Clinical One Liners

Question 1

Neurological

Answer 1

• A&O x 4 (Alert & oriented to person, place, time, self)
• Speech adequate
• Follows commands appropriately
• PERRL
• MAE (moves all extremeties) Bilaterally

Question 2

Musculoskeletal

Answer 2

• Ambulatory
• (1 assist w/ walker/cane; shuffling)
• Steady gait
• (Independent) (AROM)

Question 3

Respiratory

Answer 3

• Rate & effort first
• RR “Normal RR” (30 sec)
• Even & unlabored
• No cough
• Lungs clear anterior & posterior, upper & lower lobes
• RA (Room air)

Question 4

Cardiovascular

Answer 4

• Rate & effort first
• HR “Normal HR” (30 sec)
• Even & regular
• Cap. refill < 3 sec
• Turgor < 3 sec
• All pulses (Radial & pedal) = bilat
• No edema noted

Question 5

Genitourinary

Answer 5

• Voiding clear
• Non-odorous urine
• Bladder non-tender & non-palpable
• (Routine output per resident)

Question 6

Gastrointestinal

Answer 6

• Abdomen soft
• Non-tender/non-distended
• LBM (last bowel movement) “todays date”
• Brown & soft (Per resident) (coach if seen)
• BS+ x4Q

Question 7

Integumentary

Answer 7

• Appropriate for origin
• General color pink
• Warm, dry, & intact
• No skin breakdown noted
• No pain reported