Area on chest wall where heart sounds are loudest
what is Point of maximal impulse
The Glascow coma scale is used to evaluate
What is level of consciousness
A simple task a nurse should do for a dying patient to promote dignity
What is provide proper hygiene
The skin in an elderly patient tends to change to
What is increased dryness and decreased elasticity
.............................
Congrats free 100 points!
aortic stenosis murmurs are best heard
What is the right of the sternum 2nd intercostal space
Patient understands written or verbal speech but
cannot write or speak appropriately when
attempting to communicate
What is expressive aphagia
The proper order for an abdominal assessment is
What is inspection, Auscultation, percussion, palpation
When leaving a patient room, one of the important things to remember in order for the patient to ask for assistance
What is give the patient the call bell
The nurse finds the patient struggling to breathe. The best position for the patient would be
What is high- fowlers position
The best way to test perfusion to an extremity
What is peripheral pulses, capillary refill, and skin color/temp
Patient cannot understand written or verbal speech
Receptive aphasia
With an elderly patients we want to keep teaching sessions
What is short in length
a characteristic that places elderly patients at a greatest risk for falls
What is stubbornness on accepting assistance
Wheezes are heard as
What is high pitched musical sounds
Patient has an irregular pulse, the next step would be to
What is ascultate the heart for one full minute
Constriction of the left pupil when the light is directed into the right eye is called
What is Consensual pupillary response
3 Critical thinking characteristics include
What is
Confidence
Thinking independently
Fairness
Responsibility & Authority
Risk taking
Discipline
Perseverance
Creativity
Curiosity
Integrity
Humility
A nurse is trying to help a patient develop a plan of care on an issue the patient has dealt with for years. One of the best methods to help develop the best successful plan of care would be to
What is ask the patient the successful steps or treatment in the past
The normal respiratory rate for a healthy adult is
What is 12-20/min
Diastole is
What is the relaxation of ventricles
A&Ox4 represents
what is patient is Alert and oriented to person, place, time, and situation
A patient looses limbs in an accident. The type of loss is
What is actual loss
The nurse notices that the older adult client admitted with a terminal diagnosis has poor eye contact, a flat affect, and a decrease in appetite. The nurse then looks for additional data that is consistent with
What is depression
Adventitious lung sounds that are course, Low Pitch, and Continuous
what is ronchi