NURS 1020 Study Guide - Quiz Guide: Fluid Balance, Circulatory System, Pulmonology

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maxdavis19998

17 Mar 2023

School

Clemson University

Department

Nursing

Course

NURS 1020

Professor

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Document Summary

The key concepts in this chapter are the assessment of the cardiovascular system, the respiratory system, and the nervous system. Some important events that should be studied in this chapter include the assessment of the heart, lungs, and nervous system. These assessments are important in order to determine the function of these systems and to identify any problems that may be present. Some notable figures that should be studied in this chapter include the heart, lungs, and nervous system. These systems are responsible for the transport of oxygen and nutrients to the cells, the removal of carbon dioxide and other waste products from the cells, and the regulation of body temperature and fluid balance. In order to understand physical assessment, it is important to first understand some key concepts. The following key concepts are essential to understanding physical assessment: The body is composed of systems that work together to maintain homeostasis.

Related Questions

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following: Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

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1. The nurse working in a long-term care facility incorporates a focused assessment of
the immune system for all newly admitted patients over the age of 65. Older adults

are more likely to develop problems related to immune function than are middle-
aged people. The focused immune assessment includes a systemic approach based

on age-related changes in immunologic function. (Learning Objective 4)
a. What changes in the immune system in the older adult increase the incidence of
infection and cancer in this population?
b. Explain why older adults may have decreased inflammatory responses.
c. Why are older adults at increased risk of gastroenteritis and diarrhea secondary
to proliferation of intestinal organisms?

2. The nurse educator for an oncology unit is preparing an in-service presentation for
new nurses about the care of patients with immunodeficiencies. Patients with cancer
who are receiving chemotherapy, as well as those with bone marrow transplants, are
immunocompromised and require special attention to assess for signs of infection.
The nurse educator focuses on special care needs of this patient population.
a. What is the rationale for assessing the pulse and respiratory rates for 1 full
minute in a patient with immunodeficiency?
b. What special precautions about dietary restrictions and food preparation should
be included in the teaching for a patient with immunodeficiency?
c. What nursing actions should be implemented to decrease the risk of infection in
the patient with immunodeficiency?
3. Molly Baker, a 22-year-old patient, presents to the clinic with the diagnosis of
allergic rhinitis. She states that she develops paroxysmal sneezing, clear nasal
drainage and congestion, watery, red eyes, and nasal itching from the late spring
until the first frost in the fall. She states that she has a dry cough and voice
hoarseness. She complains of feeling extremely tired, unable to sleep at night, and
having difficulty concentrating on her collegiate course work.
a. What further assessment should the nurse provide?

Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of
fibromyalgia syndrome. The nurse at the clinic obtains a history and physical
assessment of the patient. (Learning Objective 2)
a. On what areas should the nurse concentrate when interviewing the patient
during the history process?
b. On what areas should the nurse concentrate when assessing the patient?
c. What diagnostic tests are used with fibromyalgia syndrome?

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Mrs. Tom, a 79 year old female presents to the ER with complaints of a persistent productive cough, fatigue, fever and shortness of breath. Mrs. Tom reports that she has had a persistent cough and shortness of breath with activity for several months. She was given a prescription for antibiotics for a presumed infection 4 weeks ago, with only slight improvement in symptoms. Her past medical history includes stroke 6 months ago. She also smokes 20 cigarettes per day. On exam, she has a fever with decreased lung sounds bilaterally to auscultation with the right side slightly more obvious than the left. She is obviously short of breath and presents with 4-word dyspnea. Her vital signs are BP 110/70, HR 99, SP02 94% on 4 L of oxygen via nasal prongs, Temp 38.9.

Identify the infection of inflammatory response that Mrs. Tom is experiencing? (2)

Explain the pathology of how smoking affects the innate defense system of the lungs? (5)

What diagnostic tools could you expect to be used in this case? (xray,CT,laboratory data etc). (2)

Identify risk factors that Mrs. Tom has that are associated with the diagnosis? (3)

Internal medicine assesses Mrs. Tom and orders a STAT lactate and arterial blood gasses. Based on the patient’s vital signs above, what would you expect to see in the results of these tests? (5)

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NURS 1020 Study Guide - Quiz Guide: Fluid Balance, Circulatory System, Pulmonology

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