REPIRATORY
Which breath sounds are consider normal upon ascultation?
Bronchovesicular
Bronchial
Vesicular
Give an example of a client with a remote memory being intact?
When a person reminisces about life thirty years ago.
How is the first heart sound S1 created?
Mitral and tricuspid valves close.
How would a nurse assess skin turgor?
Pinch the skin and watch the skin return to place.
What does lethargic mean?
Drowsy, delayed responses to verbal stimuli and may drift off to sleep during examination.
Organs that are part of the respiratory systems
Pharynx, trachea, bronchi, nose, and larynx.
What is does CAGE mean?
Cutdown
Annoyed
Guilty
Eye-opener
What does the S2 heart sound represent?
Represents the closure of the aortic and pulmonic valves.
What is a primary prevention measure to reduce the risk of skin cancer?
Wear protective clothing while in the sun
Having a fixed, over-generalized beliefs about a particular group of people or class of people.
Describe the sounds between Wheezing and Fine Crackles.
Wheezing is a breath sound that is high pitched, musical sound as air passes through narrowed obstructed air ways, usually louder on expiration and Fine Crackles are the sound of fine coarse hair rubbing between the fingers (sounds like rice crispies)?
When assessing for mental health, what response could heighten the client's pain?
Chronic non-malignant pain can last over how many months?
Depression
6
What are the signs and symptoms of congestive heart failure?
Shortness of breath, edema, and moist cough.
What would be a dangerous sign for pigmented skin lesions aside from itching and bleeding?
color variation
What are holistic beings?
Mind, body, and spirit.
What is the most often assessment technique used while performing an initial assessment?
Inspection that exhibits chronic hypoxemia and enlargement of the fingers determines what finding?
Inspection
Clubbing
What are manifestations of Depression?
No trouble falling asleep, weight gain, loner, and sleeps over 12 hours a day.
Where would a nurse place the stethoscope to hear the stenotic valve for a client that has aortic stenosis?
Second intercostal space, right sternal border
Describe Jaundice in a client?
What should healthy nails look like?
Yellowish-green color of the hands and soles of the feet.
Smooth and rounded nails with flat surface
Describe a macular rash
Flat, well defined, small lesions less than 1cm in diameter.
Breath sounds are described as normal when heard over what?
What is a moderate pitch breath sound that is equal in duration during inspiration and expiration?
Trachea
Bronchovesicular Sounds
A tool utilized for assessing suspected Alzheimer's Disease?
What is the difference between Delirium and Dementia?
Mini-mental status exam (MMSE)
Delirium is confused, disoriented, restless and agitated.
Dementia is loss of memory.
Which sequence of areas will the nurse use in performing auscultation of heart sounds?
Aortic area, pulmonic area, tricuspid area, mitral area.
What are the ABCDEF of mole assessment?
A-Asymmetry
B-Border irregular
C- Color variation
D- Diameter >6mm
E-Elevation increased
F-Feeling
Describe Vesicles
Test for checking stool for blood
.5 cm in width, elevated, circumscribed and filled with serous fluid.
Guaiac