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Exam 2 notes from study guide

Health Assessment exam 2 notes

Course

Health Assessment (NSG 121)

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Herzing University

Academic year: 2021/2022

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Tracheal deviation accompanies a tension

¥Y¥pFest¥¥¥ont and

may

indicate dehydration

in an infant

*

Protruding COULD mean increased ICP

Lymphatics larger than 1cm , Fixed , irregular,

or hard or rubbery require

emergency

investigation

☐ Acute situations that need

emergency

assessment and intervention include head or neck

injuries , neck pain (

may

be cardiac 1

hard nodes ( which

may indicate cancer) ,

and

thyrotoxicosis

IF musculoskeletal

injury

or disease tests are

negative , the nurse should assess For range of

motion , pain , loss of mobility or muscle tension

Grave 's disease is the most common type of

hyperthyroidism

Risk factors for cancers of the neck are : male

gender, age older than 50 , tobacco use , and alcohol

consumption

Hyperthyroidism may present as an emergency , with

symptoms of hypermetabolism in all systems. The most

common sign is tachycardia, others include diarrhea , anxiety,

Fever, weakness, psychosis, coma and death.

• The older adult with

hypothyroidism often lacks the classic

symptoms. Contributing factors include subtler onset , chronic

diseases , and typical signs and symptoms can be attributed

to aging

• Thyroid crisis

may

be present with tachypnea , tachycardia,

nausea ,vomiting , diarrhea , anxiety and abdominal pain

- The 6 extraocular muscles control the

eye movement and hold the

eye in place in the socket.

3 major factors related to normal Function of the nose and sinuses : patency of the sinus Ostia , normal cilia function, and normal quality and quantity OF the mucus
The

Pharyngeal Fossa is the most common site of oral cancer

####### Anticoagulants, herbal supplements , and antihistamines are common drugs

that have epistaxis as an adverse reactions -

Sjogren Syndrome = Dryness

####### Trochlear , oculomotor, abducens are cranial nerves

Cheyne

stokes respirations are described as

respiration s gradually become deeper than normal

then slower , then with periods of apnea

hussmauls = Faster and

####### deeper with no pauses

Hypoxia mayindicate = RR >

30 , decreased level OF

####### Conciousness, 02<90%1 Cyanosis , retractions , and use

accessory

muscles

Fine Crackle 5- Fluid in alveoli
Stridor =

a high pitched crowing sound From the

upper airway , results From tracheal or laryngeal

spasm

Pleurisy patients usually describe the Pain as

sharp or stabbing, worsening with deep breathing

coughing

right middle lobe of the lung is best

heard anterior

any

Pectus Excavatum = Funnel chest. Occurs when

the sternum and adjacent cartilages are

significantly sunken inward

or dented

Asymmetrical chest movements may be due to

pneumonia , pneumothorax , trauma , atelectasis

Atelectasis= collapse of part or all OF a lung

Pink

, Frothy sputum may indicate pulmonary edema

Auscultating the bases of the

lungs is important

because that is where Fluid occurs with

pulmonary edema and location

For Fluid accumulation with a pleural effusion.

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