CORRECT ANSWERS GRADED A+
Health assesment - Answer-Point of entry, to data formulate a diagnosis, plan
intervention, measure evaluation
Objective - Answer-What nurse observes
Subjective - Answer-What patient says
Organization of note - Answer-General to specific, highlight remarkable findings
Soap - Answer-Subjective
Objective
Assessment
Plan
Exam - Answer-1. Inspection
2. Palpation
3. Percussion
4. Auscultation
Palpation - Answer-Temp, tenderness, moisture, rigidity, strength, masses, crepitation
Percussion - Answer-Shape, location, size, density, tenderness, reflec
General survey components - Answer-Apparent state of health, physical appearance,
body habitus, structure, mobility, behavior
Physical appearance
Components - Answer-Age, gender, loc, skin, position
Mobility - Answer-Gait, speech, rom
Behavior - Answer-Facial, affect, speech, groomed, odor
Body structure - Answer-Stature, symmetry, posture, body build
Vital signs - Answer-Temp, pulse, respiration, bp, pain, o2
, Temp - Answer-Oral, rectal, scull art, Tm
Pulse - Answer-Pressure wave of ventricle contraction, rate rhythm
Pulse sites - Answer-Radial, pedal, carotid, popliteal, posterior tibial
Pulse force measure - Answer-3+, 2+, 1+, 0
Respirations - Answer-12-20
Rinne exam - Answer-Ac>bc
Webber exam - Answer-Bilateral hearing
External ear inspection - Answer-Edema, lesions, pigment, injury
Blood pressure - Answer-Pressure at which the blood is flowing through the arteries in
order to perfuse the entire body
Causes of bp variation - Answer-Body size, age, gene pool, stress, exercise
Bp do's - Answer-Patient at rest bare arm at heart level, proper cuff size, bell
Orthostatic bp - Answer-Lying sitting standing causes bp and hr to change
Pain - Answer-Noxious stimulation felt by patient
Nociception - Answer-Process of pain perception via transduction, transmission,
perception, modulation
Sources of pain - Answer-Visceral (large organs), deep somatic (tissue), cutaneous
(skin) , neuropathic (Nerves), referred (pain felt in diff part).
Acute pain - Answer-Short term and self limiting
Chronic pain - Answer-More than 6 month
OLD Carts - Answer-Onset
Location
Duration
Character
Alleviating:aggravating
Radiation
Timing
Severity