Focus on me!
Check this first during the focused assessment
What is the respiratory system?
High-pitched musical sound, predominant in expiration
What are wheezes?
Pacemaker” of the heart at a rate of 60-100 bpm
What is the Sinoatrial node (SA node)?
Assessment technique most often associated with the evaluation of the heart
What is auscultation?
A patient has a bottle of warfarin (Coumadin) 5 mg tablets at home. After his most recent international normalized ratio (INR), the doctor calls and tells him to take 7.5 mg/day. How many tablets (scored) should the patient take
What is 1.5mg tablets?
Order of assessment for the abdominal area
What is inspect, auscultate, percussion & palpate?
Popping” sound heard predominantly during inspiration, a sign of fluid in lungs
What are crackles?
Major vein in the neck
What is the jugular vein?
Part of the stethoscope used to auscultate for low pitched sounds
What is the bell?
The physician orders alprazolam (Xanax) 0.5 mg PO. You have on hand Xanax 0.25 mg tablets. How many tablet(s) will you give?
What are 2 tablets?
Listen to the 5 points of the heart
What are aortic, pulmonic, Err's point, Tricuspid & mitral
(All Patients Eat The Meds)
Rattle or snoring sound primarily heard on expiration in upper airway resulting from secretions
What are rhonchi?
Valve between the right atrium and right ventricle valve between the right atrium and right valve between the right atrium and right ventricle
What is the tricuspid valve?
Palpable murmur
What is a thrill?
You have an order to administer 40 mg of methadone (Dolophine) SC for opioid detoxification. You have on hand 30 mg/mL. How much should you draw into the syringe?
What is 1.3 ml?
4 major systems
What is neuro, respiratory, cardiac and GI
Normal breath sound heard over manubrium. Expiration longer than inspiration
What is bronchial?
Receives blood from the superior and inferior vena cava
What is the right atrium?
Area of auscultation located at second ICS and left sternal border
What is pulmonic?
The physician orders an IV with heparin at 700 units/hour. You have a bag with 100 units/mL of solution. How many milliliters per hour will you set on the IV infusion controller?
What is 7 ml/hr?
Order of assessment for the respiratory system
What is inspect, palpate, percuss, & auscultate?
High pitched inspiratory sound, a sign of upper airway obstruction
What is stridor?
Muscle layer of the heart
What is the myocardium?
Area of auscultation located at second ICS and left sternal border
What is mitral?
A 12-year-old child was admitted to the emergency department because of an asthma attack. Upon assessment, you found out that the child’s weight measures 82.4 lbs. The primary care provider ordered 2 mg/kg of methylprednisolone (Solu-Medrol). The available stock dose is 125 mg/2mL. How many mL will the nurse administer?
What is 1.2ml?