Evidence-based Practice & Assessment
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Questions and Answers

What is the medical term for a soft, fluctuating, well-defined swelling that occurs over a single cranial bone in an infant and results from a subperiosteal hemorrhage?

  • Sutures
  • Fontanelle
  • Caput succedaneum
  • Cephalhematoma (correct)
  • What is the name of the fontanelle located at the intersection of the sagittal, coronal, and lambdoid sutures?

  • Mastoid fontanelle
  • Sphenoid fontanelle
  • Posterior fontanelle
  • Anterior fontanelle (correct)
  • What is the primary function of the membranous meninges?

  • To produce cerebrospinal fluid
  • To regulate blood flow to the brain
  • To control muscle movement
  • To provide support and shock absorption for the brain (correct)
  • What is a common sign of aging in the nails?

    <p>Thickening of the toenails (C)</p> Signup and view all the answers

    Which of the following cranial bones is NOT involved in forming the skull?

    <p>Clavicle (C)</p> Signup and view all the answers

    What is a key risk factor for pressure injuries?

    <p>Impaired mobility (C)</p> Signup and view all the answers

    Which facial bones aid in expressions with muscles and facial nerves?

    <p>The 14 facial bones (D)</p> Signup and view all the answers

    Which of the following is NOT a common abnormal skin finding in children?

    <p>Pressure Injuries (D)</p> Signup and view all the answers

    What is the normal head circumference at birth?

    <p>32-38 cm (C)</p> Signup and view all the answers

    What is a key component of patient education regarding skin care?

    <p>Promoting the use of sunscreen (B)</p> Signup and view all the answers

    During what time frame do fontanelles normally close in infants?

    <p>By 1 year (D)</p> Signup and view all the answers

    What is the condition known as the edematous swelling and ecchymosis of the presenting part of the head caused by birth trauma that gradually resolves in a few days?

    <p>Caput succedaneum (B)</p> Signup and view all the answers

    What is the most common initial sign of male pattern balding?

    <p>Receding hairline (B)</p> Signup and view all the answers

    What is the correct term for a raised, solid skin lesion that is less than 1cm in diameter?

    <p>Papule (D)</p> Signup and view all the answers

    Which of the following is NOT a common symptom of a skin infection?

    <p>Pallor (D)</p> Signup and view all the answers

    Which lymph node group is located in the neck, above the clavicle, and is often palpable in healthy individuals?

    <p>Supraclavicular (D)</p> Signup and view all the answers

    During examination of the thyroid gland, what finding suggests an abnormal thyroid?

    <p>A palpable bruit over the gland (D)</p> Signup and view all the answers

    When assessing the skin of a patient, what is the most important consideration for determining the overall skin tone?

    <p>Underlying skin pigmentation (C)</p> Signup and view all the answers

    Which of the following is NOT a normal finding during a head and neck assessment?

    <p>Enlargement of all lymph nodes (B)</p> Signup and view all the answers

    What term describes the shape of a nail that has a convex curve and a 160-degree angle?

    <p>Clubbing (A)</p> Signup and view all the answers

    How do you document the location of a skin lesion?

    <p>Use a landmark and describe the lesion's distance and direction from that landmark (B)</p> Signup and view all the answers

    Flashcards

    Normal Findings

    Expected health conditions without abnormalities.

    Abnormal Findings

    Health conditions that deviate from the expected.

    Developmental Changes

    Physical and functional changes over a person's lifespan.

    Skin Lesion Classification

    Systematic grouping of skin changes based on appearance or cause.

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    Subjective Data

    Information reported by the patient, like feelings or perceptions.

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    Objective Data

    Observable and measurable findings from an assessment.

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    Lymph Node Assessment

    Examination of lymph nodes for size, consistency, and tenderness.

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    Unit Conversions

    Transforming measurements between different systems of measurement.

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    Male pattern balding

    A common type of hair loss in men, starting with a receding hairline.

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    Skin turgor

    The skin's elasticity and ability to return to normal after being pinched or stretched.

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    Pressure injuries

    Skin damage occurring over bony areas due to impaired circulation, especially in immobile patients.

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    Self-skin-examinations (SSE)

    Patient-led assessments to identify changes in skin health, critical for early detection of problems.

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    ABCDEF rule

    A guideline for evaluating skin lesions; stands for Asymmetry, Borders, Color, Diameter, Elevation, and Feeling.

