Ch.26

SBAR

Situation, Background, Assessment, Recommendation

T/F: You may rely on family or friends of the patient to translate for the patient

False

Kinesthetic Communication

touch

Prone Position

laying on stomach

Sims Position

patient laying on side with one leg flexed (bent)

lithotomy position

a position lying on your back with knees bent and thighs apart; assumed for vaginal or rectal examination

Supine position

laying on back

Sitting/Standing

you should know :)

Dorsal Recumbent Position

patient laying down with knees in air, feet flat

Fowler semi vs fowler high

fowler high- 60 degrees, fowler semi- 45 degrees

HEENT

head, eyes, ears, nose, throat

PERRLA

pupil, equal, round, reactive, light, accomodation

Assessment Proper Order (not GI/GU)

inspect, palpate, auscultate, percussion (if applicable)

what abnormal breathing sound sounds like bubbling

crackle

what abnormal breathing sound sounds creaky/strained

strider

what abnormal breathing sound sounds like a high pitched whistling

wheeze

what abnormal breathing sound resembles low pitched wheezing/snoring?

rhonchi

what normal breathing sound is loud with harsh midrange pitch?

bronchial

what normal breathing sound is low pitched muffled sounds?

bronchovesicular

what normal breathing sound is soft and low pitched?

vesicular

T/F: barrel chest is of hyper-inflated lungs

True

How many lobes in left lung?

3

(Health hx - hx means history) what is an example of biographical data?

insurance, name, address, birthday, ... any answer is correct

(health hx) example question of general survey

why are you here today?

(health hx) Hx of present health problem: OLDCART

onset, location, duration, characteristics, associating factors, radiate, time

(health hx) what is functional health assessment

evaluation of patients capacity (mental/physical) to do day-to-day things

(health hx) Review of systems reviews what?

head to toe symptoms

what type of abnormal skin is yellowish?

jaundice

what time of abnormal skin has redness?

erythema

what type of abnormal skin is bluish/grey?

cyanosis

what type of abnormal skin is pale?

pallor

what type of skin is excessive persperation?

diaphoresis

what type of abnormal skin is excessively dry?

tenting

what type of abnormal skin has bleeding under the skin causing bruising?

ecchymosis

what type of abnormal skin is swollen because of fluid trapped underneath?

edema

what word means checking the mouth for cavities?

dentition

what GU term means painful or difficult urination?

dysuria

what abnormal breathing sound sounds like rubbing or grating?

friction rub

continuing: cranial nerves, genital assessments, breast exam, heart sounds, pericardium, coma scale, ....

what is order of assessment for GI/GU patients?

inspect, auscultate, percuss, palpate

how many quadrants are there in the abdomen

4 (RUQ, LUQ, RLQ, LLQ)

how long do you auscultate each of abdomen (GI)

2 mins each

what types of bowel sounds are there

absent, normoactive, hyperactive

Difference between GI and GU documentation?

both check diet and bowel sounds, but GU checks bladders, genitals, and periods

T/F: when doing an eye pen-light exam, only one eye should respond to the light at a time

false

the front of the hand is called the

palmar

the back of the hand is called the

dorsum

what part of the eye should we pay attention to for redness?

sclera

what parts of the neck need to be inspected for swelling/possible infection

trachea, lymph nodes, thyroid gland, carotid artery

what part of the mouth should be inspected for ailments?

lips, dentition, buccal mucosa, hard/soft palets

what parts of the nose should be inspected for illness?

septum deviation, palpation of sinus, can they smell?

what parts of the ears should be inspected for illness?

inner/outer ear, hearing, balance