UNIT 3
How often should a colonoscopy be performed
What is every 10 years
Modifiable Risk factors for heart disease
What is diet, smoking and exercise.
Part of the stethoscope used to listen to heart, bowel and lung sounds
What is the Diaphragm
High pitched whistling sounds as air passes through obstructed airways
What are Wheezes
Flat brown spots on the hands of an older client is called
What are liver spots (lentigines)
Immunization programs
What is Primary Prevention
Having the client identify specific smells has to do with which cranial nerve
What is Cranial Nerve 1
This part of the hand is most sensitive to temperature
What is the Dorsal surface
Yellowing of the sclera or skin
What is Jaundice
Nursing consideration for taking blood pressure accurately
What is Use a BP Cuff that is correct size and encircles 80% of the clients arm
Blood Pressure Screenings to identify hypertension
What is Secondary Prevention
Slower reaction time and risk for constipation occur during this state
What are Older Adults
Percussion technique that helps identify tenderness over the kidneys, liver and gallbladder
What is Fist Percussion
absence of bowel sounds for 5 mins put client at risk for this
What is obstruction or paralytic ileus
Abnormal posturing with neck and elbow extension and wrists and fingers are flexed
What is decerebrate rigidity
Encouraging clients to advocate for themselves
What is role of the nurse in client education
Sequence of examination
What is Inspection, Palpation, Percussion and Auscultation
Loss of body heat that occurs when sweat dries on the skin
What is Evaporation
Best method for assessing edema in lower extremities
What is over bony prominence
PERRLA
What is pupils clear, equal, round, react to light and accommodation
The nurse should do this when checking a pulse deficit
What is obtain assistance from a second nurse
What is Chief Complaint
The expected range is 60-100/ min at rest
What is Heart Rate
Normal level of consciousness score on Glasgow coma Scale
What is 15
This is done when assessing the ear of an adult client
What is grasp auricle and pull up and back