Term
| Fire Extinguished: Class A |
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Definition
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Term
| Fire Extinguished: Class B |
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Definition
| flammable liquids and gas |
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Term
| Fire Extinguished: Class C |
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Definition
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Term
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Definition
Addresses needs of healthy pts to promote healthy and prevent disease w/specific protections
-->immunization programs, car seat education, nutrition/fitness activities, health education schools |
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Term
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Definition
Early identification of individuals or communities experiencing illness, providing treatment, and conducting activities that are geared to prevent a worsening health status
-->communicable disease screening, early detection + treatment of diabetes, exercise programs for adults clients who are frail |
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Term
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Definition
Prevent long-term consequences of chronic illness or disability and to support optimal function
-->prevention of pressure ulcers as a complication of spinal cord injury, promoting independence for the patient who has traumatic brain injury |
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Term
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Definition
Demonstrates head lag
Present grasp reflex |
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Term
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Definition
Lifts head off mattress
Holds hands in open position |
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Term
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Definition
Raises head and shoulders off mattress
No longer has grasp reflex,keeps hands loosely open |
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Definition
Rolls back to side
Places objects in mouth |
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Definition
Rolls front to back
Uses palmar grasp dominantly |
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Definition
Rolls back to front
Holds bottle |
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Definition
Bears full weight on feet
Moves objects from hand to hand |
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Definition
sits unsupported
begins using pincer grasp |
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Term
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Definition
pulls to standing position
has crude pincer grasp |
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Term
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Definition
Changes from prone to sitting
grasps ratle by handle |
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Term
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Definition
Walks while holding onto someone
Can place objects into a container |
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Term
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Definition
Sits down from standing position without assistance
Tries to build 2 block tower w/out success |
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Term
| Infants - appropriate activities |
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Definition
have short attention spans, do NOT interact w/other children during play = SOLITARY PLAY!
toys - rattles, mobiles, teething, balls |
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Term
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Definition
Walks w/out help. Creeps up stairs
Uses cup well, builds tower of two blockes |
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Term
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Definition
Assumes standing position. Jumps in place with both feet
Manages spoon w/out rotation. Turns pages in book 2 or 3 at a time |
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Term
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Definition
Walks up and down stairs
Builds tower with 6/7 blocks |
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Definition
Jumps w/both feet, stands on one foot momentarily
draws circles, has good hand-finger coordination |
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Definition
Rides tricycle
jumps off bottom step
stands on one foot for few seconds |
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Term
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Definition
| Skips and hops on one foot, throws ball overhead |
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Term
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Definition
Jumps rope
Is capable of walking backward w/heel to toe
Moves up and down stairs easily |
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Term
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Definition
| transfer of heat from body to directly to another surface |
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Term
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Definition
| Dispersion heat by air currents (wind blown across skin) |
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Term
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Definition
| Dispersion of heat through water vapor (sweating) |
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Term
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Definition
| Transfer of heat from object to object w/out contact btw them (heat lost from body in cold room) |
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Term
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Definition
| 36 - 38 C / 96.8 - 100.4 F (Avg 37 C/ 98.6 F) |
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Term
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Definition
| .5 C/ .9 f HIGHER THAN ORAL |
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Term
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Definition
| .5 C/ .9F lower than oral |
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Term
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Definition
| close to rectal, nearly .5 C higher than oral and 1 C higher than axillary |
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Term
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Definition
| 36.5 - 37.5 (97.7 - 99.5 F) |
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Term
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Definition
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Term
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Definition
| exchange of oxygen and carbon dioxide in lungs (measure with resp rate, rhythm, and depth) |
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Term
| Diffusion - def + how do you measure it? |
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Definition
exchange of oxygen and carbon dioxide between alveoli and RBC.
-->measure w/pulse ox |
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Term
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Definition
flow of blood to and from pulmonary capillaries.
