Sounds Like Trouble...
This heart sound is heard at the beginning of systole
According to Erikson, this stage of development focuses on contributing and giving back to society
What is generativity versus stagnation?
A protruberant abdomen can be associated with this underlying pathology.
What is ascites?
Refers to difficulty swallowing.
What is dysphagia?
A client with COPD is most likely to have this chest shape on inspection.
What is AP:Transverse diameter of 1:1, or barrel chest?
A turbulent sound at the mitral valve is best heard here
What is the 5th ICS, LMCL?
This nail finding in older adults is associated with linear lines and is considered normal.
What is longitudinal ridging?
This percussion sound is expected over the stomach and hollow organs.
What is tympany?
This test assesses for hyperreflexia, and involves dorsiflexing and plantar flexing the foot, while allowing return to neutral position. Oscillating movements are then assessed.
What is clonus?
This is an anticipated priority order for a 25 year-old female presenting to the emergency room with abdominal and/or pelvic pain.
What is a pregnancy test?
Fluid in the alveoli often results in this sound on auscultation
What are crackles?
In a pediatric patient, this CN II finding is considered normal through about age 6.
What is myopia?
The nurse palpates the right inguinal region, and on releasing pressure, tenderness is noted. This is an example of this test and condition.
What is rebound tenderness/appendicitis.
This assessment for tactile perception involves placing an object in the patient's hand to assess identification.
What is stereognosis?
These are the common positions for inspection of the female breast.
What is sitting with arms at sides, arms above head, hands on hips, and leaning forward?
The nurse auscultates the lungs of a pediatric patient and documents medium pitch sounds with expiration and inspiration being equal along the periphery of the lungs. This word describes this finding.
What are bronchovesicular sounds? (These are normal in pediatric patients through age 5-6)
This age group prefers for assessments to be done on their parents' lap.
What are infants?
A pulsatile midline abdominal mass in a person with a normal BMI suggests this condition.
What is abdominal aortic aneurism?
This assessment of mental status is comprised of 3 elements: eye opening, verbal response, and motor response.
What is the Glasgow Coma Scale?
For safety, this is the best technique to assess the areola and nipple.
What is wear gloves?
An S3 heart sound in an older adult is most commonly associated with this condition.
These vascular findings of the skin are often considered normal variations in older adults (2).
Cherry hemangiomas and senile purpura
This finding is characterized by bruising immediately surrounding the umbilicus.
What is Cullen's sign?
The BEFAST acronym stands for these elements to aide identification of stroke.
What is "Balance, Eyes, Face, Arms, Speech, Time?"
On performing rapid alternating movements, the patient is uncoordinated with slow clumsy movements. This term describes this finding.
Dysdiadochokinesis (involved in cerebellar dysfunction)