General Assessment 1
General Assessment 2
Detailed Parameters
Specialized Assessment
Other generalized assessment
100
What element of a person's skin may make it more or less difficult to assess changes in color?
What is the amount of pigment.
100
Occluding both carotid arteries at the same time can lead to decreased blood flow to which body organ?
What is the brain.
100
40 degrees Celsius corresponds to what temperature measurement in Fahrenheit?
What is 104 degree Fahrenheit.
100
Measure of the strength or force exerted by the blood against the arterial wall with each contraction. Assessed by palpation.
What is pulse amplitude.
100
Most accessible pulse points.
What are the brachial and carotid.
200
Besides oral mucosa and lips , what other tissue may be used for assessment of cyanosis or pallor since it will reflect each?
What is the conjunctiva.
200
We use which body part to auscultate?
What are our ears.
200
3+ pitting edema corresponds to what physical assessment?
What is moderately severe pitting edema with pitting of 6 mm (1/2 to 1 inch) lasting 1 to 2 minutes.
200
During an assessment of pupils, the nurse moves light in from the side and observes for pupil constriction. What is the term used to describe this assessment technique.
What is the direct light reflex.
200
In what order to we use our assessment techniques to assess the abdomen?
What is inspection, auscultation, percussion, and palpation.
300
What type of breath odor may you find in a client with diabetic ketoacidosis?
What is acetone breath (a fruity smell).
300
The five vital signs or "signs of life" that are always assessed on each patient.
What are temperature (T), pulse (P), respirations (R), blood pressure (BP) and pain assessment.
300
High pitched, loud, rushing sounds heard with or without a stethoscope during an abdominal assessment.
What is borborygmi.
300
These together represent a holistic view of the client's needs.
What are the health history and physical exam.
300
Assess the breasts of male clients. Yes or no?
What is yes.
400
These 3 factors must be adhered to when obtaining "daily weights" on a client.
What are 1) same time of day, 2) same scale, 3) wearing the same type of clothing.
400
Normal blood pressure for an elderly client may have parameters which allow for higher blood pressures or lower blood pressures?
What are higher blood pressures (see page 563).
400
Four inspection techniques incorporated into the physical assessment performed by the nurse.
What is inspection, palpation, percussion and auscultation.
400
Use these to assess the strength and equality of the client's reflexes.
What are hand grasps and foot pushes.
400
The term for non normal breath sounds.
What are adventitious breath sounds.
500
Clients with dyspnea should be maintained in one of these two positions, most preferably.
What are semi Fowlers or Fowler's position. Never flat in bed.
500
Name 3 contraindications for brachial artery blood pressure measurement.
What is presence of any of these at the site: a venous access device (IV infusion, AV fistula), current or potentially past surgery (breast, axilla, shoudler, arm or hand), or injury or disease to the shulder/arm/hand (trauma, burns, application of a cast or bandage.)
500
Palpation over a muscle may allow the nurse to hear this type of tone quality.
What is flatness (see table 26-1).
500
Auscultation of lung fields is subjective or objective data gathering?
What is objective.
500
The apical pulse is also called this.
What is the PMI (point of maximum impulse).
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