Vital Signs & General Survey
Which vital sign is often taken first during an assessment?
What is Temperature?
What does PERRLA stand for?
What is Pupils Equal, Round, Reactive to Light and Accommodation?
Where is the apical pulse best auscultated?
What is the 5th intercostal space, midclavicular line?
What is the first step in abdominal assessment?
What is inspection?
Which scale is used to assess level of consciousness?
What is Glasgow Coma Scale?
What is the normal range for adult respiratory rate?
What is 12–20 breaths per minute?
Observe constriction and crossing while looking at the penlight, while moving slowly away from nose
What is accomodation?
Crackles in lung sounds often indicate what?
What is Fluid in alveoli (pneumonia, CHF)?
What does absence of bowel sounds for 5 minutes indicate?
What is potential paralytic ileus or obstruction?
What does a GCS score of 15 indicate?
What is full alertness?
Which technique is used first during a general survey?
What is inspection?
What is the term for yellowing of the sclera?
What is the jaundice?
What does S1 represent?
What is the closure of mitral and tricuspid valves?
A hyperactive bowel sound indicates.
what is possible diarrhea or gastroenteritis?
Testing strength by having the patient squeeze your hands assesses which system?
What are musculoskeletal/neuro?
A pulse rate below 60 bpm is called what?
What is bradycardia?
During a nose assessment, the nurse checks that air moves freely through each nostril by asking the patient to occlude one nostril at a time and breathe.
What is nasal patency?
What is the proper sequence for lung assessment?
What is Inspection, palpation, percussion, auscultation?
RUQ pain may indicate a problem with which organ?
What is the liver or gallbladder?
The scapula, coccyx, vertebrae, buttocks, heel, occiput, hips, talas, cubital joint
What are the bony prominences?
Which vital sign gives information about tissue perfusion?
What is blood pressure?
The nurse uses a tongue blade and light source to inspect the mucosa, tongue, teeth, gums and palate
What is inspection of the oral cavity?
Which side of the stethoscope is best for hearing high-pitched heart sounds?
What is the diaphragm?
Rebound tenderness is tested for which condition?
What is Appendicitis?
What is the term for decreased sensation?
What is hypoesthesia?