NR 511 Final Latest Update -

NR 511 Final Latest Update - Exam from Credible Sources with 110 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor

• Describe how to perform a

Tinnel test - CORRECT ANSWER: Purpose: Assess for compression neuropathy

Procedure: Percuss the median nerve at the wrist. If the patient complains of tingling in the digits (POSITIVE TINEL SIGN), compression at the site of percussion is likely.

• Discuss common characteristics (objective findings) of patients with lumbar spinal

stenosis - CORRECT ANSWER: - Muscle weakness

• Impaired proprioception
• Diminished reflexes
• Sensory changes (numbness/tingling)
• Bowel or bladder symptoms
• Sphincter tone decreased
• Don't confuse w/ prostate problems in older men

Carpal Tunnel Phalen's test - CORRECT ANSWER:

Carpal Tunnel syndrome diagnostics - CORRECT ANSWER: o Median nerve

conduction velocity study most useful

• xray if limited wrist movement only

Carpal Tunnel Syndrome: - CORRECT ANSWER: - Peripheral nerve compression of the medial nerve 1 / 3

• Caused by repetitive flexion and extension of the wrist or direct compression of medial

nerve

• Pain and/or numbness are usual presenting symptoms
• Burning, tingling, or itching numbness of the hand and fingers, especially the thumb,

middle, and index fingers

• Most often dominant hand - may be bilateral
• Pain increases with wrist flexion or extension
• Paresthesia and numbness along thumb, index, long and radial half of ring fingers
• Nighttime wakening of N/T in affected limb
• Positive Phalen's test, Positive Tinel's sign

Carpal Tunnel Tinels sign - CORRECT ANSWER:

Carpal Tunnel Treatment - CORRECT ANSWER: o Rest, splinting

• NSAIDS, NO CORTICOSTEROIDS
• Vitamin B6, and management of concurrent diseases
• Often resolves after pregnancy if symptoms related

Cat & Dog Bites - CORRECT ANSWER: o Pathogens

Pasturella multocida & capnocytophaga canimorsis

• Alternative ATB w/ activity against Pasturella

Doxycycline 100mg 2xday Bactrim DS 2xday PCN VK 500mg 4xday Ciprofloxacin 500mg 2xday

• PLUS

• Metronidazole 500mg 3xday 2 / 3

• Clindamycin 450mg 3xday

• ALL bites treatment considerations

• Treatment

Copiously irrigate with sterile saline Remove grossly visible debris

Prophylactic ATB are given if • Deep puncture wounds • Wounds requiring surgical repair • Moderate to severe wounds w/ associated crush injury • Wounds in areas of underlying venous and/or lymphatic compromise • Wounds on the hands or in close proximity to a bone or joint • Wounds on the face or in the genital area • Immunocompromised hosts

Cellulitis - CORRECT ANSWER: o Pathogens

Strep (A,B,C,G,F) Staph

• Symptoms

Skin erythema, edema, warmth, pain, possible fever Lymphangitis, lymphadenopathy, peau d'orange (orange peel texture) No fever/chills, localized symptoms only Underlying infection, lymphedema, venous insufficienc

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