Health Assessment

• A patient presents at the clinic with an enlarged, swollen, hot, and red metatarsophalangeal joint and bursa of the great toe. What diagnosis would the nurse suspect this patient has?

  Gouty arthritis
• It give people shape. They hold the body upright, and also protect organs like the heart and the liver.

  Bones
• It contains numerous spaces makes up the end and center of the bones.

  Spongy bone
• It made mostly of fat and contains stem cells that can become cartilage, fat, or bone cells

  Yellow bone marrow
• It work in alkaline environment, and responsible for ossification and calcification of bone. Secrete alkaline phosphatase

  Osteoblasts
• It assist with posture, produce body heat, and allow the body to move muscles that can be controlled simultaneously.

  Skeletal muscle
• A type of joints that allow no movement just stability, and held together by fibrous connective tissue.

  Fibrous joints
• It is found in the arms and legs, have a joint cavity filled with synovial fluid, a thick gel.

  Synovial joint
• Which of a bone disease that affecting children, caused by low vitamin D levels?

  Rickets
•  It is conditions where bone density is reduced. 

  Both osteopenia and osteoporosis
• This is common with age and most often affects the knees, finger joints and big toe joint.

  Osteoarthritis
• This is common with age and most often affects the knees, finger joints and big toe joint.

  Rheumatoid arthritis
• This is an inflammation of muscle tissue due to ongoing autoimmune reaction.

  Myositis
• This is a weakens and deforms bones. 

  Paget’s disease
• It causes painful and stiffness of the muscles.

  Fibromyalgia
• A patient has a nursing diagnosis of ineffective airway clearance. What intervention would be most appropriate?

  Teach deep breathing
• When an infant is born, changes occur in the circulatory system allowing the baby to breathe on his or her own. What is one of these changes?

  Closure of the forearm ovale
• A person with a barrel chest has a problem doing what? 

  Taking a deep breath
• A 37-year-old man presents at the emergency department complaining that he is having trouble breathing. What would the nurse prioritize in this patient's acute assessment?

  Assessing pulse
• A patient with advanced chronic obstructive pulmonary disease (COPD) is very fatigued and has minimal stamina. Clustering of care has become necessary. When should the nurse auscultate this patient's lungs?

  Pulmonary disease (COPD) is very fatigued
• The staff educator from the hospital's respiratory unit is providing a public educational event. The educator is talking about health promotion activities for people with respiratory diseases or those who are at high risk for respiratory complications. What would the educator include in the presentation?

  Teach strategies to reduce complications of existing diagnoses
• A patient comes to the clinic complaining of waking during the night with sudden shorts ness of breath. She is diagnosed with paroxysmal nocturnal dyspnea. Before leaving the clinic, the patient asks the nurse what causes paroxysmal nocturnal dyspnea. What would be the nurse's best response?

  Fluid overload from elevation of the lungs
• The peritoneum is a serous membrane that contains: *

  A parietal layer
• During digestion the food that is ingested enters the stomach and is churned into:

  Chyme
• Nursing students are giving a class presentation on the digestive process. The students would identify villi as being present in the:

  Jejunum
• Where in the digestive tract is most of the water absorbed? *

  Large intestine
• A 27-year-old woman comes to the emergency department reporting severe right upper quadrant pain. Her temperature is 38.6°C (101.5°F) BP 120/80 mm Hg, pulse 95 beats/min, and respirations 22 breaths/min. She is 8 months pregnant. What might the nurse suspect the patient has?

  Acute appendicitis
• Older adults often have trouble with swallowing. What might cause this?

  Decreased saliva production
• A 17-year-old baseball player is brought to the emergency department by EMS. His temperature is 38.5°C (101.3°F) BP is 80/65 mm Hg, and pulse is 100 beats/min. He says he is dizzy when he stands, feels weak, and has heart palpitations and a dry mouth. He collapsed on the ball field while playing in 100+°F heat. What might the nurse suspect is wrong with this patient?

  Dehydration
• Stores fat-soluble vitamins as well as copper and iron

  Liver
• Stores and concentrates bile

  Gallbladder
• Primary organ of the digestive tract

  Stomach
• Central of the three divisions of the small intestine

  Jejunum
• Secretes and inhibits insulin and glucagon

  Pancreas
• Muscular ducts that aid in the removal of waste products

  Ureters
• Vestigial structure with no absolute purpose

  Appendix
• Soft-pitched humming noise with a systolic and diastolic component 

  Venous hum
• Swishing sound

  Bruit
• Grating sound that increases with inspiration 

  Friction rub
• This is a swooshing sound similar to the sound of the blood pressure.

  Bruit