Health Assessment 101
An assessment begins here
What is "at the doorway?"
What is "entering the community?"
When a nurse asks a client to follow their finger as the nurse slowly moves it towards the client's nose
What is convergence or pupillary accomodation?
Lung sounds that are medium-pitched, blowing and equal on inspiration and expiration
What are bronchovesicular?
Sense of vision & its "nervy" number
What is the Optic nerve, cranial nerve II?
When listening for bowel sounds, the RN begins at this space
What is the RLQ?
What is right lower quadrant?
An assessment conducted to assess a specific health problem
What is a focused assessment?
The "chart" needed to test vision acuity
What is a Snellen chart?
An abnormal breath sound that indicates fluid in the air passages
What are crackles?
Movement of the shoulders & its nervy number
What is the Spinal Accessory Nerve, cranial nerve XI?
When assessing a person's sclera, the part of the body being evaluated
What are the eyes?
Providing a quiet room, adequate light and privacy is an important part of _______
What is preparing the environment for an assessment/interview/gathering a health history?
Using a penlight to shine a bright light directly on the eye tests for this
What is pupillary reaction?
An abnormal breath sound that indicates a narrowing of the airways
What is wheezing?
Lateral movement of the eyes and its associated CN
What is the Abducens Nerve (Cranial Nerve VI)?
A forward curvature of the upper spine and shoulders
What is kyphosis?
The four components of physical assessment
What are inspection, auscultation, palpation, and percussion?
This technique of assessment may be used to assess the sinuses, the thyroid, and lymph nodes
What is palpation?
An audible vascular sound associated with turbulent blood flow
What is a bruit?
The nerve that helps a person smile and taste anteriorly
What is the Facial Nerve (Cranial Nerve VII)?
Includes biographical data, reason for seeking care, history of present health concern, health history, and review of systems
What is a health history?
THE most foundational course that nurses will EVER take
What is Health Assessment?
A simple hearing test that can screen for hearing issues without the use of any equipment
What is the whisper test?
Side of the stethoscope used to assess murmurs and bruits
What is the bell?
It's got 3 prongs of action that make up its name
What is the Trigeminal Nerve (Cranial Nerve V)?
Related to the Nursing Process (NP) and the Clinical Judgement Measurement Model (CJMM), the time when objective and subjective data are collected (name both)
What are Assessment and Recognizing Cues?