Breast
This thickens the skin and exaggerates the hair follicles giving a pig skin or orange peel look.
Peau d' Orange
Is it a normal sign for pregnant women to have murmurs?
Yes, this in this population this is a normal sign.
What is Kyphosis?
What is the assessment order for the abdomen?
Inspection, auscultation, percussion, palpation
Costal angle should be ___ degrees
90 degrees
How do you perform a breast self-examination?
Lie down. Press the 3 middle fingers in a circular motion and use 3 levels of pressure. Follow and up and down pattern. Sit up. Examine underarm with arm slightly raised. Note surface changes with hands pushed on hips, shoulders hunched
What conditions result in a murmur?
(On the exam)
1. velocity of blood increases
2. Viscosity of blood decreases
3. Structural defects in the valves
A patient asks the nurse about performing breast self-examinations. What teaching should the nurse give the patient when the patient states they do not have a menstrual cycle?
Choose a familiar date as a reminder
Ex: the 1st of every month
What is McBurney's point?
LRQ - Appendicitis
Vesicular breath sounds are locations are best described as....
In the location of wearing a vest
(think: Vest = vesicular)
When is the best time to perform a breast self-examination?
Right after a menstrual period
What does "DUB" signify?
Closure of the semilunar valves and signals the end of systole
What is the normal AP diameter ratio?
1:2
What is Rovsing's Sign?
Pain upon palpation of the McBurney's point.
When listening for bronchial sounds, the nurse will put their stethoscope on this body part:
Throat
A patient enters the clinic presenting with bloody discharge coming out of one breast. What is this indicative of?
Carcinoma
When would you hear a ventricular gallop, aka "Kentucky"
S3
When auscultating bronchial breath sounds, the nurse expects this to hear__ (high or low) pitched sounds at a __ (loud or soft)___ volume.
High pitched, loud volume
What is Murphy's sign and what is it indicative of?
Pain in RUQ upon palpation- Cholecystitis (inflamed gallbladder)
What would increased tactile fremitus be indicative of?
Pneumonia:
increased TF occurs in conditions that increase the density of lung tissue, therefore making it a better-conducting medium
What are the four risk factors for breast cancer in women?
- Age 65+
- Inherited mutations (BRCA 1, 2)
- Early menarche
- Late age at full term pregnant
When would you use the bell of the stethoscope?
Carotid artery, extra heart sounds, murmurs
Where would you listen for heart sounds?
Hint: there's five and you have to show me where they are
- Aortic, pulmonic, Erb's point, Tricuspid, Mitral
How would you make a patient more comfortable when you are assessing their abdomen?
Put a pillow or blanket under their knees for support
What is decrease tactile fremitus indicative of?
Occurs when anything obstructs transmission of vibration