Mental Status
This is what differs delirium and dementia
What is a mental deficit resulting from a physical illness vs. a progressive, incurable mental deficit
A red, sometimes swollen nail fold, usually bacterial related, but can be fungal
What is a paronychia
Main arteries in the arm
What are the brachial, ulner, and radial
This lab value is sensitive to heart failure
What is B-type natriuretic peptide
assessment response seen by palpating LLQ with tips of fingers and release quickly where pain in felt in the RLQ
What is a positive Rovsing's sign
This diagnostic test is used to rule out structural damage related to change in mental status or loss of function
What is a CT scan
Also called hives, these are swollen, red bumps on the skin; can be reaction to an allergen, sometimes unknown reasons
What is Urticaria
A ratio of systolic pressure around the ankle and systolic pressure around the arm
What is the ABI
This is a result of restricted blood supply to tissues, which can lead to cell death
What is ischemia
The abdominal regions as described from upper to lower
What are the epigastric, umbilical, and suprapubic
This is the loss of ability to speak (expressive) or understand (receptive)
What is aphasia
This is a non-melanoma skin cancer, often a result of overexposure to UV rays
What is BCC or SCC
Where edema to one lower extremity may indicate a clot, the result of bilateral LE edema would be
What is vascular insufficiency
This would be part of a community RNs teaching related to promoting healthy cardiovascular care
What is smoking cessation, monitoring BP and cholesterol levels, proper weight management, exercise routine
The result of serious fluid in the peritoneal cavity
What is ascites
To describe a level of consciousness as drowsy yet arousable, easily falls back to sleep
What is lethargic
A full thickness skin loss involving damage of subcutaneous skin layer
What is a stage III pressure wound
Humans would be in this physiological state without the lymphatic system
What is generalized edema
This can be described as palpitations, rapid throbbing or fluttering of the heart
What is an arrhythmia
The types of abdominal hernias that may be palpated during an abdominal assessment
What are inguinal, umbilical, and incisional
This tool is used to evaluate a patient's level of consciousness
What is the Glascow Coma Scale
This is a primary function of the skin
What is protection from infection, temperature regulation, sensation, water regulation
This puts the elder adult at at higher risk for DVT
What is immobility, stiffening of blood vessels, arteriosclerosis, multiple comorbidities
Blood pressure screening as a form of preventive care
What is secondary prevention
The proper order for assessing the abdomen
What is inspection, auscultation, palpation, percussion