Health History and Interview
What is data stated by patient?
subjective
Define graphesthesia.
What is the ability of the client to read a number when it is traced on the skin.
What sound is in 2nd sternal border left side of heart?
What is pulmonic
What is the angle of ribs?
What is 45 degrees?
What is the name of the lymph nodes found in the upper arm alongside the brachial artery?
What is epitrochlear?
What does the T stand for in the mnemonic: PQRSTU?
What is timing or the onset, duration and frequency of the symptom, as pain or cough.
How would the nurse test for light touch?
What is with a wisp of cotton to the skin.
What sound is in 2nd sternal border right side of heart?
What is aortic
What are objective signs observed during a physical examination of a patient with COPD?
What is barrel chest, angle of ribs 90 degrees, use of accessory muscles, pursed lip breathing, diminished breathe sounds on auscultation, clubbing of nails.
What is the number of bowel sounds normally auscultated in each quadrant?
What is 1 every 5-15 seconds or 5-30 per minute
How should the reason for seeking health care be written?
What is in patient’s own words and in quotations.
How would the nurse test for kinesthesia?
What is by assessing the client's ability to perceive passive movements of the extremities.
What is the breath sounds are heard over the periphery of the lungs?
What is vesicular
Describe the confrontation test.
What is Use cards to cover same eye, stand 1-2 feet apart, wiggle fingers in the superior, lateral, nasal, and inferior positions and ask the patient to say now when he or she sees the fingers come into view.
What is the way to illustrate the client’s family history?
What is genogram.
Which deep tendon reflex tests L2 to L4 and extension is the expected response?
What is quadriceps reflex.
The interpretation of a fully distended jugular veins seen with a client at a 45 degree angle indicates what pathology?
What is CHF, PE, or tamponade
What is the normal percussion note over lungs?
What is resonance?
What part of the stethoscope is used to check for murmurs?
What is bell?
What should be included in the patient’s review of systems? a)An illustration of the patient’s history b)Patient’s subjective data c)The examination observations d)The patient’s recent personal history from past to present
What is b)Patient’s subjective data
How does the nurse maintain safety during the Romberg test?
What is by standing close behind the client to catch him or her if falling.
What position enhances apical pulsation and displaces heart toward chest?
What is left lateral supine position
What part of the hand should be used to palpate fremitus?
What is ball of hand or ulnar portion
What is the normal ABI index?
What is 1-1.4