Notes in NUR 120 Exam 2

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Published	01/31/2024	Chief compliant, Health history includes patient and family
Published	01/31/2024	Pertains to specific topic, body part, or functional ability rather than overall health status
Published	01/31/2024	Limited to one body system is what type of assessment?
Published	01/31/2024	Evaluation of client's progress is what type of assessment?
Published	01/31/2024	Mass causality. Rapid collection of data, often during life-saving measures  is what type of assessment?
Published	01/31/2024	is used to examine internal eye structures
Published	01/31/2024	is used to inspect the middle ear
Published	01/31/2024	is to assess Visual Acuity
Published	01/31/2024	is used to assist in the inspection of the internal nasal structures
Published	01/31/2024	is used to assist in inspection of the female genitalia
Published	01/31/2024	What is the Semi Fowlers and Fowlers position?
Published	01/31/2024	The bell of a stethescope is best for hearing?
Published	01/31/2024	The diaphragm is best for listening to?
Published	01/31/2024	What acronym is used to remember common problems of older adults that requre nursing intervention?
Published	01/31/2024	What is cyanosis?
Published	01/31/2024	What does cyanosis indicate?
Published	01/31/2024	What should you assess when assessing pallor?
Published	01/31/2024	What could pallor indicate?
Published	01/31/2024	What is erythema?
Published	01/31/2024	What could erythema indicate?
Published	01/31/2024	What is petechiae?
Published	01/31/2024	What is petechiae caused by?
Published	01/31/2024	What does petechiae indicate?
Published	01/31/2024	What is vitiligo?
Published	01/31/2024	What is a port wine stain?
Published	01/31/2024	What are abormal findings of skin temp?
Published	01/31/2024	Excessive dryness in skin can indicate?
Published	01/31/2024	Excessive moisture on skin can indicate?
Published	01/31/2024	With hyperthyroidism and other endocrine disorders, what happens to the skin?
Published	01/31/2024	To assess skin turgor what is the best action? What is a normal finding?What is this a good assessment for?
Published	01/31/2024	Assess for malignancy using?
Published	01/31/2024	What is blanching?
Published	01/31/2024	What is an expected finding when blanching?
Published	01/31/2024	What are some abnormal findings when assessing nails?
Published	01/31/2024	What is a capillary refill and what is a normal finding?
Published	01/31/2024	What is a normal variation difference of pupils for an eye inspection?
Published	01/31/2024	What is a test to assess for balance?
Published	01/31/2024	What is an expected finding when doing an oral inspection?
Published	01/31/2024	How and why would you assess a cough?
Published	01/31/2024	How should you inspect respiratory effort?
Published	01/31/2024	What are some factors that impair lung function?
Published	01/31/2024	What is a barrel chest? What patients are seen with this the most?
Published	01/31/2024	Spine is C or S shaped?
Published	01/31/2024	Thoracic spine curves outwards is called?
Published	01/31/2024	Lumbar spine curves inwards is called?
Published	01/31/2024	What is osteoporosis?
Published	01/31/2024	What are the clinical signs of hypoxia?
Published	01/31/2024	What is clubbing of the nails an indicator of?
Published	01/31/2024	Gradual increase in depth of respirations, followed by gradual decrease then a period of apnea. Usually a result of cardiac damage.
Published	01/31/2024	Usually related to brain damage, Irregular respirations of variable depth (usually shallow), alternating with periods of apnea
Published	01/31/2024	Respirations that are regular but abnormally deep and increased in rate
Published	01/31/2024	When palpating the chest wall, what should you be assessing?
Published	01/31/2024	When auscultating for lung sounds how should you assess?
Published	01/31/2024	For a physical assessment check off of the lungs what should you assess?
Published	01/31/2024	What patients more commonly have a grunting sound when breathing?
Published	01/31/2024	What are the abnormal (adventitious) lung sounds?
Published	01/31/2024	What are the normal breath sounds?
