Chatty Cathy or Charlie
These 4 areas are considered the primary components of a general survey
What is physical appearance, body structure, mobility, and behavior?
This is another name for the triscuspid valve
What is the right atrioventricular valve?
This crunching or grinding sound may be heard when completing range of motion exercises
What is crepitus?
These three organs may be impacted when a client complains of right upper quadrant tenderness
What is the liver, gallbladder, and ascending colon?
This tool is utilized to screen for alcohol use disorder
What is the Alcohol Use Disorders Identification Test (AUDIT)?
This data is all objective except which finding: temperature 101.2 degrees F, pulse 96 BPM, pain lasting two hours, blood pressure 136/89
What is pain lasting two hours?
This description of edema would be best used for 4+ edema of the right leg
What is very deep pitting, indentation lasts a long time?
This range of motion is moving the extremity in a circle
What is circumduction?
The nurse knows the client's bowel sounds are within defined limits when they hear ________ gurgles per minute
What is 5-30?
These 4 components are a part of the mental status assessment
What are appearance, behavior, cognition, and thought processes (ABCT)?
This assessment determines if the patient is able to perform a task of daily living
Blue tones to skin and nails associated with deoxygenation is called
What is cyanosis?
This is the sequence of musculoskeletal assessment
What is inspection, palpation, ROM, strength?
The nurse knows borborygmus is described as
What is hyperactive bowel sounds?
This exam tests the client's ability to lay down new memories
What is the Four Unrelated Words Test (New Learning)?
The client reports an amoxicillin and you ask what additional important question
What is describing what type of reaction occurs?
The nurse knows a wet, ragged wound on the lower extremity, accompanied by aching pain is likely the result of
What is venous insufficiency?
This muscle testing grade is described as no contraction
What is a 0?
The nurse understands that cloudy urine is usually indicates
What is a urinary tract infection?
This assessment asks the client to plan, manage time, and use memory
What is the Mini-Cog test?
This grading of tonsils is indicated when the tonsils touch the uvula
What is 3+?
This term describes turbulence when auscultating the heart or great vessels
What is a murmur?
This assessment finding is described as smaller, weaker muscles
What is atrophy?
The aging adult has an increase of this gastrointestinal condition, which is caused by decreased physical activity, decreased fiber intake, and dehydration
What is constipation?
The pneumonic CIWA stands for which scale utilized in client's during withdrawal
What is the Clinical Institute Withdrawal Assessment of Alcohol Scale?