What is the client's functional health patterns, responses to changes in health status and alterations in life styles
100
the heat to toe format is used when performing a physical examination and provides a
What is a systematic and thorough assessment of client's information
100
If unable to use the brachial artery to obtain a BP the next most appropriate route to use
What is popliteal artery
100
When, how and where are daily weights performed
What are same time, same scale with same clothing
100
high pitched whistling sounds during inhalation and exhalation
What is sibilant wheezes
200
The initial nursing assessment generally occurs within
What is the first 8 hours
200
What is MOST important during an exam regarding the environment
What is providing privacy
200
Results from the ejection of a volume of blood that is too small to initiate a peripheral wave.
What is a pulse deficit
200
Focusing on an object in the distance and then moving her/his gaze to a nearby object is what process
What is accomodation
200
Sequence to performing a patient's abdominal assessment
What is inspection, auscultation, percussion and palpation
300
Health history usually is obtained before the physical exam; in emergency situations or when performing care in health care facility after the initial admitting assessment it will be necessary to
What is incorporate history taking into the physical examination
300
The use of one's touch to determine the client's skin texture, temperature or moisture, location and size of organs and any masses, tenderness, swelling or vibrations in the organs.
What is palpation
300
The respiratory findings in an adult reveals the use of
What are the thoracic muscles (12-20)
300
Asking the pt to sniff while holding one nostril closed
What is checking for patency
300
20 or more bowel sounds ?
What is hyperactive
400
What are objective signs?
What are Vital signs, xrays, lab findings, past history, medications etc
400
An irregular radial pulse prompts the nurse to
What is take an apical for a full minute
400
Name 3 reasons why a nurse cannot take a bp on an extremity
What is a mastectomy, fistula or IV
400
An ammonia smell coming from a patient's mouth could be an indication for what disease? and what buildup
What is end stage renal failure and urea buildup
400
High pitched, loud and rushing sounds with and without a stethoscope. The sounds are called
What is borborygmi
500
Shallow irregular breathing
What is hypoventilation
500
Deep palpation is performed by
What is the experienced nurse
500
Height and weight are essential at every health visit in all age groups
What is signaling possible onset of alterations that may indicate illness
500
Low pitched snoring sounds that are louder on exhalation
What is a sonorous wheeze
500
Pain during assessment of patient's abdomen when depressing and releasing fingertip pressure in right lower quadrant. This finding is documented as