Focus Assessment - Exam 1

Question 1

The four general areas

Answer 1

1. level of consciousness
2. Sensory and motor function
3. Pupillary changes and extraocular movements
4. Vital signs and pattern of respiration

Question 2

Cardiac assessment

Answer 2

1 quality of rate and rhythm
2. Any abnormal sounds
3. Apical pulse

Question 3

Respiratory : STEP 1

Answer 3

1- look for signs of injury and checks symmetry of chest expansion, note any difficulty breathing or use of axillary muscles

Question 4

Respiratory step 2

Answer 4

Assess rate and quality of respiratory efforts
Look for cyanosis or pursed lip breathing

Question 5

Respiratory step 3

Answer 5

Is the patient able to speak in complete sentences
Listen both anteriorly and posteriorly

Question 6

Respiratory step 4

Answer 6

Palpate only if injury has occurred or any visible signs of irregularity in symmetry

Question 7

6 Ps

Answer 7

Pain
Pallor
Paralysis
Parasthesia
Pulselessness
Poikilothermia

Question 8

Pain

Answer 8

Compartment syndrome if unrelieved by pain meds

Question 9

Pallor

Answer 9

Dusky, pale, compare unaffected extremity

Question 10

Paralysis

Answer 10

Movement

Question 11

Parasthesia

Answer 11

Tingling, numb

Question 12

Pulselessness

Answer 12

Late sign in effective extremity

Question 13

Poikilothermia

Answer 13

Compare temperature; cool May mean compartment syndrome

Question 14

Abdomen assessment

Answer 14

• pain, nausea, vomiting, injury
• changes in appetite or bowel habits
• listen to bowel sounds
• listen for any bruits

Question 15

Abdominal bruits are not

Answer 15

Normal

Question 16

Auscultation of a bruit could indicate

Answer 16

Aortic aneurysm, renal artery stenosis or partial occlusion or the femoral arteries

Question 17

Tubes and drains

Answer 17

• know what kind of tube you are assessing
• why the patient has it
• follow all tubes, lines, and drains from insertion point to connection point
• label all connections to minimize risk of misuse and to rapidly identify what they are

Question 18

Purpose of telemetry lead placement

Answer 18

Monitor the cardiac status of any patient at risk for cardiac event or new onset of a cardiac dysrhyrhmia