Head/eye/nail
Position to check jugular vein distention
Fowler's
Pushing the feet down toward the ground
Plantar flexion
Cranial nerve six
Abducens
Purple discoloration
Ecchymosis
Order of an abdominal assessment
Inspection, auscultation, (percussion) palpation
How to assess the inside of the ear of an adult
Pull pinna up and back
Location of Erb's point
Left, third intercostal space
Asking the client their name, birthdate, date, and place assesses for this
Orientation
Where jaundice is seen on darker-skinned individuals
Conjunctiva, palms, soles of feet
Position of assessment
Supine
Parts of the eye assessed during a head-to-toe
Sclera, conjunctiva, iris, pupil, eyebrows, eyelids, PERRLA,
Away from the body
Abduction
What cranial nerve tests the A in PERRLA?
Cranial nerve III
Risk factors for impaired skin integrity
Malnutrition, dehydration, cachexia, immobility
Abnormalities
Varicosities, bulges, pain/tenderness, bruising, masses
Unexpected findings of the nail
Curved/spoon-shaped, brittle, discolored-yellow, ridges
Typical sounds of the heart
3 parts of the Glasgow Coma Scale
Eye movement, Speech, Motor
Serousanguineous
Diseases of the upper left quadrant
Pancreatitis, Peptic ulcer disease, Splenic infarct
Test which includes placing a tuning fork on the client's forehead to test for hearing loss
Weber test
Ventricular depolarization
QRS complex
Cranial nerves that are both motor and sensory
Scale used to assess a client's risk for developing pressure injuries
Braden scale
Diseases of the lower right quadrant
Appendicitis, Crohn's, Pelvic inflammatory disease