General Survey/skin, hair & nails
Behavior, Physical Appearance, Mobility, Body Structure
What are 4 areas to consider during general survey.
Pupils Equal Round Reactive to Light, Accommodate
Eyebrows, eyes, ears, nares
What are the facial structures that should appear symmetrical upon inspection?
vesicular, bronchovesicular, and bronchial
What are 3 types of breath sounds?
Prothrombin, International ratio, partial thromboplastin time
What are Coagulation tests?
Skin assessment to determine hydration status.
What is turgor?
The nurse stands 1-2 ft away with mouth covered and states 2-3 words with 2 syllables then asks the client to repeat the words.
What is the Whisper Test?
An increase in the size of the thyroid gland that occurs with hyperthyroidism.
What is a goiter?
Coarse crackles, fine rhonchi, expiratory wheezing, pleural frictions rub
What are adventitious breath sounds?
Red blood cells, hemoglobin, hematocrit, white blood cell count, platelet count
Warm, dry and appropriate for ethnicity
The Snellen eye chart
What is visual acuity assessed with?
Ask the client to push against resistance applied to the side of the chin.
What is testing cranial nerve 11?
Blowing, swooshing sound heard through a stethoscope over an area of abnormal blood flow
What is a bruit?
BUN and Creatine
What are renal function labs?
If its to small it can give a false high reading, if its to large it can give a false low reading.
What is the wrong size BP cuff?
Cranial nerves 3, 4, and 6
What are the 3 cranial nerves that innervate the 6 muscles that control the eye?
Assessed by pressing below the eyebrows and below the cheekbones.
What are the frontal sinuses?
Mobile, soft and non tender characteristics upon palpation.
What are lymph nodes on a healthy patient?
AST ALT Lipase
What are liver function labs?
Inspect, palpate, percuss, auscultate
Conductive or sensorineural or a mix of both
What are the categories of hearing loss?
Grade of 0 given.
What is surgically removed tonsils?
Equal anteroposterior transverse diameter and ribs being horizontal.
What is barrel-shaped chest?
Glucose, calcium, sodium, potassium, chloride, blood urea nitrogen, creatinine
What is a basic metabolic panel?