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nursing process - (answer)assess
diagnose
outcome/planning
implement
evaluate
techniques of physical assessment - (answer)inspection
palpation
percussion
auscultation
start physical assessment with - (answer)general survey assess for
-appearance
-behavior
-height/weight/BMI
-nutritional status
-waist circumference which can indicate obesity
when assessing the integumentary system you are looking for - (answer)erythema - indicating
fever/inflammation
cyanosis - indicating O2 loss
jaundice - ^ billiruben
pallor - low on blood
ecchymosis
petechiae
lesions
,HESI Mid Curricular Exam Study Guide with All Predictor Terms and Answers Bundled
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integumentary assessment - (answer)palpate for temperature, moisture, turgor, edema
and inspect
adventitious breath sounds - (answer)wheeze - high pitch indicating airway obstruction
crackles - bubbling on in/ex
stridor - harsh high pitch sound on inhale
ronchi - sonourus , coarse low pitch
friction rub
extra heart sounds - (answer)s3-normal in children
s4- normal in older adults
order to listen to heart sounds - (answer)APETM
aortic, pulmonic, erbs point, tricuspid, mitral
assessing the abdomen what order - (answer)inspect
auscultate
percussion
palpate
bowel sounds should occur - (answer)every 5-35 seconds
gurgling
if no sounds for 5 minutes = silent ileus
bruits - (answer)abnormal bowel sound auscultated during abdominal assessment sounds like a swishing
noise and indicates obstruction
, HESI Mid Curricular Exam Study Guide with All Predictor Terms and Answers Bundled
together New Updated Version GUARANTEED PASS
neurovascular assessment - (answer)6 P's
1. pain
2. pallor
3. peripheral pulses
4. paresthesia
5. paralysis
6. pressure
cranial nerve 5 - (answer)trigeminal
-motor/sensation
CHEWING
cranial nerve 7 - (answer)facial
SMILE
cranial nerve 9 - (answer)glossopharyngeal
SWALLOWING
cranial nerve 12 - (answer)tongue
STICK YOUR TONGUE OUT AT ME
when to assess VS - (answer)on admission
based on policy
with CHANGE in condition
loss of consciousness
before/after invasive procedure
before/after med admin