Published	01/31/2024	Medium pitch blowing sound and intensity with equal inspiration and expiration times over the larger airways Heard over the 1st and 2nd ICS anteriorly…
Published	01/31/2024	What is crackling and what are some examples of illnesses assocaiated with it?
Published	01/31/2024	continuous sounds hear over the upper part of the lungs, what illnesses are associated with this? (sounds like a snorkle, and can be cleared with a co…
Published	01/31/2024	Narrowing or obstruction of small airways by spasm, mucus inflammation, or tumor is called? What are some illnesses associated with this? (in the uppe…
Published	01/31/2024	Partial upper airway obstruction,Heard on Inspiration over the larynx or trachea and is higher pitched than wheezes and located in the trachea is call…
Published	01/31/2024	Rubbing together of inflamed plueral layers
Published	01/31/2024	What are some pulmonary changes in the older adult?
Published	01/31/2024	What are some preventative measures for good pulmonary health?
Published	01/31/2024	How should you assess for chest pain?
Published	01/31/2024	When inspecting a patient during a heart physical assessment what should you be observing?
Published	01/31/2024	What is a palpation(thrill)?
Published	01/31/2024	S1 or lub sound of heart?
Published	01/31/2024	Amount of blood ejected from either ventricle with a contraction?
Published	01/31/2024	What is the acronym to remember the four sites of auscultation for cardiac?
Published	01/31/2024	What are the third and fourth heart sounds?
Published	01/31/2024	Swishing, rumbling or blowing sound caused by turbulent blood flow through the heart.
Published	01/31/2024	What grades of murmurs are never innocent?
Published	01/31/2024	If you hear a click sound after S1 while listening to a clients heart, what does this mean?
Published	01/31/2024	If you hear a snap that is high pitched while listening to a clients heart, what does this mean?
Published	01/31/2024	What is some preventative and patient teaching health related to cardiac issues?
Published	01/31/2024	When assessing the blood vessels, what should you be inspecting and palpating?
Published	01/31/2024	What are some expected findings when palpating and inspecting the carotid artery?
Published	01/31/2024	What are some abnormal findings while palpating and inspecting the carotid artery?
Published	01/31/2024	Where is it the best place to assess the jugular vein?
Published	01/31/2024	high-pressure system with several palpable pulse sites
Published	01/31/2024	low-pressure system with valves to prevent backflow caused by gravity
Published	01/31/2024	If you take a patients BP and the variation between arms is greater than 15 mmHg what could this be a sign of?
Published	01/31/2024	When assessing peripheral vascular disease what should you inspect?
Published	01/31/2024	When assessing peripheral vascular disease what should you assess while palpating?
Published	01/31/2024	When would someone assess a femoral pulse?
Published	01/31/2024	When assessing the dorsalis pedis and posterior tibial pulse, how should you assess?
Published	01/31/2024	What are the 5 signs of occlusions (blockage)?
Published	01/31/2024	What is DVT?
Published	01/31/2024	What are good ways to prevent DVT and PE?
Published	01/31/2024	Superficial veins that become dilated especially when the legs are in a dependent position
Published	01/31/2024	Compression socks are commonly worn by?
Published	01/31/2024	Inflammation of a vein that occurs commonly after trauma to the vessel wall, infection, immobilization and prolonged insertion of IV catheters
Published	01/31/2024	What are some signs of phlebitis?
Published	01/31/2024	What are some expected changes with aging related to cardiac and blood vessels?
Published	01/31/2024	When doing an eye assessment, what is the abbreviation used to do your assessment?
Published	01/31/2024	When auscultating the lungs, what is the loud, high pitched expiration longer than inspiration over the trachea sound?
Published	01/31/2024	When auscultating the lungs, what is the soft, low pitched breezy sound of inspiration three times longer than expiration over most of the peripheral …
Published	01/31/2024	What are bruits?
Published	01/31/2024	What are the 3 ways a patient can sit when auscultating the heart?
Published	01/31/2024	Where can you assess for bruits?
Published	01/31/2024	baseline PR interval
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