health assessment
A nurse is performing a scoliosis screening for a group of teenagers by asking them to bend over and touch their toes. This level of health promotion is known as this...
What is Secondary Prevention?
Healthcare professionals have an 8–17% higher risk than the general population for developing this specific allergy, and patients with spina bifida or a history of multiple genitourinary surgeries are considered high-risk.
What is latex allergy?
While assessing a patient’s breath sounds over the periphery of the lungs, the nurse identifies this normal sound where the inspiratory phase is longer than the expiratory phase.
What are vesicular breath sounds?
To accurately assess the strength of the ankle and foot muscles at the bedside, the nurse asks the patient to perform these two specific range-of-motion movements against resistance.
What are dorsiflexion and plantar flexion?
Say all the cardiac landmarks
Aortic- 2nd ICS RSB
Pulmonic- 2nd ICS LSB
Erbs Point-3d ICS LSB
Tricuspid- 4th ICS LSB
Mitral- 5th ICS MCL
These are symptoms that are perceived and reported only by the patient, such as nausea, itching, or a "knife-like" pain
What is Subjective Data?
To properly measure a tympanic temperature in an adult, the nurse must pull the helix of the ear in this direction to straighten the canal
What is upward?
This low-pitched, snoring, or moaning adventitious sound is caused by airflow obstruction in the larger bronchi and—unlike crackles—may clear with a cough.
Often referred to as the "Silent Disease," this condition involves a loss of bone density (osteopenia) and puts patients—particularly post-menopausal women—at high risk for fractures without any prior symptoms.
What is osteoporosis?
A nurse is assessing a patient with Left Ventricular Failure. Beyond fatigue and shortness of breath, the nurse expects to find these two specific auscultatory findings—one related to the lungs and one related to an extra heart sound.
What are crackles and an S3 heart sound?
This type of assessment is limited to a specific problem and is most commonly performed in walk-in clinics or emergency rooms.
What is a Problem-based (or Focused) Assessment?
This behavioral observation scale is utilized to assess pain levels in nonverbal pediatric clients
What is FLACC scale?
A nurse identifies a high-pitched crowing or honking sound on inspiration in a patient with a partial obstruction of the larynx or trachea; this sound is documented as this.
What is stridor?
Unlike the "wear and tear" nature of Osteoarthritis, this autoimmune condition causes bilateral joint inflammation, potential ulnar deviation of the fingers, and morning stiffness that lasts longer than 30 minutes.
What is rheumatoid arthritis?
A patient with a noncompliant or stiff ventricle resulting from hypertension or a past MI may produce this heart sound, which occurs just before S1 during atrial contraction
What is an S4 heart sound?
During a patient interview, the nurse uses verbal cues like "Go on," "Uh-huh," and "Then?" to encourage the patient to continue their story
What is Facilitation?
When measuring an infant’s height and weight, the nurse uses a platform scale with curved sides and records this specific type of length measurement from head to heel.
What is recumbent length?
A patient presenting with hyperresonant percussion tones, a 1:1 AP-to-lateral chest ratio, and a tripod posture is demonstrating the classic clinical manifestations of this specific form of COPD.
What is emphysema?
In Osteoarthritis, these specific bony enlargements are located on the distal interphalangeal (DIP) joints, while Bouchard nodes are located on the proximal joints.
What are Heberden’s nodes?
A patient presents with intermittent claudication, thickened nails, and dependent rubor (a fiery red color when the leg is lowered). The nurse identifies these as classic manifestations of this condition.
What is Arterial Insufficiency?
When documenting the Past Health History for an infant or a toddler under the age of two, the nurse must include this specialized category of data regarding the mother's health during pregnancy and the neonatal period
What is Perinatal History?
Name all the different type of vibrations
Tympany- abdomen (stomach, gas bubbles)
Resonance- lungs (hollow)
Hyperresonance- over inflated lungs (booming)
Flatness- bones and muscles (extremely dull)
Dullness- liver (thud like)
This clinical emergency is characterized by acute shortness of breath, absent breath sounds on the affected side, and the late-stage hallmark of tracheal deviation.
What is a pneumothorax?
A patient who has lost the ability for voluntary movement and exhibits exaggerated muscle tone following a stroke is documented as having this specific type of paralysis.
What is spastic paralysis?
What are the pulses amplitude?
0+ absent
1+ diminished, barely palpable
2+ normal
3+ full volume
4+ full volume, bounding hyperkinetic