Physical Assessment
Name 3 adventitious breath sounds
What are: wheezing, stridor, crackles, rhonchi, absent
What is the within defined limits description of urine?
Clear, yellow, no odor
What is the normal cap refill time?
What is: <3 seconds
What kind of needle is used to draw up medication from an ampule?
What is a filter needle?
This measures the heat lost and heat produced by the body
What is temperature?
Name 3 abnormal respiratory patterns
What are: apnea, retractions, tachypnea, nasal flaring, Kussmauls, dyspnea, use of accessory muscles
Name 3 abnormal bowel sounds
What are: hypoactive, hyperactive, absent
What are the levels of edema?
What are: non-pitting, +1, +2, +3, +4
What must you never do with enteric coated or time released medications?
What is crush or chew them?
What pulse is found behind the knee?
What is the popliteal pulse?
Air passing through narrowed bronchioles would produce which adventitious breath sounds?
What is wheezing
In what order would you listen to bowel sounds
What is: RLQ, RUQ, LUQ, LLQ
What are the stages of pressure injuries?
What are: stage 1, stage 2, stage 3, stage 3, unstageable, deep tissue injury
How would the nurse prevent aspiration when administering PO medications?
What is ensure the head of the bed is elevated to 90 degrees?
This is the relaxation phase of the heart and bottom number of a blood pressure
What is diastolic pressure?
What does PERRLA stand for?
What is: Pupils Equal, Round, Reactive to light, Accommodation
What might tea colored urine indicate?
What is: Rhabdomylosis, dehydration, liver issues
List the 3 layers of skin from outermost layer to innermost layer
What are epidermis, dermis, hypodermis
What needle length and gauge would the nurse use to administer insulin?
What is 3/16-1" inch and 28-31 gauge
A respiratory rate of 8 is known as
What is bradypnea?
Where would you find the PMI?
What is the apical pulse/apex of heart, left sternal border 5th intercostal space, mid clavicular
Difficulty starting flow of urine is an expected finding in men who have this genitourinary disorder.
What is BPH (benign prostatic hyperplasia)
What system makes up the hair, skin, and nails?
What is integumentary system?
Why is it important to Z-track iron?
What is to prevent the drug from irritating or necrosing the adipose tissue?
What is the normal pulse rate for an adult
What is 60-100 bpm