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Fundamentals of Nursing Unit 2
Patient Assessments, Safety, Cultural Diversity
12
Nursing
Not Applicable
01/16/2012

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Cards

Term
How often should we teach our patients to do breast self-exams?

How often do they need to come in for a clinical breast exam?
Definition
Once per month

Age 20-40: every 3 years
Age 40+: every year
Term
What are some risk-factors for breast cancer?
Definition
Over age 40
Has a personal or family history of breast cancer
Early onset menarche (before age 13)
Late onset menopause (after age 50)
Never had children
Gave birth to first child after age 30
Term
What are some signs that there may be abdominal discomfort in your patient?
Definition
Patient may guard stomach with arms, hunch over, draw knees up towards chest, different bowel sounds, distention, enlarged organs or masses found with palpation.
Term
Describe active bowel sounds.
Definition
Soft gurgling or clicking sounds that occur irregularly 5-35 times per minute caused by air and fluid moving through the intestines.
Term
List the warning signs of colon cancer.
Definition
rectal bleeding, cramping pain in lower abdomen, black or tarry stools, blood in stool, change in bowel habits (constipation/diarrhea).
Term
Hypoactive bowel sounds typically occur:
Definition
post-operatively, following general anesthesia
Term
What is rebound tenderness?

When a patient experiences rebound tenderness when inspecting the abdomen, what might that tell you?
Definition
Pressing a hand slowly and deeply into the involved area and then letting go quickly. If they feel pain with the release of your hand the test is positive.

It is usually a sign of appendicitis, pancreatitis, or any peritoneal injury causing bile, blood, or enzymes to enter the peritoneal cavity.
Term
What does a rectal exam help to diagnose?
Definition
colorectal cancer in it's early stages and prostatic tumors.
Term
Gait
Definition
Manner or style of walking, including rhythm, cadence, and speed. Assessing this allows nurses to draw conclusions about balance, posture, and the ability to walk without assistance.
Term
Determining level of consciousness
Definition
A person's level of consciousness exists along a continuum from full awakening, alertness, and cooperation to unresponsiveness to any form of external stimuli.
Term
What are six ways you can assess sensory nerve function?
Definition
-Pain
-Temperature
-Light touch
-Vibration
-Position
-Two-point discrimination
Term
When should you assess the patient's mental and emotional status?
Definition
throughout the entire examination.
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