The Definition of:
What is EDEMA
These pneumonics can help practitioners assess for spiritual distress.
What are FICA or HOPE
(Faith, Importance, Community, Address)
(sources of HOPE, ORGANIZED religion, PERSONAL practices, EFFECTS on health)
Nursing focused, these parts of the care plan often start with "Nurse will..."
2+ is normal, 3+ is bounding, 0 is absent
Three words, a clock, and three words again compose this instrument for assessing dementia risk.
What is the Mini Cog
This test requires a light source and establishes if communication to the brain stem is interrupted.
What is Pupillary Light Reflex response (or PERRLA)
This period of silence between sounds can cause a practitioner to underestimate the systolic blood pressure
What is the Auscultatory Gap
These are simple recommendations to manage sprains and strains
What is RICE
(Rest Ice Compression Elevation)
Problem diagnoses have them. Risk diagnoses do not.
What are Signs and Symptoms (Evidence)
The systolic blood pressure drops this much during position changes in patients who suffer from orthostatic hypotension
What is 20 mmHG
Repeating the exact words back to the speaker to verify an order
What is closed loop communication
What are adventitious lung sounds
Non Blanchable, Stage Three, and Unstageable are descriptive terms for these injuries
What are Pressure Injuries
When concerns are not being heard, practitioners are encouraged to use these escalating steps in communications
What are CUS
(I am concerned, I am uncomfortable, I feel this is a safety issue)
These are SMART
What are goals or patient outcomes
While appropriate for some patients, it is important to note that this route of temperature measurement averages .5 to 1 degree lower that core body temperature
What is axillary or temporal
If you are positive on this test, you may want to hold onto something
What is the Romberg test
This expected finding in older adults is assessed on the sternum or forearm.
What is tenting (skin turgor)
Decreased oxygenation caused by collapsed alveoli
What is atelectasis
This pneumonic is recommended to provide organized and efficient communications with members of the healthcare team
What is SBAR
Situation, Background, Assessment, Recommendation
'Patients report of pain 7 out of 10' represents which part of the PES format for nursing diagnoses
What are signs and symptoms
(also called evidence, or defining characteristics)
< 2 seconds represents an expected finding
What is Capillary Refill
Moisture, nutrition, friction, and sensory are some of the items measured on this scale.
What is the Braden Scale for Pressure Injury Risk
What are CSM checks
(circulation, sensation, motor)
These sounds, heard throughout peripheral fields, are most often described as a soft whooshing
What are vesicular sounds
In order, these locations provide for comprehensive assessment of the heart valves
What is APEToMan
(Atrial, Pulmonic, Erbs point, Tricuspid, Mitral)
This nursing diagnosis may be appropriate for a patient who reports they don't understand why they need to take medication for their blood pressure when they don't have any symptoms.
What is (readiness for enhanced knowledge)(knowledge deficit) (ineffective health maintenance)
The minimum expected urine output in an 8 hour period in a normal healthy adult
240 ml
It is recommended to follow this pneumonic when a patient reports any concerns during a Review of Systems
What is PQRSTU
Related to where the organ was located during fetal development, this assessment finding can mislead clinicians
What is referred pain