Eastern Florida NURC3069 Final Exam Paper

NURC3069 Final Exam Paper

Your final exam will consist of 2 case studies.

Please read the case studies and answer the questions listed.

There are 5 questions in each case study.

Each question has a value of 10 points each.

You will have 1 chance to complete this exam. It is not proctored.

This exam is timed. You will have 120 minutes to complete.

Question 1 50 pts

Mary is a 45-year-old woman who presents to the family practice for a yearly check-up.

Subjective Data

Married

Exercises daily

Nonsmoker, never smoked

Registered nurse in hospital setting

Has two children who live at home

No complaints at this time

Objective Data

Vital signs: T 36.7 BP 108/62 HR 62 Resp 14

Height: 5 feet, 7 inches

Weight: 160

Immunizations: Up-to-date

Medications: No medications, multivitamin daily

Allergy to PCN = Hives

Questions

How should the nurse proceed with the physical exam?

What interventions can help make the patient more comfortable during the physical examination?

What pointers or tips can the experienced nurse give to a new nurse who wants to improve his or her technique?

What are the components of the general survey?

How should the nurse perform the abdominal assessment?

Question 2 50 pts

Johnnie is a 12-year-old boy who presents to the pediatric office for his annual visit.

Subjective Data

Lives with mother and father, both present for visit

Attends upper elementary school

Only child

No smokers in home

No weapons in home

Objective Data

Vital signs within normal limits

Height and weight within normal limits

Immunizations up to date

No medications

No allergies

Physical exam within normal limits

Questions

What special considerations should the nurse keep in mind regarding the physical exam with this age group?

What similarities does the assessment of this age group have compared to the adult exam?

What are the expected findings for the following systems: skin, hair, and nails and musculoskeletal system?

What are some abnormal findings for the following systems: skin, hair, and nails and musculoskeletal system?

How should the nurse assess the reproductive system for boys in this age group?

NURC3069 Final Exam Paper

 

MORE INFO 

How should the nurse proceed with a physical exam?

Introduction

When it comes to the physical exam, the first thing that you need to do is establish rapport with your patient. This means that you should greet them and ask how they are feeling or what they hope to get from the exam. You should also make sure that there are no medical conditions present which could cause complications during this procedure.

Assess the patient’s vital signs.

• Check the patient’s temperature. The nurse should check the patient’s temperature using an oral thermometer, rectal probe, or axillary (armpit) method.

• Check pulse rate and rhythm. To do this, use a stethoscope to listen to each artery in the neck for a distinct sound when you press them with your fingers; if there is no sound at all, then that’s an indication that it’s time to call 911 because something has gone wrong with this person’s heart!

Have family or friends present if this helps the patient feel more comfortable.

If you are able to, it is important to have a good relationship with the patient. It can be helpful for them to have family or friends present if this helps them feel more comfortable. If no family members are present, it is important to establish rapport with the patient and assess what their needs are.

Establish rapport with the patient.

• Establish rapport with the patient.

• Ask about their health and how they are feeling.

• Ask about family, friends and pets.

• Ask about hobbies, interests and favorite things

Educate the patient on the purpose of a physical exam.

The first step in performing a physical exam is to educate the patient on what you are doing and why. This can be done by stating that you are assessing their health, or it can be pointed out that there is no point in performing a physical examination unless they have some symptoms that need treatment or diagnosis. You may also want to include the following information:

• Physical exams help determine if there are any problems with your patient’s body.

• A physical exam will also give you an idea of how healthy their body is overall and how well it functions normally compared with other people who live in your area (for example, if someone has arthritis from overuse).

• If necessary, this information will allow doctors/nurses who specialize in specific areas (such as cardiology) who know more about those diseases than anyone else!

Identify all medical equipment before examination begins.

• Identify all medical equipment before examination begins.

• Do not use any equipment until it has been properly identified and labeled by the nurse or physician.

• The nurse must ensure that all equipment is safe for use during the physical exam and does not pose any threat to patient safety.

It is important to have a good relationship with patients and understand their needs.

It is important to have a good relationship with patients and understand their needs. Patients should feel comfortable during the physical exam, so it’s important that you know what they need to feel comfortable. For example, if they are afraid of needles, you will have to reassure them that this procedure won’t hurt them at all.

You may also want to establish rapport with your patient by talking about something personal like how long it’s been since you last saw each other or what happened in your lives recently (if possible). This can help build trust between yourself and the patient so that there won’t be any awkwardness or discomfort during the exam process itself!

Conclusion

A good nurse does not just perform a physical exam and call it a day. It is important to keep in mind that the patient may need additional tests and treatments based on what you find during the exam. If this information has not been provided in advance, then it is best to ask the patient if they would like you to do so before starting any procedures or tests. The most important thing to remember when performing any procedures on your patients is that they have given consent for such action by signing up for such treatment at some point in time prior