PCC UNIT 1: SHORT APPLICATION

Chest pain begins with stairs and improves with rest. PQRSTU letter?

P

Pain is described as burning. PQRSTU letter?

Q

Pain spreads from chest to arm. PQRSTU letter?

R

Patient rates pain 9/10. PQRSTU letter?

S

Pain began two hours ago. PQRSTU letter?

T

Patient explains what they think causes the pain. PQRSTU letter?

U

Patient says “my stomach hurts.” Data type?

Subjective

Nurse observes an unsteady gait. Data type?

Objective

One short-term problem involving one body system. Assessment type?

Focused

Patient suddenly becomes unresponsive. Assessment type?

Emergency

A complete picture of past and present health is needed. Assessment type?

Comprehensive

Patient has MRSA. Precaution?

Contact

Patient has tuberculosis. Precaution?

Airborne

Patient is immunocompromised. Environment?

Protective

Bed is high while patient rests. Correct position?

Low

Cluttered patient room. Fall-risk category?

Extrinsic

Altered cognition. Fall-risk category?

Intrinsic

Previous fall. Fall-risk category?

Intrinsic

Patient's call system is out of reach. Correct action?

Place within reach

Patient's floor is wet. Correct action?

Clean spill promptly

Nurse prepares to assess visually. Technique?

Inspection

Nurse determines texture by touch. Technique?

Palpation

Nurse taps the body to produce sounds. Technique?

Percussion

Nurse listens to body sounds. Technique?

Auscultation

Healthy lung percussion sound?

Resonance

Bowel percussion sound?

Tympany

Liver percussion sound?

Dull

Thigh percussion sound?

Flat

High-pitched stethoscope sounds use which part?

Diaphragm

Soft-pitched stethoscope sounds use which part?

Bell

Infant assessment: first nursing adjustment?

Warm hands

Toddler assessment: useful position?

Caregiver's lap

Adolescent assessment: parent present or alone?

Alone

Older adult assessment: what should be adjusted?

Pace

Respirations: patient knows they are being counted. Main concern?

Altered breathing pattern

Patient uses accessory muscles. Finding?

Abnormal respiratory finding

Cold drink before oral temperature. Action?

Wait approximately 15 minutes

Regular radial pulse. Count for how long?

15 seconds

15-second pulse count. Multiply by what?

4