Hair/Nail/Skin
Skin breakdown due to pressure applied to the skin for immobile clients.
What is pressure ulcers?
History of clear nasal drainage, itchiness, and watery eyes.
What is a seasonal allergy?
Deviated trachea.
What is pneumothorax? High priority.
Why maintain a closed system for indwelling catheters?
What is preventing CAUTI?
ROM that decreases and increases the angle of the joint.
What is flexion and extension
ABCDE.
What is evaluation of a lesion for cancer?
Enlargement of the thyroid gland
What is goiter?
A harsh blowing heart sound
What is a murmur?
vaginal itchiness, greenish-yellow discharge with a foul odor.
What is trichomoniasis?
CN III, IV, and VI
What is the Cranial nerve assessed by cardinal eye movements?
Flat, well-defined, small lesions less than 1 cm in diameter
What is Macular lesion?
Thyroid disease: Constipation, cool skin, depression, weight gain.
What is hypothyroidism?
High-pitched, musical lung sounds
What is wheezing?
Organs located on RUQ and RLQ.
What are the liver, gall bladder, pancreas, appendicitis, and kidney?
Gag Reflex crania nerves
What is cranial nerves IX and X?
Raised, well-defined, small lesions less than 1 cm in diameter
What is a papule lesion?
Pearly gray tympanic membrane.
What is a Normal tympanic membrane?
Normal lung sounds are expected to be heard all over the lung fields
What is vesicular sounds?
Ecchymosis or discoloration of the flank.
What is Turner's sign? Peritoneal bleeding?
A gait that a client walks with a wide base and sways.
What is ataxic gait?
swan-neck deformity, and Bouchard nodes
What is RA and OA deformities?
Sudden loss of vision and a fixed, oval-shaped pupil.
What is acute glaucoma? Medical emergency.
High-pitched sounds on inspiration and exhalation
What is stridor?
Severe sudden pain to the big toe caused by accumulation if uric acid
What is gout?
Asks the client to smile, frown, close their eyes, and puff out their checks
What is cranial nerve VII?
Positive phalen's test.
What is Numbness and tingling in the fingers?
Pinpointed pupils
What is miosis?
Fingertips turn whitish, and then later, they get red.
What is Raynaud syndrome?
Positive Rovsings sign.
What is appendicitis?
Grade 1 tonsil size
What are normal tonsils size assessment?
Posture, skin, appearance, vital signs, behavior.
What is a general survey?
AC>BC, No lateralization.
What negative Rinne and weber test?
The upper outer quadrant of the chest.
What is the tail of Spence?
IAPP
What is a sequence of assessment abdomen?
Assessment by tracing, on the one hand, their eyes closed.
What is graphesthesia?
Painless bump on their eyelid.
What is chalazion?
The client is unable to clearly read from a paper held at close range due to age.
What is presbyopia?
Aortic and pulmonic valve closure.
What is S2 sound?
Raised, cauliflower-shaped papules on the genitalia?
What is genital warts?
Toes fan out, and the big toe shows dorsiflexion
What is the Babinski sign?
Diminished breath sounds.
What is emphysema?
Bulging eyeballs due to hyperthyroidism.
What is Exophthalmos?
Hyperesonance
What is hyperinflated lungs?
Palpation of well-defined, freely moveable mass in the breast?
What is fibroadenoma?
Difficulty seeing closer objects?
What is hyperopia?
Fifth intercostal space, left midclavicular line.
What are bicuspid and mitral valves?