5 heart sounds Correct Answers aortic: 2nd ICS, right
pulmonic: 2nd ics, left
Erbs point: 3rd ICS, left
Tricuspid: 5th ICS, ledt
Mitral: 5th ICS, LMCL
abnormal lesions Correct Answers primary: result of disease
secondary: develop from primary as a result of continues illness
or exposure to infection
absent bowl sounds Correct Answers no BS heard, must listen
5 min each quadrant
active bowel sounds Correct Answers heard every 5-15
seconds
admission database Correct Answers Chief complaint or reason
for admission
Physical assessment data
Vital signs
Allergy information
Current medications
ADL status and discharge planning information/ needs
Data about client support system and contact information
Airborne precautions Correct Answers pathogens spread by air
currents
,ex: TB, chickenpox, measles
PPE required: gown, gloves, n95 mask
apex of heart Correct Answers s1 sounds heard
apical pulse Correct Answers over apex of the heart
most accurate pulse
over 5th ICS and left MCL line
taken with stethoscope
APIE Correct Answers assessment
plan
intervention
evaluation
apnea Correct Answers absence of breathing
applying/donning PPE Correct Answers hand washing
gown
mask
eyewear
gloves
Approximatley how much fluids does a patient take in per day
Correct Answers 2500-3000mL
600-800 mL in an 8 hour shift
aspects of general survey Correct Answers
appearance/behavior
body type/posture
, speech
grooming/hygiene
vital signs
height, weight
average axillary temp Correct Answers 36.5 C
average oral temp Correct Answers 37 C
average rectal temp Correct Answers 37.5 C
average temporal temp Correct Answers 34.4 C
average tympanic temp Correct Answers 37.5 C
base of heart Correct Answers widest part, site of attachment of
major vessels, s2 sounds heard
blood cultures Correct Answers obtained to identify disease
causing organisms in the blood
type bottles per set
aerobic and anaerobic
bradycardia Correct Answers pulse lower than 60 bpm
bradypnea Correct Answers slow breathing, less than 12