Measure with pulse ox |
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Term
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Definition
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Term
| Respiration: Schoolage - 20 - 30/min |
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Definition
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Term
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Definition
| diaphragm - the abdomen movements are more noticeable |
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Term
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Definition
| Use thorax muscles, chest movements more pronounced when breathe |
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Term
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Definition
| tachycardia, tachypnea, restlessness, anxietym cyanosis |
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Term
Hypertension:
Normal
Prehypertension
Stage 1
Stage 2 |
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Definition
Normal: <120 <80
Pre: 120-139 / 80 - 89
Stage 1: 140 - 159 / 90 - 99
Stage 2 : >160 > 100 |
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Term
| Blood pressure diagnosis made.. |
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Definition
| upon 3 occasions over several weeks |
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Term
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Definition
< 90 mmHG (systolic)
result of fluid depletion, heart failure, vasodilation |
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Term
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Definition
| Systolic blood pressure decreases more than 20 OR diastolic blood pressure decreases more than 10 with a 10 - 20% increase in HR |
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Term
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Definition
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Term
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Definition
| 80% of arm circumference in adult, 100% of child |
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Term
| When to assess apical pulse? |
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Definition
| HR of infant, rapid rates (faster than 100), irregular rhythms, and rates prior to administration of cardiac drugs |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| Oculomotor - moves eyes in all directions except inward, outward, and downward |
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Term
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Definition
| Trochlear - moves eyes down and in |
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Term
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Definition
| Trigeminal - 3 branches - sensation to face, cornea, and scalp. opens jaw against resistance |
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Term
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Definition
| Abducens - eyes move outward |
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Term
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Definition
| Facial - moves face, taste |
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Term
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Definition
| Acoustic/ vestibulocochlear - hearing and balance |
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Term
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Definition
| Glossopharyngeal - moves pharyxn (swallow, speech, gag) |
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Term
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Definition
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Term
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Definition
| Accessory - (spinal) turns heads and elevates shoulders |
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Term
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Definition
| Hypoglossal - moves tongue |
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Term
| To test for myopia you use what chart? |
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Definition
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Term
| To test for presbyopia you use what chart? |
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Definition
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Term
| To assess for color vision, you use what? |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| jerky/tremor-like movements of eye |
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Term
| Screen for strabismus with what test? |
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Definition
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Term
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Definition
Closure of mitral and tricuspid valves (beginning ventricle systole)
heard best at diaphragm at apex |
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Term
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Definition
Closur of aortic and pulmonic - beginning ventricle diastole,
HEARD BEST with diaphragm of steth at apex |
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Term
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Definition
Ventricular gallop - produced by rapid ventricular filling and can be a normal finding in children + young adults.
Best heard w/bell of steth |
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Term
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Definition
Produced by strong atrial contraction and can be normal finding in older and athletic adults and children.
Best heard w/ bell of steth |
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Term
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Definition
| Right of sternum at 2nd ICS |
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Term
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Definition
| Just left of sternum at 2nd ICS |
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Term
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Definition
| Just left of sternum at 4th ICS |
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Term
| Auscultation: Apical/mitral |
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Definition
| left midclavicular line at 5th ICS |
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Term
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Definition
| loud, high pitched, expiration greater than inspiration |
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Term
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Definition
| medium pitch + intensity, = inspiration and expiration |
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Term
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Definition
soft, low pitched - inspiration longer than exp
(peripheral areas over lungs) |
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Term
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Definition
| fine, coarse popping heard as air passes through or reexports collapsed small airways |
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Term
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Definition
high pitched whistling musical sounds heard as air passes through narrowed or obstructed airways
*louder on expiration |
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Term
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Definition
| coarse sounds heard during inspiration or expiration resulting from fluid or mucus, clears w/coughing |
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Term
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Definition
| percussion sound over abdomen |
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Term
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Definition
| heard over percussion of liver (organs) |
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Term
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Definition
| expected percussion sound over thorax |
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Term
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Definition
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Term
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Definition
| Responsive and able to fully respond by opening eyes and attending a normal tone of voice and speech. Answers q's spontaneously and appropriately |
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Term
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Definition
| opens eyes and responds but drowsy and falls asleep readily |
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Term
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Definition
| Needs to be shaken lightly to respond, confused + slow to respond |
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Term
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Definition
| Requires painful stimuli (pinching tendon/rubbing sternum) to achieve brief respnse, may or may not be able to respond verbally |
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Term
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Definition
| No response to repeated stimuli, abnormal posture |
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Term
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Definition
| Flexion + internal rotation of upper extremity joints and legs |
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Term
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Definition
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Term
Which statement regarding heart sounds is correct?
a. S1 and S2 sound equally loud over the entire cardiac area.
b. S1 and S2 sound fainter at the apex
c. S1 and S2 sound fainter at the base
d. S1 is loudest at the apex, and S2 is loudest at the base |
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Definition
| d - s1 loudest at apex, s2 loudest at base |
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Term
12. A female client is readmitted to the facility with a warm, tender, reddened area on her right calf. Which contributing factor would the nurse recognize as most important?
a. A history of increased aspirin use
b. Recent pelvic surgery
c. An active daily walking program
d. A history of diabetes |
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Definition
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Term
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Definition
Normal Results
4,500-10,000 white blood cells per microliter (mcL). |
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