Question

Review of Systems (ROS) Normal response vs abnormal response to DTR (deep tendon reflexes). Reason why the musculoskeletal system shortens in the elderly/older adult Priority nursing Focused vs Problem-centered Data collection Phases of the interview Objective data vs. subjective data Signs of right sided heart failure vs left sided heart failure Male genitourinary system i.e. hyper/hypospadias Why do we auscultate the abdomen before palpation and percussion? Why would stool appear pale and clay-like? What information can be obtained from deep palpation of the abdomen? Pressure in the arteries vs vein (higher vs lower) What kind of pitch are bruits (low or high?) in the thyroid and carotid artery Hernias Cranial nerves tests when 1) patient stick tongue out, b) patient says "ahh" Purpose of the MMSE (mini mental state examination) What do we assess in Increased intercranial pressure? Think LOC, Glascow coma scale + 3 other things. Which disease is "pill rolling" movement associated with? Which part of the brain controls balance? RAM Normal bicep reflex Define osteoporosis

Answer 1

Ans) Review of System ( ROS):

- A review of systems, also called a systems enquiry or systems review, is a technique used by healthcare providers for eliciting a medical history from a patient. It is often structured as a component of an admission note covering the organ systems, with a focus upon the subjective symptoms perceived by the patient.

Normal vs abnormal response to DTR ( Deep Tendon Reflexes)

In a normal person, when a muscle tendon is tapped briskly, the muscle immediately contracts due to a two-neuron reflex arc involving the spinal or brainstem segment that innervates the muscle. By convention the deep tendon reflexes are graded as follows: 0 = no response; always abnormal.

Reasons why the musculoskeletal muscle shortens in the elderly older adult:

- Age-related factors that contribute to the development of OA include a decline in muscle strength, loss of proprioception, degenerative changes in the meniscus, osteoporosis – the bones lose mass and become brittle. Fractures are more likely.

Priority setting can be defined as the ordering of nursing problems using notions of urgency and/or importance, in order to establish a preferential order for nursing actions.

Focused vs problem centered data collection:

Concerns mainly on problem, one cue complex, or one body system. Mini database targeted for a short-term care in all hospital settings.