Vital Signs
Below the clavicle.
What is the best place to check skin turgor?
Tool used to assess blood pressure.
What is a sphygmomanometer?
Respirations begin shallow, gradually increase in depth and frequency to a peak and then begin to decrease in depth and frequency until slow and shallow.
What is Cheyne-Stokes respirations?
Inspect, Auscultate, Palpate.
What are the steps to an abdominal assessment?
Strong and full and is easily counted, does not obliterate even with moderate pressure.
What is 3+ bounding pulse?
Bradycardia
What is a heart rate less than 60bpm?
Oral, Skin, Tympanic, Temporal, Axillary, Rectal, NCIT, Internal probe.
Nausea & Dizziness.
What is subjective date?
What is systolic pressure?
What is the most common site for obtaining someone's pulse.
Concave side of the stethoscope that is used for auscultating lower-pitched heart sounds.
What is the bell?
Adventitious breath sounds caused by a foreign object obstruction in the upper airway.
What is stridor?
Making sure the bed is lowered and locked and call light is within reach.
What is safety?
Wishing, rumbling or blowing sounds.
What are extra heart sounds?
Blood pressure reading of 90/56.
What is hypotension?
What is the diaphragm?
Adventitious breath sounds which are coarse, rattling, or snore-like sounds caused by secretions in the larger air passages
What is Rhonchi?
Bluish-gray color of the skin and mucous membranes caused by hypoxia and extreme vasoconstriction.
What is cyanosis?
Fifth intercostal space, mid clavicular.
Where is the apex of the heart?
OR
Where to check the apical pulse?
Tapping sounds representing blood flow.
What is Korotkoff's sounds?
A Behavioral pain assessment tool used for pediatric patients or patients who have trouble communicating.
What is the FLACC scale?
Refers to noisy, snoring, labored respirations that are audible sounds without a stethoscope.
What is Stertorous breathing?
Indention depth of 6mm, lasts a full minute after removing finger pressure.
What is 3+ pitting edema?
Indicator of adequate arterial circulation to the periphery.