NUR 160 PN Lab Packet Study Guide with Correct Solutions

NUR 160 PN Lab Packet Study Guide with Correct Solutions heart sounds point - Answer️️ -aortic, pulmonic, erb's point, tricuspid, mitral location of aortic valve - Answer️️ -2nd intercostal space, right sternal border What location is #1 - Answer️️ -Aortic valve Sound heard Aortic Valve - Answer️️ -s2 "Dub" in Lub dub location of pulmonic valve - Answer️️ -2nd intercostal space, left sternal border What location is #2 - Answer️️ -Pulmonic valve Sound heard Pulmonic Valve - Answer️️ -s2 "Dub" (Heard loudest) in Lub Dub Location of Erb's point - Answer️️ -3rd intercostal space, left sternal border What location of #3 - Answer️️ -Erbs point ©SOPHIABENNETT@ Sunday, August 18, 2024 6:00 PM Page 2 of 17 What heart point can you hear Heart murmurs - Answer️️ -Erbs Point what location is #4 - Answer️️ -Tricuspid valve location of tricuspid valve - Answer️️ -4th intercostal space, left sternal border Sound heard Tricuspid valve - Answer️️ -s1 "Lub" in Lub Dub Location of Mitral/Apical Valve - Answer️️ -5th intercostal space, left sternal border, mid clavicular what location is #5 - Answer️️ -Mitral/ Apical Pulse Sound heard mitral/apical pulse - Answer️️ -s1 "Lub" (Heard Loudest) in Lub Dub bronchial sounds - Answer️️ -loud,harsh, high-pitched sounds heard over the trachea Where are bronchial sounds heard? - Answer️️ -19-20 anteriorly broncho-vesicular sounds - Answer️️ -mid rang sounds ©SOPHIABENNETT@ Sunday, August 18, 2024 6:00 PM Page 3 of 17 Where are broncho-vesicular sounds Heard? - Answer️️ -1-6 posterior, 21 & 22 anteriorly vesicular sounds - Answer️️ -soft lowest pitch (harder to hear) Steps in assessing the abdomen - Answer️️ -1.) Inspect 2.) Auscultate 3.) Palpete Where do you start when assessing abdomen? - Answer️️ -RLQ and go clock wise Bowel sounds : Normal active - Answer️️ -5-15 per sec OR 5-30 per min Bowel Sounds: Hyperactive - Answer️️ -more then 30 per min Bowel Sounds: Hypoactive - Answer️️ -Less then 5 per min Bowel Sounds: Absent - Answer️️ -No sounds reported in 2-5 min 10 pulse sites - Answer️️ -1. Temporal 2. Carotid 3. Apical ©SOPHIABENNETT@ Sunday, August 18, 2024 6:00 PM Page 4 of 17 4. Brachial 5. Radial (thumb) 6. Ulnar (pinky) 7. Femoral 8. Popliteal 9. Posterior tibial 10. Dorsalis pedis PERRLA - Answer️️ -pupils equal, round, reactive to light and accommodation How should pt be position for NG - Answer️️ -Up right for optimal neck/stomach alignment What should you examine before inserting NG - Answer️️ -Nostrils for deformity, obstructions How should you measure Ng - Answer️️ -nostril to earlobe, then to xiphoid process ©SOPHIABENNETT@ Sunday, August 18, 2024 6:00 PM Page 5 of 17 What should you do after insertion of Ng - Answer️️ -Verify placement x- ray What allergies should you keep in mind when instering Foley - Answer️️ -Allergy to iodine General Guidelines for diagnostics examination - Answer️️ -- Pt Vs -Pt level of education -Pt experience with diagnostic testing Factors that interfere with accurate examinations or nullify r