What are three additional history questions you might ask regarding her mobility?

Remediation Exam 3

Define the following terminology

Cyanosis

Stupor

Erythema

Exudate

Sanguineous

Serosanguinous

Lethargic

Xerosis

Pruritis

Palor

Supination

Pronation

Presbyopia

Nystagmus

Photophobia

Cranial Nerves-Below write the cranial nerve and provide a unique example on how to assess each cranial nerve.

Provide a description of the following Wound stages (describe exudate and thickness)

Describe the different types of headaches below:

Case Study:

Mrs. C., a 68-year-old African American, is in the physician’s office because of continuing visual problems and joint pain in his left knee.

As you begin taking a history, you note that she is wearing a hearing aid. You decide to do a functional assessment.

Mrs. C. states that she can bathe herself as long as she sits down to bathe but that she cannot climb into the bathtub.

Her husband has placed a chair in the bathroom for her use during bathing. She has no difficulties with toileting, dressing, or eating, but she gets “tired and sore” if she walks more than a block.

She dreads going to stores because she “can’t walk that much” and relies on her husband for grocery shopping, housekeeping, cooking, and laundry chores.

She lives in a two-story home, and she says that once she is downstairs for the day, she tries not to go upstairs until bedtime.

Her home has one bathroom on the lower level. She is a retired postal worker and enjoys spending time with her husband and working in her flower garden. Lately the knee pain has kept her from her gardening chores. She is active in her church and local civic clubs.

 

What are three additional history questions you might ask regarding her mobility?

What is your assessment of Mrs. C.’’s self-care ability? Are there other questions that should be included in a functional assessment?

What can you do to enhance your communication with Mrs. C. during the interview and examination?

After completing the history, you perform the physical assessment. When assessing her knee joints, you find stiffness in the left knee (especially after walking), swelling, pain with motion, and limited range of motion. The joints are not warm, red, or tender. The right knee is unaffected. She walks with a limp, favoring her left knee, and reaches for the table to stabilize himself. She rates the pain level as a “6” on a scale of 1 to 10. She has temperature is 98.3° F (36.8C), and he denies weight loss or general weakness.

Her knee pain could be caused by osteoarthritis, rheumatoid arthritis (RA), or ankylosing spondylitis. Which condition is best suggested by your assessment? Support your answer