Lung Sounds
You hear high-pitched wheezing during expiration.
What is airway narrowing or bronchoconstriction?
A heart rate above 100 is called what?
Tachycardia
These 4 are asked to assess if a patient is alert and oriented
What is time, person, place and situation
This test will help you assess for dehydration
what is turgor
Doing this is one of the most effective ways a nurse can prevent infection
what is hand hygiene
Crackles are heard in the lower lung bases.
What is fluid in the alveoli?
Respirations below 12 are called what?
Bradypnea
Facial droop, slurred speech, loss of balance and blurred vision are all signs of what emergency?
Stroke
when a patient is sweaty, it is called what?
what is diaphoretic
In Enteric precautions these are necessary to enter a room and you must complete what upon exiting the room
what is gloves, gown, and wash hands
What is Incentive Spirometer
The Tachycardia and hypotension are signs of what volume issue?
Fluid volume deficit
CNS 3, 4 and 6 are assessed by making your patient do what?
What is follow the penlight with their eyes only in the six cardinal positions.
These areas are of most concern when checking for pressure injuries
Bony Prominences
When giving meds you must do these to ensure safe administration
what is the 10 rights
This area of the lung is where you would hear Rhonchi.
What are the upper lobes.
Considered the 5th vital sign, this assessment will tell you how a patient feels
what is pain assessment
Numbness and tingling are indicative of compression or damage to what?
nerves
Skin loss now exposing muscle and bone is considered a stage what?
Stage 4 pressure injury
These three letters are the first things that must be addressed when assessing a patient
what are the ABCs
This portion of the lung has the largest surface area, and when patients are compromised we put them in what position?
Largest surface area is in the back, and the prone position
When assessing a patient' vital signs you note a BP of 160/80, what question is asked to establish if this is normal?
What is baseline
In order to test vestibular issues or proprioceptive dysfunction, you can perform this test.
What is the Romberg test.
a hematoma or swelling can cause this to happen in a surgical incision
what is dehiscence
When given these two patients, which do you see first:
A. Patient who is complaining of 9/10 pain in their abdomen.
B. Patient whose oxygen saturation is 85%.
Patient B