Term
|
Definition
1. color
2. texture
3. distribution
|
|
|
Term
| Assessing the integumentary system |
|
Definition
|
|
Term
|
Definition
1. color
2. characteristics
-temp
-moisture
-texture
-turgor
-edema |
|
|
Term
|
Definition
Pupils:
Equal
Round
Reactive to Light
Accommodation (RN can't do) |
|
|
Term
|
Definition
1. bronchial
2. bronchovesicular
3. besicular breath sounds |
|
|
Term
| This is a longer expiration and shorter inspiration |
|
Definition
|
|
Term
| this is equal inspiration and expiration |
|
Definition
|
|
Term
| this is longer inspiration and shorter expiration |
|
Definition
|
|
Term
| If you ask the pt to say "99" and it lungs sound Muffled its_________ and if it sound clear its ________ |
|
Definition
Bronchophony:
norma and indicates consolidation (fluid) |
|
|
Term
| when you ask the pt to whisper something. If it's muffled its _____ if it's loud and clear it's ______ |
|
Definition
Whispered pectoriloquy
normal or inicates consolidation (fluid) |
|
|
Term
| Ask the pt to say "E" if it sounds muffled it's _____ , if it sounds like an "A" it's______ |
|
Definition
Egophony
normal, indicates consolidation (fluid) |
|
|
Term
| Point of maximal impulse (PMI) |
|
Definition
| Apex of heart (mitral) Located 5th ICS midclavicular line |
|
|
Term
| Auscultate the heart in what order |
|
Definition
aortic
pulmonic
tricuspid
mitral |
|
|
Term
Location of auscultation of lungs
-Bronchial
-Bronchovesicular
-Vesicular
|
|
Definition
-Over the trachea (anterior) nape of neck (posterior)
-1st and 2nd ICS adjacent to sternum (ant) between scapula (post)
-over lung fields |
|
|
Term
| Jugular Venous Distention (JVD) is seen when: |
|
Definition
| The right side of the heart is congested because of inadequate pump function (best position is semi-Fowlers) |
|
|
Term
Cranial Nerves:
i
ii
iii
iv
v
vi
vii
viii
ix
x
xi
xii |
|
Definition
olfactory
optic
oculomotor
trochlear
trigeminal
abducens
facial
auditory
glossopharyngeal
vagus
spinal accessory
hypoglossal |
|
|
Term
| function of olfactory nerve and type of nerve |
|
Definition
|
|
Term
| function of optic nerve and type |
|
Definition
|
|
Term
| function and type of oculomotor nerve |
|
Definition
| EMO/Pupil constriction; motor |
|
|
Term
| function and type of trochlear nerve |
|
Definition
|
|
Term
| function and type of trigeminal (3 branch) nerve |
|
Definition
| Corneal reflex, scalp, teeth, jaw movement, facial sensation; Both |
|
|
Term
| Function and type of abducens nerve |
|
Definition
|
|
Term
| Function and type ofo facial nerve |
|
Definition
| facial movement, taste; both |
|
|
Term
| function and type of auditory nerve |
|
Definition
| hearing/equalibrium; sensory |
|
|
Term
| function and type of glossopharyngeal nerve |
|
Definition
| Swallowing, gag, tonge movement, taste, secretion of saliva; both |
|
|
Term
| function and type of vagus nerve |
|
Definition
| sensation of pharynx/larynx, motor activity of swallowing,, vocal cords, cardiac/respiratory (bp/digestive secretions); both |
|
|
Term
| function and type of spinal accessory nerve |
|
Definition
head movement, sholder elevation, speaking (larynx);
motor |
|
|
Term
| function and type of hypoglossal nerve |
|
Definition
| movement of tounge; motor |
|
|
Term
| 4 techniques of assessing (in correct order) |
|
Definition
inspection
auscultation
percussion
palpation |
|
|
