Cardiac
What is normal BP defined as?
Less than 120/80
What is a normal resp rate?
12-18 breaths per min
What does PERRLA mean?
Pupils are equal round reactive to light and accommodate
During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse interprets that this finding could indicate a disorder of which structure?
Appendix
What eyesight is considered legally blind?
20/200
What is the term for a sound generated by turbulent flow of blood in an artery due to either an area of partial obstruction or a localized high rate of blood flow through an unobstructed area?
Bruit
What is it called when air is trapped in tissues beneath the skin?
Crepitus
During the webber test, a patient tells the nurse they can only feel the vibrations going to their left ear. What kind of hearing loss is this?
Conductive hearing loss
After testing for Murphy's sign that patient feels pain. What is the pain in this area indicative of?
Cholecystitis/gall stones
Where do you palpate for epitrochlear nodes
Which valve does a nurse auscultate when the stethoscope is placed on the 4th intercostal space at the left of the sternal border?
Tricuspid Valve
What is the normal sound heard when percussing the lungs?
Resonance
If a patient has a problem with equilibrium, what part of the brain is affected?
The cerebellum
How many bowel sounds per minute does a normoactive abdomen have?
5-30/min
What stage pressure ulcer is this:
full thickness tissue loss with exposed bone, tendon, or muscle
Stage 4
What position enhances apical pulsation and displaces the heart toward the chest?
Left lateral supine position
What part of the hand should be used to palpate fremitus?
Ball of the hand
This set of 11 questions is a quick and easy way to assess cognitive function
Mini Mental Status Exam
What is the name of percussion sound heard over most of the stomach?
Tympany
What is a solid, elevated, circumscribed lesion that is less than 1 cm in diameter?
Papule
What should you ask a patient to do when listening to the carotid artery?
Hold their breath
A nurse is providing teaching on how to identify stridor. Where would explain the sound to be mainly located?
The throat
What cranial nerve is assessed when you ask the patient to shrug?
Accessory (CN 11)
In what order should you examine the abdomen?
Inspect, Auscultate, Percuss, Palpate
Get up and show the difference between ADDUCTION and ABDUCTION of the legs
yippeeee