Beauty is Only Skin Deep
Give Me the Alternative
Hands-on Approach
I’m Listening
Mixed Bag
100

Skin becomes white or pale blue to interrupted circulation

Blanch

100

Shaman helps this group achieve a spiritual route to healing

Ancient cultures

100

Light, rapid tapping on first two fingers of left hand with middle finger of right hand against the abdomen and/or chest

Percussion

100

Frequent clicks and gurgles over 2-5 minutes per quadrant

Bowel sounds 

100

Six rights of medication administration

Patient, Medication, Dose, Route, Time, Documentation

200

Blood rushes to the site where circulation was previously impaired and circulation is restored

Revascularization 

200

HTN: meditation and medication

Integrative medicine

200

Using 1 or both hands to press abdomen 1.5-2 inches

Palpation

200

Feet on floor, arm at waist level, diaphragm of stethoscope on brachial artery

Positioning for Blood Pressure monitoring

200

When performing postmortem care, the head of the bed should be at these degrees

15-20 degrees (prevents pooling of blood, which might discolor the face)

300

Thick, black tissue due to gangrene or thermal injury

Eschar

300

Weight loss and smoking cessation

Primary Preventive Health Promotion Behaviors

300

Have patient grasp both of your hands with both of theirs to assess

Extremity muscle strength

300

Fifth intercostal space, mid-clavicular line

Auscultating the Mitral Valve (Apex of heart)

300

PERRLA

Pupils Equal Round, and Reactive to Light and Accommodation

400

Full thickness skin loss that looks like a crater and may extend to the fascia

Pressure Ulcer

400

Black Cohosh commonly thought to treat symptoms of this condition

Menopause

400

Depress nail bed, color returns in 3-5 seconds

Slow capillary refill

400

Soft and rustling heard at the lung bases

Vesicular sounds

400

Eight year old patient presents with bruises on arms, legs, and back; avoids eye contact; limits responses. The nurse suspects:

Child Abuse/Neglect

500

4X8cm irregular coccyx wound, redness and warmth noted from 9-12 o’clock, thick black layer measuring 3cm diameter in the central portion of wound, foul smelling

Unstageable Pressure Injury  

500

Alternative therapy program to treat chronic back pain

Chiropractic

500

Carotid, radial, brachial, femoral, popliteal, dorsalis pedis, posterior tibial

Locations of pulses (pulse points)

500

Part of the stethoscope you use to listen for normal bowel, lung, and heart sounds

Diaphragm

500

Glasgow Coma Scale=15

Highest possible score: Neurologically intact

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