Shared Flashcard Set

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Vital Signs
Review
24
Other
Undergraduate 1
06/16/2014

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Cards

Term
The two other names for the apical pulse?
Definition
PMI or Mitral
Term
This heart sound is at the 5th ICS to the left of the sternal border?
Definition
Tricuspid
Term
True or False..carotid pulses need to be compared bilaterally at the same time?
Definition
False
Term
What position should a nurse assess JVD?
Definition
Semi-fowlers
Term
True or False...During a peripheral assessment, the nurse assesses the chest and abdomen?
Definition
False
Term
What are the two heart sounds of a healthy adult?
Definition
S1 & S2 (lub-dub)
Term
True or False...Heart sounds are heard when the heart valves open?
Definition
False
Term
How long should a nurse listen for bowel sounds before making a determination that there are none?
Definition
5 minutes
Term
This heart sound is at the 2nd ICS to the right of the sternal border?
Definition
Aortic
Term
True or False...deep palpation is always completed when assessing the abdomen?
Definition
False. Practical Nurses do not complete deep palpation.
Term
What is the expected Urine output of a healthy adult?
Definition
>/= 30mLs/hour
Term
The order that an assessment of the abdomen should be performed?
Definition
Inspect (look)> Auscultate (listen)> Palpate (feel)
Term
True or False...the dorsalis pedis is found behind the ankle?
Definition
False. On top of the foot between the large toe and second toe.
Term
True or False...short term memory improves with age?
Definition
False
Term
Where is jaundice most noticeable?
Definition
Sclera of eye; mucous membrane and skin
Term
This heart sound is at the 2nd ICS to the left of the sternal border?
Definition
Pulmonic
Term
What is the range of SPO2 in a healthy adult?
Definition
95-100%
Term
The breath sounds heard near the bronchi?
Definition
Bronchovesicular breath sounds
Term
True or False...when listening to lungs, you should auscultate in a zig-zag pattern?
Definition
False. In a box, from side to side
Term
Define and know the following:
-egophony
-tactile fremitus
-bronchophony
-whispered pectoriloquy
Definition
Did you read in your text?
Term
True or False...Physical assessments should be documented by body systems?
Definition
True
Term
This heart sound is at the 5th ICS at the the left midclavicular line?
Definition
Apical
Term
True or False...the BP cuff should be deflated at a rate of 2mmHg per second?
Definition
True. 1 heartbeat = 1 second (usually)
Term
If an irregular pulse is felt, what are the next steps?
Definition
Count for one full minute and take an apical pulse.
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