Function of Cranial Nerve I
Number: 1
Type: Sensory
Function: Sense of Smell
What is systole
Contraction phase of cardiac cycle
What are the four quadrants of the abdominal region in order of assessment?
Right lower quadrant, right upper quadrant, left upper quadrant, left lower quadrant
What is a functional assessment?
Assessment for ADLs - Active daily livings
What are the 2 types of pain?
Nociceptor = normal pain path
Neuropathic = does not follow normal path
Break in normal system
Oculomotor
Number: III
Type: Motor
Function: Raise eyelids, move eyes, regulate the size of pupils, focus of lenses.
What does the pneumonic A.P.E T.O M.A.N stand for
Aortic
Pulmonic
Erbs Point
Tricuspid
Mitral
How should patients be positioned during an abdominal exam?
supine with knees bent
When to perform hand hygiene...
Rub hands for 20-30 seconds and washing procedure 40-60 seconds
Before touching a patient, clean procedures, after body fluid exposure, after touching a patient, after touching patient surroundings
What does the PQRSTU mnemonic stand for?
Assesses pain
P= provokes
Q= quality
R= radiates
S= severity
T= time
U= how does it affects you (patient)
Name of cranial nerve which controls Turning movements of the head, movements of the shoulder
Name: Accessory
What is stroke volume
Amount of blood pumped from the heart with each contraction
What sounds do you osculate for with the bell of the stethoscope during an abdominal assessment?
Vascular sounds
Types of Interviewing pitfalls
Leading or bias questions, open ended better than closed questions, hierarchy ; no bias, not confrontational, closed or open (open best)
Describe the difference between the Cerebellum and the Hypothalamus
Cerebellum = balance
Hypothalamus = temp
Name and number of Cranial Nerve which controls Gag Reflex
Name: Glossopharyngeal
Number: Cranial Nerve IX
What are murmurs
Gentle, blowing, swooshing sound that can be heard on chest wall
What digestive organ found only in the right upper quadrant secretes bile.
What is the purpose of Health Promotion?
To prevent things before they happen
Ask about Subjective history
examples - Diet and exercise
What are important findings in a Neuro Exam?
Asymmetry ; ROM and strength, face, legs,
Mental status change
Focus assessment
ALOC
Number and function of the trigeminal nerve
Number: V
Type: Mixed
Function: Sensations of the head and face, chewing movements, and muscle sense.
When does the first heart sound(S1) occur
Occurs with the closure of AV valves-signals beginning of systole
In total, how many points of auscultation are there in an abdominal assessment?
4 for digestive sounds + 5 for vascular sounds = 9 total points of auscultation
What are the Responsibilities of the nurse?
Assess, Diagnosis (Interpretation of finding), Plan, Implementation, Evaluation, Anything new, Medication administration, Teaching
What are the 5 assessment techniques of the Neuro Exam?
ALOC, Mental status, Sensory system, Motor system, Reflexes