What is wrong with you?
Liver damage that causes yellowing of the skin
What is Jaundice?
Auditory, visual, Tactile, Olfactory
What are types of assessments?
Catheter Care
What is CNA?
Pt states " I have pain in my leg"
S1, S2
What is heart sounds?
Hypoxia causing blue lips and periphery
Head to Toe
What is order of assessment?
IM administration
What is LVN
What is nursing diagnosis?
Vasicular, bronchiovasicular, bronchiole
What are lung sounds?
Sanguineous, serosanguineous, purulent, exudate
What is wound drainage?
strength and rhythm
What is assessing a pulse?
Dressing change
What is the order of an actual nursing diagnosis?
Skin non-tenting
What is skin turgor?
Dyspnea
What is difficulty breathing?
Wound involves epidermis, dermis and subcutaneous tissue
What is a stage 3 pressure ulcer?
Assessment
What is a RN?
What are types of care plans?
Temp 96.8-99.6, R 12-20, P 60-100, BP 120/80
What are vital signs
Barrel, pigeon, funnel
What are chest deformities?
Feel like vibration sounds like "swishing"
Urine specimen
What is a CNA?
Subject, Verb, Conditions, Criterion (time)
What are the components of a goal?
Ative, Hypoactive, hyperactive
What are bowel sounds?