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    Skull

    A rigid bony structure that protects the brain and sensory organs.

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    Cranial Bones

    Bones of the cranium including frontal, parietal, occipital, and temporal.

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    Fontanels

    Soft spots on an infant's skull where sutures intersect, allowing growth.

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    Caput Succedaneum

    Swelling of the head caused by birth trauma, usually resolves in days.

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    Cephalhematoma

    Subperiosteal hemorrhage resulting from birth trauma, appears hours after birth.

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    Aging Adult Facial Changes

    Facial bones and orbits become more prominent as fat decreases and skin sags.

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    Salivary Glands

    Glands including parotid, sublingual, and submandibular, aiding in digestion.

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    Cervical Vertebrae

    Vertebrae that support the cranium, specifically C1 (atlas) and C2 (axis).

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    Study Notes

    Evidence-based Practice & Assessment

    • Subtopics include: SBAR, SOAP, QSEN, priority problems, types of databases, subjective vs. objective findings, examples of stages of the nursing process, palpating for temperature, technique for palpation, auscultation technique, inspection, percussion, assessment equipment proper use, stethoscope components.
    • Focuses on appropriate communication techniques, accurate documentation of patient data and information, the importance of evidence-based practice, and proper use of assessment tools/techniques.

    Healthy People 2030

    • 4-6 questions related to this topic.
    • Focuses on a set of goals and objectives designed to improve the health of all Americans over the next decade.

    Cultural Assessment

    • 3-5 questions related to this topic.
    • Subtopics include culture-related concepts, language barriers, communication (verbal, nonverbal), communication traps, empathy, positioning for the interview, components of the health history, review of systems, signs vs. symptoms, accurate documentation of past health and childhood illnesses, open-ended and closed-ended questions.
    • Focuses on cultural sensitivity and competency in healthcare settings – understanding different communication styles, cultural norms, and potential language/communication barriers.

    Interview and Complete Health History

    • 8-11 questions related to this topic.
    • Subtopics include components of the health history, review of systems, signs vs. symptoms, accurate documentation of past health and childhood illnesses.
    • Components include open-ended and closed-ended questions, providing a comprehensive understanding of the patient's health history, focusing on subjective data, symptoms, and past experiences.

    General Survey and Measurement

    • 3-5 questions related to this topic.
    • Subtopics include components of a general survey, normal range of findings, stature, build, contour, proportion, mobility, BMI ranges, changes in the older adult.
    • Focuses on the initial assessment of the patient, observing their overall appearance, vital signs, and physical characteristics.

    Vital Signs

    • 7-10 questions related to this topic.
    • Subtopics include vital signs interpretation, vital signs assessment methods, appropriate BP cuff size, procedures for obtaining vital signs, abnormal and normal findings.
    • Focuses on the accurate measurement and interpretation of vital signs (blood pressure, temperature, pulse, respirations), along with recognizing normal and abnormal findings.

    Pain

    • 4-6 questions related to this topic.
    • Subtopics include tools to assess pain, pain in older adults, pain scales, assessing pain quality, sources of pain, physiologic changes due to pain.
    • Focuses on the assessment and management of pain, understanding the impact of pain on the patient, and accurate documentation of pain.

    Skin, Hair, and Nails

    • 8-12 questions related to this topic.
    • Subtopics include normal/abnormal findings, terminology, assessment of the thyroid, documentation of subjective and objective findings, terms for common skin symptoms, color changes in light and dark skin.
    • Focuses on the comprehensive assessment of the skin, hair, and nails, including subjective and objective findings, relevant terminology, and identifying potential abnormalities.

    Head, Neck, and Regional Lymphatics

    • 8-12 questions related to this topic.
    • Subtopics include terminology, Lymph node assessment, names and locations, range of findings, lifespan changes, assessment of the thyroid and related subjective/objective data and normal/abnormal findings.
    • Focuses on the head, neck, and regional lymphatics, including relevant terminology, assessment techniques, and identifying potential abnormalities/disorders.

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    Related Documents

    NURS 305 Exam 1 Study Guide PDF

    Description

    This quiz assesses your understanding of evidence-based practice and key assessment techniques in nursing. Topics include communication methods, documentation, and the nursing process, along with the Healthy People 2030 objectives and cultural assessment strategies. Test your knowledge on the tools and techniques vital for effective patient care.

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