Skin, Hair, & Nails
What is pallor
When the red-pink tones from oxygenated hemoglobin in the blood are lost the skin takes on the color of the connective tissue collagen which is mostly white.
Where is the submental lymphnode?
Chin
What does PERRLA stand for ?
pupils equal round reactive to light and accommodation
What is hypercapnia
The normal stimulus to breath for most is an increased of carbon dioxide in the blood
What is preload ?
How do you assess turgor?
gently pinching a fold of skin between your thumb and forefinger - looking for tenting and elasticity. should go right back now.
Where is the preauricular lymph node located
in front of the ear
How do you check for accommodation and what should the normal results be
•Expected: pupils should converge and constrict as item moves closer
How do you check for symmetric chest expansion on the posterior chest.
What does JVD stand for?
Juglar Vein Distention
True or False?
Partial Thickness Skin (stage 2) loss extends into subcutaneous tissue and resembles a crater.
FALSE
Partial thickness skin loss is loss of epidermis and exposed dermis. Superficial ulcer looks shallow like an abrasion. No visible fat or deeper tissue
a soft , pulsatile, whooshing, blowing sound heard best with the bell of the stethoscope. bruit is not present normally.
What is Cranial Nerve XII and how do you assess it.
12th -hypoglossal nerve - ask client to stick out tounge it should protrude in the midline.
Where are bronchial sounds heard?
Trachea and larynx
Ture or False?
You can palpate both left and right carotid arteries at the same time during an assessment?
FALSE
Your carotids supply the blood to the brain. You do not want to block the blood flow. They could pass our their heart rate might slow down.
What is a confluent configuration of a lesion?
The lesion run together
Where is the deep cervical chain lymph node
on the neck above the clavicula
If you see the cone of light in the right ear, what position on the clock would that be?
5 o'clock
What type of pitich and amplitude doe vesicular sounds make
Low pitch and soft amplitude
How do you calculate cardiac output ?
your heart rate ( how many beats per minute) TIMES your stroke volume ( How much volume of blood you have per beat)
How do you assess capillary refill? What is a normal response?
Depress the nail edge at least 5 seconds to blanch and then release, noting the return of color Normally color return is instant <3 seconds.
What is cranial nerve VII and how do you assess it?
7th cranial nerve - Have the client wrinkle his forehead, close his eyes, smile, pucker his lips, show his teeth, and puff out his cheeks. Both sides of the face should move the same way.
With the Rinne Test, should the sound be louder in front of the ear or behind the ear?
In front because air conduction is great than bone conduction.
Explain how you assess Tactile Fremitus
begin palpating over the lung apices in the supraclavicular areas. compare vibrations from one side to the other as the person repeats "ninety-nine". Avoid palpating over female breast tissue because breast tissue normally damps the sounds
What are the 4 traditional areas of the valves in the heart that.
Aortic, Pulmonic, Tricuspid, and Mitral