GI/GU
The removal of fluids and waste from the body
What is the concept of elimination?
This type of memory allows a client to remember things from the distant past.
What is remote memory?
The order in which a nurse should assess with skills
What is inspection, palpation, percussion, and auscultation?
The valves in the heart you hear when listening to the "lub"
What is S1- mitral and tricuspid valves?
Increased lumbar curvature
What is lordosis?
The amount of time required to listen to bowel sounds before determining the client has NO bowel sounds
What is 5 minutes?
When assessing LOC, this client whom is only aroused by repeated painful stimuli should be documented as ________.
What is stuporous?
How to assess HPI?
What is provoking factors, quality, region or radiation, severity, timing and understanding? (PQRST)
The words used to describe the rhythm of someone's breathing.
What is regular or irregular?
Highest score on the movement/strength scale
What is 5?
The expected percussion sound over GI organs
What is dull?
________ assesses the bodies ability to control coordinated movements. The client exhibiting this may have clumsy balance.
What is ataxia?
The part of your stethoscope that allows you to hear soft, low pitched sounds.
What is the bell?
3 examples of adventitious sounds.
What are crackles, rhonchi and wheezing?
Assessing heal to toe balance
What is gait?
The bulging of an organ or tissue through an abnormal opening
What is a hernia?
The 3 features of the Glascow Coma Scale
What is eye opening, verbal response and best motor response?
The expected sound when percussing over bone
What is flat?
The breathing pattern seen in ketoacidosis
What is Kussmaul?
The ABCD's of melanoma
What is asymmetry, border, color and diameter?
4 characteristics/assessment findings of urinary elimination
What is urgency, frequency, dysuria, sediment, continent vs incontinent, color, odor, bladder palpation?
A reflex that presents as Eextension of arms, curled fingers outward and an indication of damage to the lower midbrain, pons or brainstem.
What is decerebrate posturing?
A potential percussion sound for someone with COPD
What is hyperresonance?
The 5 P's of a neurovascular assessment
What are pain, pulses, pallor, paresthesia, and paralysis?
A pressure ulcer that is full-thickness with subcutaneous tissue visible but without bone, tendon or muscle exposed.
What is a stage 3 pressure ulcer?