week 2 skills lab Flashcards

What is the assessment technique that you will use to elicit crepitus on the patient who sustained chest
injury?

What assessment technique will you use to listen to the heart sounds?

What assessment technique will you use to illicit diaphragmatic excursion?

What assessment technique will you use for assessing distended bladder?

Assessment technique that you will use when you're assessing sinus infection?

instrument used to detect air, blood, fluid, or mass in body cavity

What part of your hand do you use to determine skin temperature?

What part of your hand do you use for palpation?

What part of your hand do you use for either direct or indirect percussion?

air conduction is 2 times greater than bone conduction

Sinuses that are filled with fluid will not transilluminate.

difficulty with near vision in elderly patients (farsighted for older)

young adults with difficulty with near vision (farsighted)

young adults with difficulty with far vision (nearsighted)

When assessing eyes of a patient with right eye retinal detachment, what would you expect?

What is the leading cause of blindness in the US?

When testing for integrity of cranial nerve III (oculomotor), what should you advise the patient to do?

When testing for Romberg's test, what do you advise the patient?

What chest is common in pt’s with COPD and in elderly patients

pectus carinatum, forward displacement of the sternum with
depression of adjacent cartilage. No treatment is required.

congenital deformity when there is depression of the
sternum and adjacent cartilage compressing the heart and lungs. You will hear cardiac murmur on auscultation. In severe cases, patient will need sternum surgery (to reposition the chest, ribs, and sternum)

Low-pitched, grating, rubbing usually due to pleural inflammation

Normal for infants to 6 years old:

Common in elderly

Barrel chest is abnormal for patients with

ntermittent rattling, crackling, popping, orbubbling sound as a result of air reinflating or passingthrough mucus-

whistling, high pitched musical sounds made by airflowing through narrow airways

continuous, low pitched, snoring caused by fluid in larger airways- Sometimes cleared with coughing- CAN BE INDICATIVE OF BRONCHITIS OR COPD

high pitched crowing noise caused by obstruction in upper airway- CAN BE INDICATIVE OF CROUP IN CHILDREN (LIFETHREATENING)

normal for a skinny person

normal for a very skinny person (anorexic)

: Normal for an obese toddler or early in pregnancy (fat person)

: Normal for some toddlers, later stages of pregnancy, and
pt’s with ascites

Normal belly for a patient with ascites

abdominal contour of pregnant women early pregnancy would be rounded late pregnancy 3rd trimester would be

What are the main organs that a nurse will assess that are located in the Left upper quadrant of the
abdomen?

What are the main organs that are nurse will assess in the right upper quadrant?

When a client has diverticulosis which quadrant of the abdomen will the nurse assess?

flat less 1 cm. Brown, blue, red or hypopigmentation

raised less than 1 cm

larger than 1 cm, fluid

Ring like

painful, vesicles, nerve pathway

• Irregularly elevated border reddish area, insect bites, hives

Elevated
• > 1 cm

Superficial solid elevated
• <1 cm color varies

Circular of free fluid
• < or equal 1 cm

SOUND EXPECTED UPON empty ABDOMEN PERCUSSION

Loud, low pitched, hollow tone
Heard in lungs with no air trapped inside of lungs

High pitched tone, very soft, and shorter than dullness
Abnormal hearing from bones/muscles

Abnormally loud, low tone of longer duration than resonance
Heard in lungs with air trapped inside

impaired peripheral
- increase ocular pressure
- Acute is URGENT!

loss of central vision

loss of colors
- Results from overexposure to sun and dust resulting in a yellow, thickened, dense lens that
causes blurred vision: part of normal aging

Romberg test- balance what CN ?
- Close eyes if swaying=

Mcburney point= illum and umbilicus
- Rebound tenderness- put pt. at supine position, pain is felt in opposite side

tonic pupil, slugglish pupillary response

non reactive to light. occurs with CNS disorders like tumor or syphilis

Fixed and constricted pupils

Unequal pupillary size

fixed and dilated

Changes in the skin in pregnancy :

________ increases

Development of ___ and _____ are common

_____ and ____ become hyperactive

Worsening _____ in the first trimester

Hair may fall out during months

UTI symptoms

BPH symptoms (3)

urinary _____

difficulty starting ______

______ voiding, especially at

Breast changes in pregnancy

breast pain that goes away naturally once you get your period, but returns during your next menstrual cycle.

reast pain may be continuous or it may come and go. It can affect women before and after the menopause.

A stretching or tearing of the capsule or ligament of a joint due to forced movement beyond the joint's normal range

partial or complete break in the continuity of the bone from trauama

risk factors of osteoperosis

S/S of an MI (subjective)

S/S of an MI (objective)