Question

Indications of respiratory distress include all of the following except: A. Restlessness B. Nasal flaring C. Supraclavicular and /or intercostal retractions D. Tripod positioning E. Vesicular breath sounds You are the nurse caring for a patient on the urology floor. You not the patient has bloody urine and need to document your findings. The correct term for bloody urine is: A. Hemoptysis B. Hematemesis C. Hematuria D. Hematachezia All of the following are located in the Right Upper Quadrant of the abdomen except: A. Liver and gallbladder B. Pylorus C. Duodenum D. Head of pancreas Where do you locate the liver and what is an expected normal liver span? PERRLA stands for what? How should the tympanic membrane look in a normal individual? What is the difference in a venous ulcer and an arterial ulcer? The nurse is listening to the patients heart at the left sternal border (LSB) at the second intraclavicular space (ICS). Which area is being auscultated? A. Erb’s point B. Mitral area C. Aortic area D. Pulmonic area When auscultating the heart, the nurse recognizes which expected finding? A. A low-pitched blowing sound is heard over the abdominal aorta B. A high pitched vibration is heard over the base of the heart C. The S1 heart sound is louder at the apex of the heart D. The S3 heart sound sounds like “Ken tuck y”.

Answer 1

Bloody urine - heamturia

Organ not located at right upper quadrant is - B (pylorus)

Liver is located at right upper quadrant of abdomen below diaprahrm and above stomach

Normal liver span is 6-12 cm

PERRLA stands for - pupils equal round react to light accommodation.

Tympanic membrane in normal individual is like  pale, gray, ovoid, semi transparent membrane located at the end of the external auditory canal

Arterial ulcers create as the consequence of harm to the courses because of absence of blood stream to tissue. Venous ulcers create from harm to the veins brought about by a deficient return of blood back to the heart.

In contrast to different ulcers, these leg wounds can take a very long time to mend, on the off chance that they recuperate by any stretch of the imagination. In spite of the fact that comparable, they require diverse medications to guarantee appropriate recuperating and a fast recuperation

Blood vessel ulcers regularly structure on the external side of the lower leg, feet, impact points, or toes. They can shape in different zones, as well. These ulcers are difficult and have a "punched out" appearance.

Different indications or qualities of blood vessel ulcers include:

red, yellow, or dark injuries

profound injury

tight, bald skin

leg torment during the evening

no dying

influenced region is cool or cold to contact from insignificant blood flow

leg blushes when dangled and turns pale when lifted

Auscultation at 2 ICS at left sternum border= D- pulmonic area

Auscultation finding - C - S1 sound is louder at apex of the heart.