Health History
What are biographical data, reason for seeking care, source of history, present health, past health, family history, review of systems, and a functional assessment of daily living
What are on admission, per facility protocol, before and after surgical procedures, before and after medication administration, when the patient states they are not feeling well, with any change in patient condition
There are 8 functions of the skin. Name 4 of them.
What are protection, perception/sensation, temperature regulation, identification, communication, wound repair, absorption and excretion, and synthesis of vitamin D
Your patient's anthropometric measurements includes a BMI of 25. You know this puts the patient in what category?
What is overweight?
Name three organs located within the right upper quadrant of the abdomen.
What are liver, gallbladder, duodenum, head of pancreas, right kidney, part of ascending and transverse colon.
The family members describing the patient's health history is what type of source?
What is secondary
When a patient has an irregular rhythm, this central pulse located over the apex of the heart should be auscultated.
What is apical?
When you are educating your patient on skin changes to monitor for, you use the mnemonic ABCDE. What does the mnemonic stand for?
What is Asymmetrical, Border Irregularity, Color Variation, Diameter greater than 6mm, Elevation or evolution.
You are seeing a 23 year old in the ER for tooth pain and notice her skin is dry, hair is brittle, her lips are cracked, and her gums are bleeding. You realize these are all signs of what condition?
What is poor nutrition?
The correct order for abdominal assessment is what?
What is inspection, auscultation, percussion, and palpation.
In order to understand genetics of your patient, the age, health, and sometimes cause of death of close family members can be found on what kind of organizational chart?
What is a genogram.
A weak, thready pulse would be documented as what force?
What is 1+?
You are caring for a patient with an allergic reaction to a new body wash. Your patient is complaining of a red, itchy rash all over their body. You know this is most likely what dermatological condition?
What is a wheal? (hives)
You are caring for a 44 year old male, admitted after 5 days of severe diarrhea. He is exhibiting signs of fluid volume deficit. What are 4 signs of fluid volume deficit that your patient will most likely be showing?
What is Decreased BP, increased HR, increased RR, sudden weight loss, dry mouth, decreased skin turgor, fatigue, light-headedness, confusion, dark colored urine.
A 30 week pregnant patient will have what abdominal contour?
What is protruberant?
Finding out how the patient performs bathing, dressing, and eating at home is part of what assesssment?
What is the functional assessment.
1SBP + 2DBP /3 = what measurement?
What is mean arterial pressure (MAP)?
Your patient comes in complaining of a tick bite that caused a "bullseye" rash on her thigh. You know that dermatological condition is described as....
What is a target? (Iris)
A 96 year old female comes in to the ER for confusion and is found to have a UTI. Which of her labs will most likely be abnormal?
What are BUN and Creatinine?
Name 3 arteries that can be auscultated via the abdomen.
The "S" in the LMNOPQRSTUVW Mnemonic stands for what?
What is severity scale.
A properly fitting blood pressure cuff will fit with the width of the bladder being what percentage of the arms circumference?
What is 40%
A crater-like ulceration damaging the subcutaneous tissue is considered what pressure injury stage?
What is stage 3?
While reviewing your patients chart, you see dysuria documented. You know that indicates the patient is experiencing what symptom?
Superficial bleeding under the skin near the umbilicus that may indicate intra-abdominal bleeding is called what sign?
What is Cullen's sign?