Health History and Interview
Data stated by the patient
What is subjective data.
This valve is assessed in the 2nd intercostal space of the left sternal border.
What is pulmonic?
The medical term for listening to breath sounds.
What is auscultation?
This test helps evaluate the conduction of sound waves through bone to help distinguish between conductive and sensorineural hearing.
What is the Webster test?
The T stand in the mnemonic: PQRST
What is timing?
PQRST
What is the mnemonic for Pain assessment?
This heart valve is assessed in the 2nd intercostal space on the right sternal border.
What is aortic valve
The objective signs observed during a physical examination for lung assessment.
What is shape of chest (barrel chest), breathe sounds, respiratory rate, color of skin?
The number of minutes bowel sounds are considered absent.
What is 5 minutes?
Best practices for documenting client-stated reason for client seeking healthcare
What is in client’s own words and in quotations.
Pain that last for at least 6 months or more.
What is chronic pain?
You should ask the patient to do this action when listening to the carotid artery.
What is hold their breath?
The breath sounds are heard over the peripheral lung fields.
What is vesicular?
This assessment uses a card to cover one eye while the nurse stands 1-2 feet away, wiggles fingers in the superior, lateral, nasal, and inferior positions, and asks the patient to say, "Now, when he or she sees the fingers come into view."
What is confrontation test?
A thorough assessment of a particular client problem and does not address areas not related to the problem.
What is a focused or problem-oriented assessment.
This type of pain impacts vital signs.
What is severe pain?
The appropriate patient position to assess jugular venous pulse.
What is the supine and elevated head of bed at a 30-45 degree angle?
The normal percussion note over lungs.
What is resonance?
The part of the stethoscope that is used to check for murmurs.
What is the bell?
The collection of subjective and objective data, validation of data, and documentation of data
What are the four steps of the health assessment
Define the type of pain perceived in a missing limb or a paralyzed body part.
What is Phantom pain?
This position enhances apical pulsation and displaces the heart toward the chest.
What is left lateral?
The nurse places their hands on the posterior chest wall with their thumbs at the level of T9 or T10 and presses together a small skin fold.
What is chest excursion, diaphragmatic excursion or chest expansion?
The normal tympanic membrane color.
What is translucent pearl gray?