Respiratory & Cardiac
The medical term for bluish tinged lips or fingertips. It's a late sign of respiratory distress.
What is "cyanosis"?
Hold these with your hands and wrists, not with your armpits
What are crutches?
Young adults (19-40 y.o.) deal with many stressors between balancing life and work. As a nurse, you recommend that young adults do this action early in their young adults' years so they have a baseline of their health status.
Get yearly physical exams.
A patient who cannot speak or understand English will benefit from this in the medical setting.
What is a certified medical language interpreter?
An assessment done when the patient's complaint or focus of care is on a specific body system or area. Usually takes about 5 minutes.
What is a focused assessment?
A group of non-curable respiratory conditions, usually characterized by decreased function/elasticity of the alveolar sacs. Smoking/long-term exposure to other respiratory irritants are a common cause.
What is COPD?
A patient with a newly applied long leg cast reports severe pain that is not relieved by medication. The toes are pale and cool to touch. This is your immediate priority.
What is notify the healthcare provider immediately?
This term identifies the middle adult generation that takes care of both their parents and children.
What is the sandwich generation?
ND
A patient is on blood thinner and thus has high bleeding risk. The patient would like to shave his face. You decide to use this equipment to minimize bleeding risk.
What is an electric razor?
This involves auscultating the patient's respiratory sounds in a systematic manner, starting at the upper chest and moving from one side of the body to the other.
What is the "ladder method"?
A condition often seen in teen or young adult males who are tall and thin. Symptoms include shortness of breath, dry cough, chest pain.
What is a pneumothorax?
For fracture bone realignment, do not let weight touch the ground.
What is skin or skeletal traction?
This generation is at high risk of falls, fractures, and aspiration.
What is older adult?
This type of patient learns best by doing the skill or activity hands-on.
What is a kinesthetic learner?
A pen and paper, equipment to obtain vital signs, a watch with a second-hand.
What are things the nurse should bring with them to complete a physical assessment?
Over the 5th intercostal space, left mid clavicular line.
What is the location to auscultate the PMI (point of maximum impulse) or apical pulse?
A patient post hip surgery needs this to immobilize their legs/hips.
What is an abductor pillow?
A post-surgical hip replacement patient is attempting to get out of bed to walk and is not redirectable, as a nurse you use this guiding principle focus on safety and respect in determining the appropriate intervention.
What is use the least restrictive alternative or option?
This is most effective time to teach a patient about intake and output, benefits of water intake, and nutritional needs.
What is meal time?
Observation/inspection, auscultation, palpation, olfaction
What are techniques/senses a nurse uses to complete a physical assessment?