Physical Assessment Protocol: Respiratory, Cardiovascular, and GI/GU

A set of fill-in-the-blank flashcards covering standard nursing assessment steps for the respiratory, cardiovascular, and gastrointestinal systems.

When performing a respiratory assessment, you must auscultate __________ bilateral sounds anteriorly and posteriorly.

6

Auscultation findings for the respiratory system should be verbalized as clear, __________, or diminished.

wheezing

As part of the airway assessment, the clinician must determine if the airway is __________.

patent

The respiratory assessment includes checking for complaints of __________, wheezing, or coughing.

SOB

Oxygen status assessment involves determining if the patient is on room air, __________, or a mask.

nasal cannula

In a cardiovascular assessment, the five specific areas to auscultate and verbalize are the Aortic Area, Pulmonic Area, __________, Tricuspid Area, and Mitral Area.

Erb's Point

Capillary refill for all 4 extremities is assessed to determine if it is less than or more than __________.

$$3\,seconds$$

When peripheral edema is present, it should be graded from __________.

$0$ to $+4$

Peripheral pulse strength is graded on a scale from __________.

$+1$ to $+4$

The correct order of techniques for a gastrointestinal assessment is inspection, __________, and palpation.

auscultation

Gastrointestinal assessment locations follow the order of __________, RUQ, LUQ, and LLQ.

RLQ

Abdominal inspection results should be verbalized as flat, __________, scarring, or wounds.

distended

Abdominal auscultation results can be categorized as normoactive, hypoactive, __________, or no bowel sounds.

hyperactive

Abdominal palpation results are verbalized as soft, hard, __________, or pain.

tenderness