Ch.26

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SBAR

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SBAR

Situation, Background, Assessment, Recommendation

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

False

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Kinesthetic Communication

touch

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Prone Position

laying on stomach

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Sims Position

patient laying on side with one leg flexed (bent)

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lithotomy position

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

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Supine position

laying on back

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Sitting/Standing

you should know :)

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Dorsal Recumbent Position

patient laying down with knees in air, feet flat

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Fowler semi vs fowler high

fowler high- 60 degrees, fowler semi- 45 degrees

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HEENT

head, eyes, ears, nose, throat

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PERRLA

pupil, equal, round, reactive, light, accomodation

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Assessment Proper Order (not GI/GU)

inspect, palpate, auscultate, percussion (if applicable)

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what abnormal breathing sound sounds like bubbling

crackle

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what abnormal breathing sound sounds creaky/strained

strider

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what abnormal breathing sound sounds like a high pitched whistling

wheeze

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what abnormal breathing sound resembles low pitched wheezing/snoring?

rhonchi

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what normal breathing sound is loud with harsh midrange pitch?

bronchial

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what normal breathing sound is low pitched muffled sounds?

bronchovesicular

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what normal breathing sound is soft and low pitched?

vesicular

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

True

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How many lobes in left lung?

3

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

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

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(health hx) example question of general survey

why are you here today?

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(health hx) Hx of present health problem: OLDCART

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

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(health hx) what is functional health assessment

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

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(health hx) Review of systems reviews what?

head to toe symptoms

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what type of abnormal skin is yellowish?

jaundice

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what time of abnormal skin has redness?

erythema

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what type of abnormal skin is bluish/grey?

cyanosis

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what type of abnormal skin is pale?

pallor

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what type of skin is excessive persperation?

diaphoresis

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what type of abnormal skin is excessively dry?

tenting

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

ecchymosis

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

edema

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what word means checking the mouth for cavities?

dentition

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what GU term means painful or difficult urination?

dysuria

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what abnormal breathing sound sounds like rubbing or grating?

friction rub

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

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what is order of assessment for GI/GU patients?

inspect, auscultate, percuss, palpate

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how many quadrants are there in the abdomen

4 (RUQ, LUQ, RLQ, LLQ)

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how long do you auscultate each of abdomen (GI)

2 mins each

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what types of bowel sounds are there

absent, normoactive, hyperactive

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Difference between GI and GU documentation?

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

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

false

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the front of the hand is called the

palmar

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the back of the hand is called the

dorsum

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

sclera

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

trachea, lymph nodes, thyroid gland, carotid artery

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what part of the mouth should be inspected for ailments?

lips, dentition, buccal mucosa, hard/soft palets

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what parts of the nose should be inspected for illness?

septum deviation, palpation of sinus, can they smell?

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what parts of the ears should be inspected for illness?

inner/outer ear, hearing, balance

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