Ulcer that involves the whole subcutaneous tissue
What is Stage 3 pressure ulcer?
Nasal abnormality due to snorting cocaine.
What is perforated nasal septum?
Breast exam positions.
What is arms above head, leaning forward, hands on the side?
Aortic, pulmonic, Ebb's point, tricuspid, and Apical?
What is 2R ICS, 2L ICS, 3L ICS, 4L ICS, 5L ICS.
Ulcer that has intact skin and redness.
What is stage 1 pressure ulcer?
Age-related visual impairment.
What is presbyopia?
Breathing pattern for someone with ketoacidosis?
What is Kussmaul's breathing?
Loud, blowing sound over the carotid artery.
What is a bruit indicating stenosis?
Headache with nausea, photophobia.
What is migraines?
Cranial Nerve for balance and hearing.
What is cranial nerve VIII?
Breast exam palpation techniques.
What is the use of the middle three finger pads in a circular motion?
Grating sound caused by inflammation of the pericardium.
What is friction rub?
Using the sense of touch for assessment.
What is palpation? deep and light.
The nurse moves an object into the visual field and the patient reports when the object is seen.
What is peripheral vision?
Abnormal findings on tympanic membrane.
What is patches, perforations, redness, or no reflection?
Opening snap heard over the mitral valve.
What is mitral stenosis?
Flat, well-defined, small lesions less than 1 cm in diameter
What is a macular lesion?
Eye abnormalityh due to weakness in the extraocular muscles.
What is nystagmus or ptosis?
Lung vibrations palpated louder on upper lungs and diminished on lower lobes.
What is fremitus?
Assessing the degree of Edema.
What is +1, +2, +3, +4?
Normal findings for Thyroid assessment?
What is non-palpable non-visible?
The light appears in the same spot in both pupils.
What is the expected finding for corneal reflex?
AC>BC.
What is the Rinne test?
I will count the pulse for a full minute.
What is an irregular or abnormal pulse?
Areas where pressure ulcers can develop.
What are bony prominences- sacral, elbow, occipital, heels, hip bone?
Inability to see close objects.
What is hyperopia?
A rash on the top of the tongue that scrapes off.
What is oral candidiasis?
Swooshing, blowing heart sound.
What is a murmur?
Shiny, translucent, and pearly gray.
Normal findings for tympanic membrane?
Normal Snellen chart reading for legally blind.
What is 20/200?
I will count without informing the client.
What is how to assess for respiration?
Exaggerated curvature of the thoracic spine
What is kyphosis?
Headache that start in the middle of the night and may felt on one eye.
What is cluster headache?
Pupils are large on close objects and smaller on far objects.
What is the expected finding for accommodation?
High-pitched sounds due to upper airway obstruction.
What is stridor?
Fingernails signs for endocarditis.
Splinter hemorrhages?
Solid, elevated, circumscribed lesions less than 0.5 cm in diameter
What is papules?
Can you describe the smell?
What is cranial nerve 1?
Cyanosis, clubbed fingers, and barrel chest.
What is COPD or Emphysema?
The abnormal sounds were heard right after S1 and S2.
What is S3 and S4?
Weight gain, depression, and fatigue caused by thyroid deficiency
What is hypothyroidism?
Visual acuity tests test the cranial nerve.
What is cranial nerve II?
I am experiencing wheezes.
What is asthma?
Point of maximal impulse (PMI)
What is apical pulse?