weakness of the right arm and leg. Because cerebral motor pathways cross in the medulla, the nurse suspects injury to this side of the brain.
left side of the brain
A patient who is breastfeeding reports new breast discomfort. Which assessment findings would cause the nurse to suspect mastitis? Name 2!
breast warmth and redness
fever and chills
breast pain and tenderness
fatigue and flu-like symptoms
privacy
warmth
working from cleanest to dirtiest body part
limit body exposure
encourage independence
Assessments to complete when doing a cardiovascular and peripheral vascular assessment. Name 2!
blood pressure
extremity assessment
pulses
vein assessment
During a digital rectal examination, the nurse palpates the prostate. To be considered expected, the prostate should have these five characteristics.
smooth
firm
symmetric
slightly mobile
non-tender
A patient who recently recovered from a respiratory infection develops tingling and weakness beginning in both feet. Over the next several hours, the weakness progresses upward into the legs. The nurse finds absent deep tendon reflexes. This neurologic disorder should be suspected, with respiratory function becoming the priority if the paralysis continues to ascend.
Guillain-Barre Syndrome