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76 Cards in this Set

  • Front
  • Back
Differentiate between subjective and objective data.
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Differentiate between signs and symptoms
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Explain the process of prioritizing problems/care.
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In what order and why would you prioritized the following problems:•post operative pain, diabetic teaching, small laceration on foot, respiratory distress
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Describe and list in order the 5 steps of the nursing process
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Purpose of a Review of Systems
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Review proper history taking and the therapeutic, non therapeutic responses/behaviors that would impact effective communication
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What is the appropriate response (or next question) to a person who states they are allergic to a particular medication
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Important questions to ask surrounding tobacco use
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Describe the 5 methods/techniques of physical assessment. Which techniques always comes first
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Describe the purpose of percussion
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Describe the assessment technique used to assess for the presence of crepitus, swelling, and pulsations
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What is the name of the equipment used to assess for pulsations that cannot be palpated (such as the pedal pulse)
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What is the sound you will hear with a Doppler?
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You are preparing to assess a hospitalized patient who is experiencing significant shortness of breath. How would you proceed with the examination
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Which part of the stethoscope is used to assess a murmur and bruit
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Describe a murmur and bruit
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What is the proper procedure in measuring a patient’s weight when a sequence of weights is needed, in terms of the clothing, type of scale, time of day
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Classic signs/symptoms of respiratory distress (ie, acute asthma episode)
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Explain the rationale for using a blood pressure cuff that is of appropriate size for the patient arm
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Define Korotkoff sounds, ausculatory gap.
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Explain the rationale of palpating pressure prior to auscultating
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Describe the process and purpose of taking postural vital signs
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Differentiate between acute and chronic pain
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Differentiate between and List descriptors for neuropathic and nociceptive pain
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Name of scale used to assess a child’s pain quantity
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Review the questions to ask for a symptom analysis of pain
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(quality, duration, location, etc,,,,,)
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symptoms of phantom leg pain
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signs and symptoms of chronic hypoxia (seen in emphysema)
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How is skin turgor assessed and implications of decreased skin turgor
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Review the chest location (where do we listen or feel) and corresponding anatomy (Heart valves, base and apex of heart, lung lobes, bases, apices of lungs, apical impulse)
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Proper sequence for auscultating heart sounds
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Define a thrill
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Review the adventitious lung sounds and implications (reasons) for each
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Direction of blood flow through the heart
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Best places on chest to heart S1, S2
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Major risk factors for heart disease
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Location of the posterior tibial, and dorsalis pedis pulse
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Purpose of the Profile sign
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Implications of a positive homan’s sign.
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Signs and symptoms of venous stasis
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Signs and symptoms of arterial insufficiency
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Describe the vascular problem that results in pitting edema
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Differentiate brawny and pitting edema
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Abdominal anatomy in relationship to quadrants
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Define aphasia, dysphagia
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Define hepatomegaly
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Signs and symptoms of cerebellum dysfunction
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Signs and symptoms of cerebrum dysfunction
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Differentiate between vertigo, syncope and dizziness
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What pupil changes may indicate increasing ICP
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Signs and symptoms of parkinsonism
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Describe the scale and purpose of measuring the Glasgow coma scale
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Process to evaluate accommodation and consensual response
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Cranial nerve effected in bells palsy
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Cranial nerve effected in trigeminal neuralgia
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Indicators important in determining a patients LOC
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Define
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Pustule
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Vesicle
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Macule
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papule
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Normal percussion sound noted over healthy lung tissue
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Normal percussion sound heard over air filled areas in the abdomen
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Tenderness over the R L Q may indicate what disorder(s)
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Percussion sound noted over areas of pneumonia
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Pleural effusion
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Pharyngitis
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Atelectasis
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Tachypnea
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Dyspepsia
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Cholecysittis
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Guarding
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Peritoneal irritation
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Orthopnea versus orthostatic hypotension
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