Pain & Vital Signs
Normal range of oxygen saturation
What is 95-100%
The 4 components of a General Survey
What is physical appearance, body structure, mobility, and behaviour
Convert pounds to kilograms
What is divide pounds by 2.2 kilograms?
Descriptor used to describe a raised pocket of pus
What is a pustule
You are looking for these when assessing the uvula
What is midline, & elevates when says “ah”
Normal range for temperature
What is 36 - 38 degrees Celsius?
Method to assess patient's pain
What is ask subjective questions for OPQRSTUV (onset, palliative/provocative, quality, region/radiation, severity, timing/treatment, understanding, values)
Method to convert inches to centimeters
What is multiply inches by 2.5 centimeters
Pinch below the clavicle to assess this
What is skin turgor
Inspect the oral cavity for this assessment data
What is: (one of these gets the points)
Normal range for respiration rate
What is 12-20 breaths per minute
Subjective assessment required when you see a rash
Is it painful or itchy? Do you have any allergies? Any previous skin disease? What medications are you using to help the rash? Any environmental exposure to irritants/allergens? Have you changed skin care products, soaps, or perfumes recently? (any 1 of these is correct)
This is important to do before obtaining patient's weight
What is calibrate the scale (zero the scale)
Other assessments that validate findings when you notice the skin color is cyanotic.
What is respiratory rate and oxygen saturation (primary), & heart rate and blood pressure (secondary)
These can result in grade 4 tonsil appearance
What is severe tonsillitis or acute infection
Palpate the radial pulse and inflate the cuff until the pulse is no longer felt, note the blood pressure gauge reading and add 30 mmHg for this
What is baseline blood pressure
You notice grade 4 tonsils. What additional assessment do you need to ensure patient safety?
What is monitor for impaired swallow or airway
Position of the patient when obtaining a height on the balance beam scale
What is standing upright with back to scale
Angle of attachment of fingernail that indicates impaired oxygenation
What is clubbing or angle of attachment of 180 degrees
Cervical lymph nodes that are not accessible for palpation
What is deep cervical chain
Method to assess blood pressure when patient has trauma to both arms.
What is use a thigh cuff on the thigh to assess blood pressure
You notice uneven hair distribution and cool skin that is pale in the extremities. What additional assessment data validates these findings?
What is blood pressure and heart rate, capillary refill in all extremities, fingernail attachment angle
Location to measure waist circumference
What is at umbilicus (belly button)
Components are you describing for skin assessment
What is texture, temperature, color, integrity, elasticity (turgor)
Method to assess neck mobility/range of motion
What is flexion, extension, bilateral rotation, bilateral lateral flexion