Neuro
What is the term that describes a patient who is awake, alert, & responding appropriately?
Level of consciousness.
What are the 5 heart sounds?
What is the order of GI assessment?
Inspect, auscultate, percussion and palpation
What is ROM?
Range of Motion
What is the term of yellowing of the skin?
Jaundice
What does PERRLA stand for?
Pupils equal, round and reactive to light with accommodation
What is a normal capillary refill time (CRT)?
Less than 3 seconds.
Bowel sounds that occur 5-30 times per minute are considered to be?
Normoactive
How do you describe quality of muscle strength?
Weak, moderate, and strong. Equal or unequal strength in extremities.
What is the term for pale, bluish nail beds or skin?
Cyanosis
While inspecting a patient's head, you can also perform?
The act of palpation to assure symmetry
What is the normal pulse rate for an adult?
60-100 beats per minute
What position should your patient be in for an abdominal assessment?
Supine (flat)
What components make up a skin assessment?
Color, temperature, texture, moisture, and turgor.
Medical term for swelling of the skin?
Edema
How would you perform as assessment of the eye?
Evaluate sclera, conjunctiva, and presence of drainage.
How would you describe pulse quality?
Weak/thready (+1), regular (+2), and bounding (+3).
Describe questions to ask a patient regarding urinary habits?
Do you have urinary urgency, frequency, dysuria, pain, incomplete bladder emptying, incontinence, retention, history of UTIs, etc.
What are abnormal skin findings?
Lesions, wounds, varicosities, abrasions, rashes, and abnormal hair growth
Medical term to describe redness of the skin?
Erythema
Speech abnormalities can be a sign of what? If you have a patient with speech changes, what would you do?
Stroke, low blood sugar, intracranial injury. Any changes in speech should be reported to the overseeing nurse and provider.
Temporal, carotid, brachial, radial, femoral, popliteal, posterior tibial, and dorsalis pedis pulses.
Absence of bowel sounds can be a sign of?
Bowel obstruction/blockage- warrants follow up.
What are the stagings of pittting edema?
+1 (slight indentation, 2mm)
+2 (lasts longer than 1 second, 4mm)
+3 (lasts for several seconds & deep, 6mm)
+4 (lasts minutes, 8mm)
Scale used to determine level of consciousness?
GCS, Glasgow Coma Score.