Abdomen
RUQ
Name 3 illnesses associated with overnutrition.
obesity, increasing risk for cardiovascular, type 2 diabetes, hypertension, cancer, gallbladder disease, sleep apnea, immune system disorders
Which is not a "normal" sign of aging in the elderly client?
Falls
What value does the nurse give a client who opens their eyes spontaneously when assessing the Glasgow Coma Scale?
4
What does the "A" represent in the acronym "BEFAST" when assessing for stroke?
Arms
I am a swooshing or blowing sound of the heart
Murmurs
What position should the nurse place the client in for an abdominal assessment?
Supine
What common labs are used to monitor nutritional status?
Albumin, prealbumin, cholesterol, A1c, glucose, hemoglobin.
A nurse is assessing a client with paralysis of the LUE; what muscle strength grade would this client receive?
Grade 5: Full ROM against gravity, full resistance
Grade 4: Full ROM against gravity, some resistance
Grade 3: Full ROM with gravity
Grade 2: Full ROM with gravity eliminated (passive motion)
Grade 1: Slight contraction
Grade 0: No contraction
What is the maximum number a client can receive on a GCS assessment?
14
What are risk factors for stroke? Name three
Obesity, smoking, age, gender, history, hypertension, atrial fibrillation, sedentary lifestyle...
The amount of blood pumped out of the left ventricle of the heart during each systolic cardiac contraction.
Stroke volume
What is the order for the abdominal assessment?
Inspection, auscultation, palpation, (percussion).
What are three risk factors of poor nutrition?
D.E.T.E.R.M.I.N.E
What is the name of the structure where two or more bones meet?
Joint
What is the priority intervention for a client whose pupils are suddenly not equal in size?
Call the healthcare provider.
What is the name of the stroke scale most commonly used in assessing a client suspected of having a stroke?
NIHSS
I am caused by the closing of the mitral and tricuspid valves during ventricular contraction.
S1, systole, lub
What are three risks for peptic ulcer disease (need to know but will not be on the exam).
NSAIDs, H. Pylori, excessive alcohol intake, smoking cigarettes, uncontrolled stress
Name three risk factors of osteoporosis.
Age, menopause, hypocalcemia, alcohol, smoking, low BMI, diuretics, ethnicity, family history, gender
Which part of the body can perform circumduction
Shoulder, hips, thumb
Which cranial nerves are both Motor and Sensory?
Some Say Marry Money But My Brother Says Big Brains Matter Most.
A client who has right-sided weakness likely had a stroke in which side of the brain?
Left. (The symptoms appear on the opposite side of where the stroke occurs.)
I carry oxygen-rich blood away from the heart to the body
Arteries
Which test is used to assess for ascites?
Fluid wave test.
What are three common symptoms of food allergies
nausea, stomach pain, gas, bloating, cramps, vomiting, heartburn, diarrhea, headaches, irritability, nervousness
What is the general term for the cracking or popping sound made by a joint?
Crepitus
How do you assess cranial nerve VII
frown, smile, puff cheeks, taste on the front two-thirds of the tongue.
What is the priority nursing intervention for a client with hemiplegia?
Fall precautions.
I am five risk factors for coronary heart disease
Smoking, high cholesterol, decreased physical activity, diabetes, excessive alcohol use, stress