Abdomen
What is the first step in assessment of the abdomen?
What is INSPECTION
What produces the sounds of S1 and S2?
What is the cardiac valves?
What is the first step in the assessment of the lungs?
Inspection
The most distal pulse site is?
Dorsalis Pedis
How many stages of NREM are there?
What is 4 Stages?
What quadrant of the stomach is the spleen in?
What is the Left Upper Quadrant
How many cardiac auscultation sites are there to assess each time?
What is 5?
Aortic- pulmonic- tricuspid- mitral and the PMI (APICAL PULSE)
Name the specific descriptions of adventitious breath sounds.
Crackles/rales
Rhonci
Wheezes
Stridor
A bounding pulse is associated with what?
What is Hypertension or excess fluid volume
You have a patient with an injured hip. When the patient stands, the pain goes to his lower back and down his leg. What type of pain is this?
What is radiating pain?
What quadrant of the stomach is the appendix?
Right Lower Quadrant
What is the preferred position to auscultate heart sounds?
What is sitting?
What is the identifying term for respirations that are regular rhythm, they are abnormally deep and rapid?
What is Kussmaul's respirations
Name two conditions that would create a weakened pulse in the patient?
Decreased Blood volume
Hemorrhage/shock
decreased pumping power of the hear
abnormalities with the hearts conduction system
How many hours of sleep is recommended for a children age 5?
What is 12 hrs a day with naps.
What depth is moderate palpation?
What is 2-3 cm
If the heart rate and the time between intervals is normal, what would be the correct documentation of this.
What is "regular, clear and distinct"?
You have a client with a RR of 30, but denies SOB. what other assessments need to be made?
Capillary refill
The color of skin and nail beds
Auscultation of lungs
SPO2
What are the ways we assess for adequate circulation to the extremities?
What is pulse strength and equality, color, skin temperature, sensation,
PHYSIOLOGICAL: Recent onset; Fight or Flight response (HR increase, RR increase, Systolic BP increases, Pupils dilate); Diaphoresis, BP may drop if not handled, syncope, pupils constrict (if not handled).
What is the term used to describe bowel sounds that are audible without a stethoscope?
How would you describe the difference in the two heart sounds? (LUBB - DUBB)
The first heart sound (LUBB), is the louder of the two heart sounds, lower frequency.
The second heart sound (DUBB) follows a short pause. This sound is shorter and higher pitched that S1.
You have a patient with pneumonia and a non-productive cough. Consolidation is suspected when what is assessed during auscultation of the lungs.
Absent breath sounds OR incredibly diminished breath sounds.
+2 pitting edema is how deep of an indention and how long does it last?
4 mm and no longer than 15 seconds
What is the antidote for tylenol?
What is the antidote for opiate intoxication or overdose?
Tylenol: acetylcysteine
Opiate OD: Naloxone
Trade names not acceptable