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[Show more]Nurse Patrick is acquiring information from a client in the emergency department. Which is an example of biographic information that may be obtained during a health history? 
Location of an advance directive 
 
 
 
During the nursing assessment, which data represent information concerning health bel...
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Add to cartNurse Patrick is acquiring information from a client in the emergency department. Which is an example of biographic information that may be obtained during a health history? 
Location of an advance directive 
 
 
 
During the nursing assessment, which data represent information concerning health bel...
How do we perform light palpation on the abdomen? 
use first 4 fingers to depress the skin about 1 cm inside and move it in a rotation motion, clockwise. 
 
 
 
GI assessment order 
inspect, auscultate, percuss, palpate 
 
 
 
Why do we listen before we palpate the abdomen? 
so we do not disrupt or ...
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Add to cartHow do we perform light palpation on the abdomen? 
use first 4 fingers to depress the skin about 1 cm inside and move it in a rotation motion, clockwise. 
 
 
 
GI assessment order 
inspect, auscultate, percuss, palpate 
 
 
 
Why do we listen before we palpate the abdomen? 
so we do not disrupt or ...
Subjective Information 
What the client tells you 
 
 
 
Objective Information 
What you measure or observe 
 
 
 
Open Ended Questions 
Allows for the collection for more information for the client to elaborate on their symptoms or concerns. 
 
 
 
Closed Ended Questions 
Allows for a yes or no ans...
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Add to cartSubjective Information 
What the client tells you 
 
 
 
Objective Information 
What you measure or observe 
 
 
 
Open Ended Questions 
Allows for the collection for more information for the client to elaborate on their symptoms or concerns. 
 
 
 
Closed Ended Questions 
Allows for a yes or no ans...
Lordosis 
abnormal anterior curvature of the lumbar spine (sway-back condition) 
 
 
 
Kyphosis 
excessive outward curvature of the spine, causing the hunching of the back. 
 
 
 
Scoliosis 
abnormal lateral curvature of the spine 
 
 
 
Active ROM 
Is movement initiated and completed by the patient...
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Add to cartLordosis 
abnormal anterior curvature of the lumbar spine (sway-back condition) 
 
 
 
Kyphosis 
excessive outward curvature of the spine, causing the hunching of the back. 
 
 
 
Scoliosis 
abnormal lateral curvature of the spine 
 
 
 
Active ROM 
Is movement initiated and completed by the patient...
Expected findings when you auscultate the heart 
Will listen in 5 places. Normal sounds are s1,s2 with the s2 sound being heard more on right side of heart and s1 more on the left side. Apical pulse should be felt near the mitral valve in the 4th/5thintercostal space. 
 
 
 
Apical pulse is heard at...
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Add to cartExpected findings when you auscultate the heart 
Will listen in 5 places. Normal sounds are s1,s2 with the s2 sound being heard more on right side of heart and s1 more on the left side. Apical pulse should be felt near the mitral valve in the 4th/5thintercostal space. 
 
 
 
Apical pulse is heard at...
Types of Charts used for eye exams 
snellen and jaeger 
 
 
 
What does 20/20 vision mean? 
What a person with perfect vision can see at 20 feet, you can also see at 20 feet 
 
 
 
What does 20/50 vision mean? 
A child standing 20 feet away from an eye chart can see it as well as an adult (or someon...
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Add to cartTypes of Charts used for eye exams 
snellen and jaeger 
 
 
 
What does 20/20 vision mean? 
What a person with perfect vision can see at 20 feet, you can also see at 20 feet 
 
 
 
What does 20/50 vision mean? 
A child standing 20 feet away from an eye chart can see it as well as an adult (or someon...
Why do we use functional assessments and what do they tell us? 
We use it to assess persons ability to accomplish skills, to determine optimal living situation (ex: no ADL's maybe SNF) 
 
 
 
Define ADL's 
basic daily tasks of fundamental living, such as toileting or grooming 
 
 
 
Define IADL's...
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Add to cartWhy do we use functional assessments and what do they tell us? 
We use it to assess persons ability to accomplish skills, to determine optimal living situation (ex: no ADL's maybe SNF) 
 
 
 
Define ADL's 
basic daily tasks of fundamental living, such as toileting or grooming 
 
 
 
Define IADL's...
Why do we use functional assessments and what do they tell us? 
We use it to assess persons ability to accomplish skills, to determine optimal living situation (ex: no ADL's maybe SNF) 
 
 
 
Define ADL's 
basic daily tasks of fundamental living, such as toileting or grooming 
 
 
 
Define IADL's...
Preview 2 out of 7 pages
Add to cartWhy do we use functional assessments and what do they tell us? 
We use it to assess persons ability to accomplish skills, to determine optimal living situation (ex: no ADL's maybe SNF) 
 
 
 
Define ADL's 
basic daily tasks of fundamental living, such as toileting or grooming 
 
 
 
Define IADL's...
Subjective Data 
is what the patient reports to you 
 
 
 
Examples of Subjective Data 
Pain score, dizziness, fatigue 
 
 
 
Objective Data 
is measurable and obtainable by the examiner 
 
 
 
Examples of Objective Data 
vital signs, rashes 
 
 
 
What components are in the complete health history?...
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Add to cartSubjective Data 
is what the patient reports to you 
 
 
 
Examples of Subjective Data 
Pain score, dizziness, fatigue 
 
 
 
Objective Data 
is measurable and obtainable by the examiner 
 
 
 
Examples of Objective Data 
vital signs, rashes 
 
 
 
What components are in the complete health history?...
Where can bronchial sounds be heard? 
Over the trachea. It is loud, harsh, and usually upon expiration 
 
 
 
What type of adventitious sound is created by narrowing of the bronchi? 
Wheezes 
 
 
 
·What does a rhonchi finding represent? 
There is inflammation in the lung due to an obstruction or o...
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Add to cartWhere can bronchial sounds be heard? 
Over the trachea. It is loud, harsh, and usually upon expiration 
 
 
 
What type of adventitious sound is created by narrowing of the bronchi? 
Wheezes 
 
 
 
·What does a rhonchi finding represent? 
There is inflammation in the lung due to an obstruction or o...
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