Instruments
Instrument used to measure blood pressure
What is a sphygmomanometer
Inspection, palpation, percussion, auscultation
What is the order of assessment.
Difficulty or discomfort sleeping while lying down.
What is orthopnea.
Visible blood in the urine.
What is gross hematuria.
The leading risk of cervical cancer in women.
What is a history of HPV.
Instrument used to look at the tympanic membrane.
What is an otoscope
This portion of the assessment only uses two techniques, inspection and palpation.
What is the skin.
This will cause the patient to pass out if palpated simultaneously.
What are the carotid arteries.
Frequent urination at night that is often caused by conditions like BPH.
The area of the breast most commonly associated with breast cancer.
What is the upper out quadrant.
What is a Snellen chart, an E chart, or Rosenbuam chart.
Having the client sip some water and feel for the rise and fall of this organ.
What is the thyroid gland.
Sound that's heard immediately after S2 and is considered a normal finding in children.
What is a Gallop or S3 sound
Prior to conducting an abdominal exam the nurse asks the client to do this.
What is empty the bladder.
This helps the client's abdominal muscles relax before an abdominal exam.
What is a pillow under the knees.
Instrument used to test hearing acuity.
What is a tuning fork
What is the Rovsing sign.
This sound is always pathologic and results from damage to the heart.
What a S4 sound.
When a nurse percusses the client's kidneys, they are looking for this abnormal finding.
What is tenderness aka CVA tenderness.
Pain that has a recent onset of illness/injury and lasts less than 6 months.
What is acute pain.
Instrument that uses quick wrist movements to elicit a response.
What is a reflex hammer.
Palpation of the abdomen that reveals rigidity and extreme tenderness. (the client has come in for possible appendicitis)
What is Peritonitis.
This condition often results from CHF and causes fluid build up in the extremities that when pressed, will leave an indent for a short time.
What is pitting edema
A normal finding/expected finding on an uncircumcised male client.
What is the prepuce (foreskin)
This scale measures the client's risk of developing skin breakdown
What is the Braden scale.