Head to Toe Assessment

Abdominal

100

Bowels sounds should be ...

Normal active

200

Order to assess the abdomen 

Inspect, Ascultation, Percussion, Palpation

300

Dysphagia means ...

The patient has difficulty swallowing

400

Organ that is in the LUQ and is non palpable 

Spleen

500

Percussion over the liver should elicit a _______ sound

Dull sound

Peripheral Vascular

100

Normal capillary refills are...

<3 seconds 

200

Signs of DVT are...

pain, edema, erythema

300

Edema is ...

swelling caused by excess fluid in the tissue

400

Risk factors of of peripheral vascular disease

family hx, DM, HTN, increased cholesterol levels, smoking, lack of exercise

500

Name the 7 P's used to assess extremities 

Pain, pallor, parenthesis, paralysis, pulselessness, poikilothermia 

Neuro/Musculoskeletal

100

Adduction is...

moving a limb toward the midline of the body

200

Scale that assesses  patient's eye opening, verbal response, and motor response

Glasgow Coma Scale

300

Cranial nerves that involve the eyes

Cranial nerves III, IV, VI

400

Test used to assess for balance and gait 

Romberg Test 

500

What makes up the articulation of the elbow ?

Humerus, Radius, and Ulna

Potluck

100

Physical assessment techniques in nursing 

inspection, palpation, percussion, ascultation 

200

Normal pupil reaction is...

Equal, Round, Reactive to light and accommodation 

300

Four areas to auscultate heart sounds

aortic, pulmonic, tricuspid, mitral 

500

The stereognosis test is...

asking the patient to close their eyes, place an object in their hands and ask them to identify the object