Show:
What's the point?!
Do you hear what I hear?
Assessing Like a Pro
In Excess
Examples of...
100
This evaluates a client's current physical condition, detects early signs of developing health problems, establishes a baseline for future comparisons as well as evaluates the client's response to medical and nursing intervention....
What is, the purpose of a physical assessment.
100
The side of the stethoscope that is used to listen for high-pitched tones as well as to auscultate the lungs.
What is the diaphragm.
100
To assess the ear canal of an adult the nurse should pull the ear ______ and back and ______ and back for a child.
What is pulled up and back for an adult and down and back for a child.
100
#2 Image This image shows a normal finger and a finger with apparent ___________ which is a sign of _________ __________.
What is clubbing which is a sign of chronic hypoxia.
100
Pt complains of SOB and rates chest pain at a 9/10. Both are examples of ____________ data.
What is subjective data.
200
Assesses for hydration status by gently pinching the skin below the clavicle.
What is turgor.
200
Rhonchi, crackles, rales and wheezes are known as adventitious sounds and are all terms to describe what body system? Are they normal?
What is the respiratory system and they are NOT normal findings.
200
PERRLA stands for.
What is, "pupils equally round and reactive to light and accommodation".
200
___________is excessive fluid within tissue and signifies abnormal fluid distribution. Upon assessment of this, if an indentation remains this is know as __________ ____________.
What is edema. If an indentation occurs this is known as pitting edema.
200
This assessment technique prevents overlooking some aspects of data collection, reduces the number of position changes the client must perform as well as it generally takes less time.
What is the head-to-toe approach.
300
The rationale for not palpating the abdomen prior to auscultation.
What is to not disturb or alter the bowel sounds which could provide invalid findings. ALWAYS AUSCULTATE FIRST!
300
The "lub-dub" sounds of the heart are also known as this.
What are S1 and S2?
300
#1 Image Is a _____ ______ chart which tests ____ vision.
What is a Snellen Eye Chart which tests FAR vision.
300
#3 Image shows abnormal curvature of the spine. Name each from left to right.
What is scoliosis, kyphosis, lordosis.
300
Color, moisture, temperature and intactness are descriptive words that are reflective examples of a thorough ________ assessment.
What is a skin assessment.
400
Active, hyperactive, hypoactive and absent are words used to describe the findings of this body system.
What is the GI system.
400
The pneumonic "APE TO MAN" to auscultate the valves of the heart stands for...
What is Aortic, Pulmonic, Tricuspid, Mitral.
400
The assessment of the pupils ability to constrict when looking at a near object and dilate when looking at an object in the distance.
What is accommodation.
400
Image #4 is an example of _______. Which is an abnormal finding after assessing skin _______.
What is tenting. Which is an abnormal finding after assessing skin turgor.
400
Hand sanitization, gloving and washing hands after each patient interaction is an example of __________ precautions.
What is standard precautions.
500
The best source of information while conducting a physical assessment?
Who is the patient.
500
There are ___ locations anteriorly, ___ locations laterally and ___ locations posteriorly to assess when auscultating the lungs.
What are 10 anteriorly, 4 laterally and 10 posteriorly.
500
DAILY DOUBLE!! Two part question: https://youtu.be/NceVNIaT5Rc This is called_______ and tests______.
What is Capillary Refill Time (CRT) and tests the time it takes blood to resume flowing in the base of the nail beds (perfusion).
500
What is the rationale for assessing only one carotid artery at a time? Name the assessment sites when assessing pulses. (Head to toe)
What is to not cut off blood flow to the patient's brain and cause them to pass out. Temporal, carotid, brachial, radial, femoral, popliteal, posterior tibialis, dorsalis pedis.
500
Can you tell me your name? Can you tell me where you are? What is the date? What are you in the hospital for? These questions are all examples of questions that would reveal ____________ & ______________. Also known as "A&O".
What is Alertness and Orientation. A normal finding is A&Ox4.