HEENT
What does PERRLA stand for?
Pupils are Equal, Round, Reactive to Light, Accommodation
Medical term for when someone is breathing too fast
Tachypnea
2nd intercostal space, R sternal boarder
How does the order of preforming an abdominal assessment differ from the rest of the body?
The abdominal assessment is different because you auscultate before you palpate or percuss.
What is the name of the patient position when they are lying on their belly?
Prone
When auscultating the carotid artery with the bell of your stethoscope. You HEAR a "whooshing" sound. What is this called?
Bruit
Which finding is more concerning: loud wheezing or suddenly absent breath sounds?
Correct position for your patient when assessing JVD
Semi-Fowlers
A patient's abdomen appears swollen or enlarged. What assessment finding is this called?
Distention
What does the "L" in OLDCARTS stand for?
Location
If someone is lacking the cone of light upon assessment, what could this indicate?
Ear infection or perforated ear drum
Demonstrate how you would auscultate for lung sounds
Uses the correct ladder pattern, comparing side to side
Where is the Point of Maximum Impulse (PMI) located?
5th intercostal space, midclavicular line
Tenderness at this point in the right lower quadrant is classically associated with appendicitis.
McBurney's Point
How would oral care differ when a patient is on anticoagulants?
Soft bristled toothbrush to prevent bleeding
What is the name of an enlarged thyroid gland?
Goiter
What are three assessment findings that would indicate a patient is in respiratory distress?
What is a heave?
visible or palpable lifting/movement of the chest wall caused by the heart contracting forcefully.
A patient tightens their abdominal muscles when the nurse attempts to palpate the abdomen. What is this finding called?
Guarding
Height at which you drop items onto sterile field.
These three cranial nerves are assessed when you preform the six cardinal fields of gaze.
III, IV, VI
Oculomotor, Trochlear, Abducens
Medical term for when a patient has an equal anterior to posterior torso diameter
Barrel Chest
S1 (Lub) sound is the closure of what valves?
Mitral/Tricuspid (AV Valves)
The nurse palpates the abdomen and the patient reports pain when pressure is released rather than when pressure is applied. What is this called?
Rebound Tenderness
Demonstrate how to change a brief in the bed.
Does so properly!