Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Final Head to Toe

QuestionAnswer
What is the first phase of the HTT? Introduction
What are the 5 steps of the Introduction phase of the HTT? 1. AIDET 2. Hand hygiene w/ verbalization 3. Identifiers: Name, DOB 4. Privacy & inside voice 5. Adjust bed to working height
What is the second phase of the HTT? Interview/HHQ
What are the 5 main questions during the Interview/HHQ phase of the HTT? 1. pain level 2. history of respiratory issues 3. change in BM 4. history of heart issues 5. recent dizziness
What is the order of the 10 phases of the HTT? 1. Introduction 2. Interview/HHQ 3. Mental status 4. General appearance/HEENT/SHN 5. Respiratory system 6. Cardio system 7. Abdomen 8. Neuro/MSK 9. Risk scales 10. Safety & exit behaviors
Sample documentation for Interview/HHQ phase of the HTT? "patient reports pain level of 0, no recent respiratory/heart problems, no change in BM, denies dizziness"
What is the third phase of the HTT? Mental Status
Sample documentation for mental status appearance? "dressed appropriately for weather & situation, well-groomed w/ proper hygiene evident"
What are the 4 steps of the Mental Status phase of the HTT? 1. Appearance 2. Behavior 3. Cognition 4. Speech
How to decipher cognition? ask about person, place, time, situation
Sample documentation for behavior & cognition? awake, alert, and oriented x4
Sample documentation for speech? "speech clear"
Sample documentation for general appearance? "body position is relaxed & sitting upright, no obvious physical deformities"
What are the 8 steps of the GA/HEENT/SHN phase of the HTT? 1. Body position & obvious deformities 2. Respiratory effort 3. Head shape & facial appearance 4. Hair, ears, nose, teeth appearance 5. Eyes, ear, nose, mouth symmetry 6. CN II, IV, VI 7. skin color 8. skin turgor
What is the fourth phase of the HTT? GA/HEENT/SHN
Sample documentation of respiratory effort? "unlabored respiratory effort"
Sample documentation for head shape & facial appearance? "Normocephalic, face symmetrical & expressive bilaterally"
Sample documentation for hair, ears, nose, & teeth appearance? "Hair neat & well-groomed, nose straight/symmetrical and unblemished, 32 teeth intact w/ normal ivory color, ears symmetrical bilaterally w/ no lesions"
Sample documentation for eyes, ears, nose, & mouth symmetry? "eyes, ears, nose, mouth all symmetrical"
Sample documentation for CN III, IV, VI, & XI? "Oculomotor, Trochlear, Abducens intact (PERRLA); Spinal accessory intact"
Sample documentation for skin color? "pink lips, no cyanosis, no lesions/scars/rashes, brown skin tone, no abnormal pigmentation, skin warm & soft & dry, tattoos right lateral ankle (2 in long) & right inner wrist (1 in long)"
How to check skin turgor? pinch skin & watch how it snaps back
Sample documentation for skin turgor? "skin recoils rapidly when pinched"
What is the fifth phase of the HTT? Respiratory
What are the 5 steps of the Respiratory phase of the HTT? 1. Oxygen supply 2. Thoracic shape 3. Respiratory rate 4. Anterior 6 breath sounds 5. Posterior 8 breath sounds
How many auscultation points for breath sounds are on the anterior chest? 6 locations
How many auscultation points for breath sounds are on the posterior chest? 8 locations
Sample documentation for anterior breath sounds? "anterior breath sounds are clear bilaterally"
Sample documentation for posterior breath sounds? "posterior breath sounds are clear bilaterally"
Created by: arbaskett
Popular Nursing sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards