FINAL EXAM

normal finding

abnormal finding

ability to identify an object in hand without seeing it

looking directly into eye with the light

pupils are consenting with eachother

pupils dilate in the distance with item moving toward the eye

which situation will result in death the quickest

no

conscious/talking and A&O x3

olfactory

smell

optic

vision

oculomotor

eye movement

trochlear

eye movement

trigmeninal

facial movement

abducens

eye movement

facial

facial movement

auditory

hearing

glossopharyngeal

tongue and uvula movement

vagus

tongue and uvula movement

accessory

head and shoulders

hypoglossal

tongue movement

I, II, VIII

III, IV, VI, XI, XII

V, VII, IX, X

stomach small intestine colon bladder gallbladder

liver kidneys pancreas spleen uterus ovaries

blood in the stool

difficulty swallowing

inspection, auscultation, palpation

color, contour, lesions, general appearance

carotid and aortic arteries

1.5-2 inches

in the problem area

discomfort in the peritoneam

occlusion

whooshing sound

crunching sound in the joints

A: carry oxygenated blood to organs/tissues V: deliver deoxygenated blood to the heart

A: away from heart V: to heart

A: thick. elastic walls to withstand high pressure V: one way valves, thinner walls, large diameter

A: sharp, stabbing V: aching, dull

A: exercise and elevation V: standing or sitting for long periods of time

A: dangling legs, stop exercise V: elevate legs or walk

A: pale V: rust color

A: none V: yes

A: ulcers on toes/feet. pale coloring with well defined edges. no bleeding, deep V: bleeding, uneven edges, not deep

A: cool, shiny, no hair V: thick, brown discoloration

A: weak/absent V: normal unless there is edema

where heart sounds are most clear aka the apical pulse

tricuspid and mitral

aortic and pulmonic

ventricles have contracted which open up the semilunar valves and blood moves into the aorta

The ventricles now filled with blood have increased pressure and force closed the AV valves

pressure is falling and SL valves close

ventricles relax and AV valves open to fill ventricles with blood

R Atrium Tricuspid valve R ventricle Pulmonic valve Pulmonary artery Lungs Pulmonary vein L Atrium Mitral valve L ventricle Aortic valve Aorta

sit supine

aortic pulmonic erbs point tricuspid mitral

pregnant and obese people

lub dub sound

ventricular failure

long standing hypertension and MI

an abnormal condition with turbulent blood flow and collision of currents

gentle swooshing or blowing

objective: what we can see and measure subjective: symptoms, what patient is reporting to us

dry skin, sticky mucous membranes, tenting of skin

temp turgor texture color lesions edema moisture

temp: use back of hands texture: use palms of hands

macules (freckles) papules cyst vesicles pustule nodule

localized injuries to the skin/tissue at bony prominences

redness non-blanching skin skin is still intact

skin is broken abrasion/blister shallow crater

full thickness subQ tissue extends to fascia deep crater

full thickness lost extensive destruction tissue necrosis

assess patient's risk of developing pressure ulcers

sensory perception moisture activity mobility nutrition friction and shear

9 or less

19-23

less than 2 seconds

curved spine when bending forward

humpback

spine curves forward seen with pregnancy and protruberant abdomens

abduction: move limb away from body adduction: move limb towards body

5: full ROM, full resistance 4: full ROM, moderate resistance 3: possible movement, no resistance 2: possible movement, not against gravity 1: feel muscle contraction, no movement 0: no muscle contraction

equal bilaterally

position vibration stereognosis graphestesia

temp pain light touch

dress/grooming/hygeine facial expression level of consciousness orientation x3 short term memory long term memory speech intellectual performance judgement abstract reasoning