cardiac, GI, and GU

Question 1

the five heart sounds

Answer 1

rhythym, gallop, murmer, rubs, clicks

Question 2

best point to hear a heart murmur

Answer 2

erbs point

Question 3

five places to listen to the heart for specific assessment

Answer 3

aortic, pulmonic, erbs point, tricuspid, mitral (or apical)

Question 4

six questions for cardiac specific

Answer 4

chest pain
chest pressure
radiation, n/v, diaphoresis

Question 5

good cap refill time

Answer 5

2 seconds or less

Question 6

what are you comparing when checking bilateral pulses

Answer 6

strength and regularity

Question 7

what 6 main things are you assessing in a cadiovascular upper assessment

Answer 7

bilateral radial pulses
capillary refill
elbows for skin breakdown
skin turgor on forearm
assess IV sites
IV pag or pump

Question 8

assessment for an IV site

Answer 8

redness
edema
drainage
tenderness
coolness
warmth
dressing is CD&I

Question 9

where do you check skin turgor on babies

Answer 9

abdomen

Question 10

locations for an IV

Answer 10

hand, wrist, forearm, anticubital

Question 11

cardvasc. lower assesses what two pulses

Answer 11

dorsalis pedis and posterior tibial pulse

Question 12

if pt has BKA check what pulse

Answer 12

popliteal

Question 13

if pt has AKA check what pulse

Answer 13

femoral

Question 14

if pulse cannot be palpated…?

Answer 14

look for other S&S of poor blood flow (cyanosis, cap refil)
check with doppler

Question 15

flow of a cardiac lower assessment

Answer 15

uncover legs
remove any TED hose
bilaterally inspect
assess pulses bilaterally
cap refill on toes
check for edema
check calf for warmth or redness
check heels for skin breakdown

Question 16

1 sign of DVT

Answer 16

unilateral edema

Question 17

assessment of incisions

Answer 17

OREEDA
odor
redness
edema
ecchymosis
drainage
approximation

Question 18

give medication or tx for pain within …?

Answer 18

15 minutes

Question 19

report critical abnls when

Answer 19

immediately