Head, Eyes, Ears, Nose, and Throat
This eye condition, also known as "nearsightedness," makes distant objects appear blurry.
What is myopia?
Pinching up of the skin below the clavicle of an elderly patient, or on the back of the hand.
What is a turgor assessment
A capillary refill time greater than this many seconds indicates potential circulation issues.
What is 2 seconds
The "S" in SBAR stands for this, a brief statement of the problem.
What is Situation?
This stage follows assessment.
What is diagnosis?
This test is used to assess visual acuity, typically involving a series of letters or symbols viewed from a distance.
What is the Snellen chart?
In a healthy nail assessment, the nail surface should have this texture and shape, with no ridges or pits.
What is smooth and slightly curved?
Placing the stethoscope at the 5th intercostal space, midclavicular line on the left side of the chest, is where this valve can be assessed.
What is the mitral area (or apex)?
This part of SBAR includes pertinent patient history and relevant background information.
What is Background?
This type of assessment data includes information such as "pain level 8/10."
What is subjective data?
This cranial nerve is tested by asking the patient to follow a penlight with their eyes.
What is the oculomotor nerve (Cranial Nerve III)?
Breast inspection method involving palpating from the areola outward in a spoke-like fashion
What is the Wedge Method
This type of pulse is heard when there’s a difference between heartbeats felt and beats heard.
What is a pulse deficit?
This SBAR component involves the communicator’s interpretation of the problem.
What is Assessment?
A nursing diagnostic statement should include these three components.
What are the problem, etiology, and signs/symptoms?
The sinus located on either side of the nose and can sometimes become inflamed during a sinus infection.
What is the maxillary sinus?
Patients are advised to look for these types of changes when performing a self-exam, as they may be early signs of testicular cancer.
What are lumps, swelling, or irregularities?
This pulse, found behind the knee, is more difficult to locate but is crucial for assessing lower leg circulation.
What is the popliteal pulse?
When giving recommendations in SBAR, this step often involves proposing actions or follow-up.
What is Recommendation?
The difference between a nursing diagnosis and a medical diagnosis.
What is a nursing diagnosis focuses on patient responses to health conditions, while a medical diagnosis identifies a disease or pathology.
Pink and moist mucosa in the nasal cavity are normal findings that indicate this about the lining’s blood supply and hydration.
What are adequate blood flow and proper hydration?
In the ABCDE skin assessment, this means one half of the mole doesn’t match the other half.
What is Asymmetry?
A normal peripheral vascular assessment finding for the lower extremities includes this.
What is a regular pulse rate and absence of edema?
SBAR is commonly used to enhance this aspect of interprofessional practice.
What is communication?
In the nursing process, clinical judgment is critical during this phase, where the nurse formulates a nursing diagnosis based on assessment findings.
What is diagnosis?