Taitum Shared "NUR 216 Exam 2" - 6 Picmonics
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NUR 216 Exam 2
- Inspection
- Examine Back of Chest
- Determine Respiratory Rate for 1 Minute
- Assess for Abnormalities with Uneven Movement or Use of Accessory Muscles
- Inspect Skin, Nails and Mucous Membrane
- Palpation
- Palpate for Crepitus, Tenderness, Alignment, Masses or Retraction
- Palpate for Tactile Fremitus
- Check Chest-Wall Symmetry and Expansion
- Note Resonance, Hyperresonance, Dullness and Tympany
- AUSCULTATION
- Use Diaphragm of Stethoscope to Listen to Full Inspiration and Full Expiration
- Ask Patient to Breathe Through Mouth
- Normal Breath Sounds
- Abnormal Breath Sounds
- Head
- Inspect Size and Shape of Skull
- Palpate Temporal Artery
- Face
- Observe Facial Expression
- Inspect Facial Structures and Symmetry
- Neck
- Look for Symmetry
- Check Range of Motion
- Inspect Lymph Nodes and Thyroid Gland
- Confirm Trachea is Midline
- External Nose
- Inspect for Deformity or Asymmetry
- Inspect for Inflammation and Skin Lesions
- Nasal Cavity
- Check for Nasal Obstruction
- Inspect Nasal Mucosa
- Note Discharge, Bleeding or Foreign Body
- Sinus Area
- Palpate the Sinus Areas
- EXTERNAL EAR
- Inspect Position and Symmetry
- Inspect for Lesions, Drainage, Nodules or Redness
- Inspect Opening of Ear Canal
- OTOSCOPIC EXAMINATION
- Insert Speculum
- Position Scope
- View Structures
- Light Reflect
- HEARING ACUITY TESTS
- Whisper Test
- Weber’s Test
- Rinne Test
- Inspect External Structures
- Eye and Eyebrow Symmetry
- Eyeball Alignment
- Inspect Eyeball Structures
- Examine Cornea and Lens for Cloudiness
- Iris and Pupil Shape and Size
- Pupillary Light Reflex and Accommodation
- P.E.R.R.L.A
- Risk Factors
- Prolonged Immobilization
- Neurologic Disease
- Decreased Level of Consciousness
- Classification
- Stage 1: Intact Skin with Non-blanchable Erythema
- Stage 2: Partial Thickness Skin Loss
- Stage 3: Full-thickness Skin Loss without Fascial Involvement
- Stage 4: Full-thickness Skin Loss with Fascial Involvement
- Management
- Wound Care
- Surgery
- Considerations
- Septicemia
- Osteomyelitis
- Prevention
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