Head to Toe Assessment
The most favorable position for auscultating breath sounds
What is High Fowler Position?
Sounds described as snoring, rattling, gurgling, squeaking, and low pitched wheezes
What is Rhonchi?
The most time consuming documentation method
What is narrative charting?
The most effective communication style for nurses to practice
What is assertive?
This time in military time 11:15 p.m.
What is 2315?
Location of the apical pulse
What is midclavicular, fifth intercostal space?
Continuous meloddius, musical, or whistling sounds.
What are wheezes?
Abbreviations that can be used during documentation
What is approved abbreviations?
The term used for personal space
What is proxemics?
If unable to palpate the pulses in the feet, which pulse will the nurse palpate next
What is the popliteal pulse?
Numbness or decreased sensation
What is Paresthesia?
A shrill, high-pitched crowing sound that requires immediate intervention.
What is stridor?
This should be placed in a wallet that is locked up during your shift
What is login and password?
The behavior style that is characterized by the desire to avoid confrontation.
What is passive (avoidant)?
Hyperactive bowel sounds that can be heard without a stethoscope
What is Borborygmus?
A word used to describe that respiratory function is normal in depth and rate
What is eupneic?
Can sound similar to bubbling, popping, or clicking noises
What are Crackles?
The meaning of this commonly used abbreviation, IDDM
What is insulin-dependent diabetes mellitus?
Inability to speak or understand language
What is Aphasia?
Less than 5 bowel sounds per minute
What is hypoactive bowel sounds?
Term for gently compressing a nailbed on the patient's hand, emptying the capillaries of blood and causing the nailbed to turn white and counting the time it takes the color to return
What is capillary refill?
Grating, creaking sound that is due to inflamed, edematous pleural surfaces rubbing together
What is a pleural friction rub?
SOAP documentation stands for
What is subjective data, objective data, assessment data, and plan?
The place that the nurse writes pertinent data until there is time to write it in the medical record
What is the report form?
Term used to describe shortness of breath with activity
What is exertional dyspnea?