Nutrition/GI
Inspect, Auscultate, Palpate
What are the steps of an abdominal assessment?
Type of Pain that lasts less than 6 months, has a sudden onset, and gets better over time
What is acute pain?
The three questions you would ask to ascertain a patient's orientation?
What is:
What is your name, where are you right now, and what month is it?
How patients often describe vertigo
What is a sensation as if the room is spinning?
A blood pressure test to assess for peripheral arterial disease
What is the ankle-brachial index (ABI)?
The quadrant in which the appendix is located
What is right lower quadrant?
Fatigue, sleeping a lot, weight gain, isolation
What are symptoms of depression?
The level of prevention when recommending wearing a helmet when riding a bicycle
What is primary prevention for traumatic brain injury
The assessment tool used to evaluate distance vision
What is the Snellen chart?
The word that describes the regularity of the pulse or heart beat
What is rhythm?
A quick, easy screening tool to assess nutrition
What is a 24-hour food recall
To ask the meaning of a proverb, ask for calculations, and ask for the patient to remember 3 words for duration of visit
What is assess mental status?
The assessment phase when a nurse would typically note facial droop in a patient presenting with CVA
What is general survey?
What PERRLA stands for
Pupils equal, round, reactive to light and accommodation
Turbulent blood flow that causes prolonged, extra heart sounds during cardiac auscultation
What is a cardiac murmur?
Normal ranges for cholesterol, HDL, and LDL
What is <200, >45, and <130
How a nurse would assess pain in a patient who cannot verbally communicate
What is assess behavioral and physiological data?
Stroke-like symptoms that last less than four hours
What is transient ischemic attack (TIA)?
What sudden onset of visual symptoms indicates
What is possible retinal detachment?
The normal A/P:Lateral chest ratio
What is 1:2?
Questions to ask older adult clients when assessing nutrition
What is their ability to acquire and prepare food, social interactions, and general functional ability
Pain that occurs in an amputated limb
What is phantom pain?
What the nurse will document when a patient demonstrates abnormal extension to painful stimuli
What is Decerebrate posturing
The type of drainage a patient has when presenting with a sinus infection
What is purulent yellow?
Where a nurse will assess for cyanosis in a patient with darker skin
What is the mucous membranes?
Findings include abdominal rigidity, tenderness, and guarding.
What is peritonitis?
Technique used for symptom analysis when a patient complains of pain
What is OLD CARTS?
What the nurse will document when a patient does not understand speech but talks in illogical sentences
What is receptive aphasia?
Ask the patient to stare straight ahead with both eyes open. Shine a penlight toward the bridge of the nose at a distance of 12–15 inches.
What is assessing the corneal light reflex?
Older age, exposure to UV light, fair skin, light hair, blur or green eyes, and moles, for example
What are risk factors for skin cancer?