Ch 6 Verbal Responses Flashcards

1
Q

The head looks normal

A

Normocephalic

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2
Q

The head looks large

A

Macrocephalic

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3
Q

The head looks small

A

Microcephalic

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4
Q

eyes are normal

A

“Sclera white. Conjunctiva Clear.”

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5
Q

After the light to eyes test

A

“Pupils equal, round, reactive to light directly and consensually”

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6
Q

Nose is normal

A

No congestion or drainage

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7
Q

mouth is normal

A

“mucous membrane moist and pink”. Note if it is pale, jaundice, dry

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8
Q

Trachea is normal

A

“Trachea is Midline”

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9
Q

Thorax

A

“normal AP (anterior/ Posterior) Diameter”

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10
Q

normal lung sounds

A

“lung sounds clear and equal bilaterally”

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11
Q

heart sounds normal, lub dub lub dub

A

“S1S2, regular, no murmurs or extra heart sounds”

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12
Q

stomach sounds

A

Judge if they are present or are hypoactive or hyperactive

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13
Q

Abdomen

A

“Abdomen flat, soft, non-tender. Normoacative bowel sounds.”

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14
Q

Pulse grading? ( checking brachial and radial artery)

A
3+= "Full, bounding"
2+= "Normal" 
1+= "Weak, thready"
0=  Absent
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15
Q

give them two fingers to squeeze

A

“Upper extremities strong”

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16
Q

pinch skin on arm for elasticity

A

“skin warm and dry with good turgor”

17
Q

fingers are normal

A

“no clubbing or deformities. Nail beds pink with prompt capillary refill.”

18
Q

Perineum

A

ask about bowel movements and voiding. When’s the last time you used the restroom? Number 1 or number 2? Any pain? (you get the gist)

19
Q

Edema scale? Press on Tibia

A

Edema Scale
1+ Mild pitting; slight indentation; no perceptible swelling.
2+ Moderate pitting; indentation subsides rapidly.
3+ Deep pitting; indentation remains for a short time; leg looks swollen.
4+ Very deep pitting; indentation lasts a long time; leg very swollen.

20
Q

get foot to push, get foot to pull

A

“lower extremities strong”