Term
| The two other names for the apical pulse? |
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Definition
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Term
| This heart sound is at the 5th ICS to the left of the sternal border? |
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Definition
|
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Term
| True or False..carotid pulses need to be compared bilaterally at the same time? |
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Definition
|
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Term
| What position should a nurse assess JVD? |
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Definition
|
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Term
| True or False...During a peripheral assessment, the nurse assesses the chest and abdomen? |
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Definition
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Term
| What are the two heart sounds of a healthy adult? |
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Definition
|
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Term
| True or False...Heart sounds are heard when the heart valves open? |
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Definition
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Term
| How long should a nurse listen for bowel sounds before making a determination that there are none? |
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Definition
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Term
| This heart sound is at the 2nd ICS to the right of the sternal border? |
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Definition
|
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Term
| True or False...deep palpation is always completed when assessing the abdomen? |
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Definition
| False. Practical Nurses do not complete deep palpation. |
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Term
| What is the expected Urine output of a healthy adult? |
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Definition
|
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Term
| The order that an assessment of the abdomen should be performed? |
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Definition
| Inspect (look)> Auscultate (listen)> Palpate (feel) |
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Term
| True or False...the dorsalis pedis is found behind the ankle? |
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Definition
| False. On top of the foot between the large toe and second toe. |
|
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Term
| True or False...short term memory improves with age? |
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Definition
|
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Term
| Where is jaundice most noticeable? |
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Definition
| Sclera of eye; mucous membrane and skin |
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Term
| This heart sound is at the 2nd ICS to the left of the sternal border? |
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Definition
|
|
Term
| What is the range of SPO2 in a healthy adult? |
|
Definition
|
|
Term
| The breath sounds heard near the bronchi? |
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Definition
| Bronchovesicular breath sounds |
|
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Term
| True or False...when listening to lungs, you should auscultate in a zig-zag pattern? |
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Definition
| False. In a box, from side to side |
|
|
Term
Define and know the following:
-egophony
-tactile fremitus
-bronchophony
-whispered pectoriloquy |
|
Definition
| Did you read in your text? |
|
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Term
| True or False...Physical assessments should be documented by body systems? |
|
Definition
|
|
Term
| This heart sound is at the 5th ICS at the the left midclavicular line? |
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Definition
|
|
Term
| True or False...the BP cuff should be deflated at a rate of 2mmHg per second? |
|
Definition
| True. 1 heartbeat = 1 second (usually) |
|
|
Term
| If an irregular pulse is felt, what are the next steps? |
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Definition
| Count for one full minute and take an apical pulse. |
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