Assessments
Which valve does a nurse auscultate when the stethoscope is placed on the 2nd intercostal space left of the sternal border?
Pulmonic valve
Epigastric pain that is sometimes worse right after eating or with laying down.
GERD
Excess fluid in the interstitial space
Edema
Nuchal Rigidity
Symptom of Meningitis
Full-thickness tissue loss with exposed bone, tendon, or muscle. Slough or eschar may be present within the wound bed.
Stage 4 Pressure injury
Assessing these nerves verifies intact gag reflex and ability to swallow
Cranial Nerves 9&10
An autoimmune mobility disorder characterized by bilateral joint tenderness, warmth and stiffness
Rheumatoid arthritis
Encephalitis
Inflammation of the brain and meninges
Earliest and most sensitive indication of altered neurological functioning.
Change in level of consciousness
How do we correctly assess the pulse
Rate, rhythm, and amplitude
Expected finding for the upper and lower extremities upon assessment
Symmetry, and alignment
Characterized by LUQ pain
Pancreatitis
The patient understands speech but is unable to translate words and ideas into meaningful communication
Expressive aphasia
Sudden unilateral profound weakness, difficulty communicating could be an indication of
Stroke or (CVA)
Common respiratory complication in the hospitalized patient
Pneumonia
Usually one of the first things you will inspect for patient safety.
Steady Gait
Small boned females that are older than 50 are at risk for this bone disease
Osteoporosis
Wheeze
Pill rolling and or resting tremors are an indication of
Parkinson's
Modifiable risk factors for colon cancer
Sedentary lifestyle and excessive alcohol use
When assessing the HEENT after a confirmed hit to the head the nurse is most concerned about
Clear watery drainage from ears and nose
Dark urine and light colored stools can be an indication of
Cholelithiasis
Use of accessory muscles to breath is a sign of
Respiratory distress
Moles found to have irregular borders could be an indication of
Melanoma
Symptom of hypotension
dizziness