Closure of the valves between the atria and ventricles. Loudest over the mitral area.
What is S1?
Uses the nursing skills of observation, physical assessment and interviewing also enables you to be sensitive to a patient's culture, values, beliefs, and economic situations.
What is a Comprehensive Assessment
Name three factors that influence blood pressure.
Developmental stage
gender
family hx
lifestyle
exercise
body position
stress
pain
obesity
medications
What are the 3 phases of a nursing interview?
Introduction
Working
Closing
Lateralizing the sounds.
What is the Weber Test?
Coordinates muscle movement, regulate muscle tone, maintain posture and equilibrium.
What is the cerebellum?
Breathe in through your mouth.
Instructions when auscultating lung sounds?
2/3rds of the length of the upper arm
What is the correct blood pressure cuff size?
A drop of 20 mm Hg.
What is orthostatic blood pressure.
20/20
What is visual acuity? (Snellen chart)
This helps to straighten the S-shape canal on an adult.
What is pull the pinna up and back?
Name 3 breathing exercises used to assist with breathing/clearing the airways.
What is pursed lip breathing
Cough and deep breath
incentive spirometry
Done by sterile technique and no longer than 15 seconds.
What is tracheal suctioning?
+2: Normal
What are pulses?
A client that just suffered a stroke may have difficulties with ______________(medical term)?
Dysphagia
(dysarthria, aphasia)
Inspection, Auscultation, Percussion, Palpation
What is an abdominal assessment?
Position for medication administration.
What is 30-45 degrees, semi-fowlers.
(Trach, NG)
pH of 5.5
What is gastric contents?
(verify)
This makes fluids go faster?
What is raising the bag higher.
(Bowel and IV)
ABCDE
What is Danger signs of lesions?
4mm
What is 2+ pitting edema?
Reaching over a sterile field
What is contamination or breaking sterile field?
(How else)
Surgical mask
What is droplet isolation?
IM
What is intramuscular?
(injection time, removing needle, technique)
Induration
What is a positive TB skin Test?
Abdominal tissue, posterior arms, thighs
What are SQ (Insulin) injection sites?
(pens, gauges)
Holding a secondary bag of IV fluids lower than the primary?
What is back filling?
Right arm, left arm
12 o'clock to 3 o'clock
What is wound assessment?
Soap and Water
What is hand hygiene?