Ch 13
To assess for early jaundice you will assess
sclera and hard palate
What is the most common site of nosebleeds?
kiesselbach plexus
the articulation of the manubrium and the body of the sternum
the area on the anterior chest overlying the heart and great vessels
a function of the venous system is
holding more blood when blood volume increases
Assessing a patients skin turgor is done to assess which clinical finding?
dehydration
What is the frenulum
Midline fold of tissue that connects the tongue to the floor of the mouth
pleural friction rub is best detected by
auscultation
the function of the pulmonic valve is to
protect the orifice between the right ventricle and the pulmonary artery
a patients pulse with an amplitude of 3+ indicates
increase, full
An area of thin shiny skin with decreased visibility of normal skin is most likely
Atrophy
The tonsils are graded as 3+ how would the tonsils appear
touching the uvula
What are the characteristics of a barrel-shaped chest
equal anteroposterior transverse diameter and ribs being horizontal
the second heart sound is the result of
closing of the aortic and pulmonic valves
You assess a patient who has 4+ edema of the right leg, what is the best way to describe this
HINT PITTING AND INDENTATION
what is the normal angel of the nail beds
160 degrees
what is the function of the nasal turbinates
warm the inhaled air
When using the technique of egophony what are you going to ask the patient to say
"eeeeee" each time the stethoscope is moved
What would differentiate a split from S2 and S3
S3 is lower pitched and is heard at the apex
What rating would you give a bounding carotid pulse?
4+
In the ABCDEF rule for skin cancer what do the letters stand for
Asymmetry, border, color, diameter, elevation and funny looking
When assessing a 75-year-old patients oral cavity, which of the following would most likely be present?
a. hypertrophy of the gums
b. an increased production of saliva
c. finer and less prominent nasal hair
d. decreased ability to identify odors
d. decreased ability to identify odors
On examination of a patients nails, you note that the angle of the nail base is >160 degrees and the base feels spongy on palpation. These findings are consistent with
COPD and congenital heart disease
When assessing the carotid artery the nurse should palpate
medial to the sternomastoid muscle one side at a time
what are some signs of peripheral arterial disease (PAD)
ulcer on the toes
leg pain that occurs with activity
decreased or absent pulses