NR 509 /NR509 FINAL EXAM NEWEST 2024 TEST BANK AND STUDY GUIDE COMPLETE 250 QUESTIONS AND CORRECT DETAILED ASNWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

NR 509 /NR509 FINAL EXAM NEWEST 2024 TEST BANK
AND STUDY GUIDE COMPLETE 250 QUESTIONS AND
CORRECT DETAILED ASNWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Hepatitis A transmission - ANS-fecal-oral route
how to distinguish between a jugular venous pulsation & carotid pulse - ANS--
IJ:Rarely palpable
Soft biphasic undulating quality, usually with two elevations and characteristic
inward deflection (x descent)
Pulsations eliminated by light pressure on the vein(s) just above the sternal end of
the clavicle
Height of pulsations changes with position, normally dropping as the patient
becomes more upright Height of pulsations usually falls with inspiration
-Carotid:Palpable. A more vigorous thrust with a single outward component
Pulsations not eliminated by pressure on veins at sternal end of clavicle
Height of pulsations unchanged by position
Height of pulsations not affected by inspiration
Cause of incr JVP - ANS--acute and chronic heart failure
-tricuspid stenosis
-chronic pulmonary hypertension
-superior vena cava obstruction
-cardiac tamponade
-constrictive pericarditis
Listening for Aortic Regurgitation - ANS-Sitting, leaning forward, after full exhalation
Listening to the apex of the heart - ANS-Mitral
s/s of thrombophlebitis - ANS-Local swelling, redness, warmth, and a subcutaneous
cord signal superficial thrombophlebitis, an emerging risk factor for DVT
Buerger test (chronic arterial insufficiency) - ANS-- Raise both legs to about 90o for
up to 2 minutes
- Then pt sits up with feet to the floor
- see how long it takes for color to return to feet (usually 10-15 seconds)
S/S of a venous insufficiency ulcer - ANS--edema, reddish pigmentation and
purpura, venous varicosities, the eczematous changes of stasis dermatitis (redness,
scaling, and pruritus), and at times cyanosis of the foot when dependent. Gangrene
is rare
-Borders are irregular, flat, or slightly steep.
Suspicious breast mass - ANS--A mobile mass that becomes fixed when the arm
relaxes is attached to the ribs and intercostal muscles; if fixed when the hand is
pressed against the hip, it is attached to the pectoral fascia.
-Hard irregular poorly circumscribed nodules, fixed to the skin or underlying tissues,
strongly suggest cancer
Risk for Breast cancer - ANS---*Age*
-family history of breast/ovarian CA
- inherited genetic mutations,
-personal history of breast cancer
- high levels of endogenous hormones
- breast tissue density
- proliferative lesions with atypia on breast biopsy, - duration of unopposed estrogen
exposure related to early menarche
-age of first full-term pregnancy
- late menopause.
- breastfeeding for less than 1 year,
- postmenopausal obesity
-cigarette smoking, alcohol ingestion,
- physical inactivity, and type of contraception.
Characteristics of a breast cyst - ANS-Soft to firm, round, mobile, often tender.
The best way to examine the lateral portion of the breast - ANS--Have pt roll onto the
opposite hip
-place her hand on her forehead.
- keep shoulders pressed against the bed
-palpate in the axilla, moving in a straight line down to the bra line, then move the
fingers medially and palpate in a vertical strip up the chest to the clavicle. Continue
in vertical overlapping strips until you reach the nippl