Early Chapters
Phase of the nursing process focused on developing problem list based on the data that has been gathered.
What is palpation?
Closure of the aortic and pulmonic valves produce this heart sound.
What is S2?
What is infection?
Romberg and RAM assess this part of the brain.
What is cerebellum?
This stage of the assessment process would include the nursing using the sense of touch to gather data such as skin temperature and areas of tenderness.
What is palpation?
This position is commonly utilized by individuals with COPD to help with breathing.
What is tripod position?
Cardiac condition that leads causes respiratory symptoms due to fluid backing up into the lungs.
What is left-sided heart failure?
Type of hearing loss due to excess cerumen.
What is conductive hearing loss?
More detailed scale to assess level of consciousness, focuses on best eye, best verbal, and best motor response.
What is GCS (glasgow coma scale)?
Data that includes concrete information like vitals signs and lab values.
What is objective data?
Adventitious breath sounds commonly associated with asthma.
What is wheezing?
What is arterial?
Bowel sounds every 3-5 seconds.
What are hyperactive bowel sounds?
Term for trouble speaking vs
Term for trouble swallowing
What is dysphasia vs dysphagia?
"How are you feeling today?" is an example of a ___________ question.
What is open-ended question?
Abnormal breathing pattern consisting of
apnea-shallow-deep-shallow-apnea.
What is Cheyne-Stokes respirations?
All Pigs Eat Too Much
What is the correct order to listen when performing a cardiac assessment? (aortic-pulmonic-erbs-tricuspid-mitral)
Tonsils that touch the uvula but not each other.
What is 3+?
Cranial nerve that has 3 branches that spread over the forehead, cheek, and jawline.
What is cranial nerve V trigeminal?
When providing care for an individual the nurse needs to find out about the patient's ___________________. This information can heavily influences one's views on health and treatment choices.
What is culture?
Respiratory assessment in which nurse palpates patient's back while patient repeats phrase.
What is tactile fremitus?
What is a heave/lift?
Tenderness in this area can indicate kidney infection/problems.
What is CVA (costovertebral angle)?
Light. Tight. Dynamite.
What is cranial nerve XII hypoglossal?