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Found of Nursin Ch.5
Physical Assesment
| Question | Answer |
|---|---|
| Acute | A disease process characterized by a relatively short duration of signs and symptoms that are usually SEVERE and BEGIN ABRUPTLY |
| Assessment | EVALUATION or appraisal of a condition |
| Ausculation | To listen for sounds within the body to evaluate the condition of the heart, lungs, pleura, intestines and other organs or detect a fetal heart sound. |
| Borborygmi | LOUD, GURGLING sounds that accompany increased motility in the bowel. |
| Bruits | ABNORMAL SWISHING sound heard over organs, glands, and arteries. |
| Chronic | Developing slowly and persisting for a long period, often for the remainder of the individuals life. |
| Crackles | SHORT, DESCRETE, interrupted CRACKING or bubbling sounds heard on ausculation of the chest. |
| Disease | any disturbance of a structure or function of the body. A Pathologic condition of the body. |
| Drainage | FREE FLOW or withdrawal of fluids from a wound or cavity by some sort of system (such as urinary catheter or T-tube). |
| Dullness | Low-pitched THUDLIKE sound upon percussion of the body. |
| Edema | Abnormal accumulation of flids in interstitial spaces of tissue. A combining form meaning SWELLING. |
| Erythema | REDNESS or inflammation of the skin or mucous membranes resulting from dialation and congestion of superficial capillaries. |
| Etiology | The study of all factors that may be involved in the development of disease |
| Exudate | Fluid, cells, or other substances that have been slowly exuded or DISCHARGED from body cells oar blood vessels through small pores or breaks in cell membrane. |
| Flatness | Soft-High pitched, FLAT SOUND produced by performing percussion over tissue such as muscle tissue. |
| Focused Assessment | Concentration of attention on the part of the body where signs and symptoms are localized or most active in order to determine their significance. |
| Functional disease | May be manifested as an organic disease, but careful examination fails to reveal evidence of structural or physiologic abnormalities. |
| Infection | Caused by an invasion of microoganisms such as bacteria, viruses, fungi, or parasites that produce tissue damage. |
| Inflammation | Protective response of body tissues to irritation, inury, or invasion of disease-producing organisms. |
| Inspection | VISUAL EXAMINATION of the external surface of the body and of its movements and posture, including observation of moods and all responses and nonverbal behavior. |
| Level of conciousness (LOC) | Responsiveness |
| Neoplastic | Any abnormal growth of new tisse, benign or malignant. |
| Nursing Health History | Data collected abot the patient's level of wellness, changes in life patterns, sociocultral role and mental and emotional reactions to illness. |
| Nursing Physical Assessment | Identification by a nurse of the needs, preferences, and abilities of a patient. Assessment provides the cientific bases foe a complete nursing care plan. |
| Objective Data | clinical finding that is observed, palpated, or ausculated. MEASURABLE |
| Organic Disease | Results in a structural change in an organ that interferes with its functioning. |
| Palpatation | A technique used in physical examnination in which the examiner feels the texture, size, consistenccy, and location of certain parts of the body with hands. |
| Percussion | Using fingertips to tap the bodys surface to produce vibration and sound. |
| Pruritus | The symptoms of ITCHING; an uncomfortable sensation leading to the urge to scratch. |
| Purulent | Producing or containing PUS. |
| Remission | PARTIAL OR COMPLETE disapperance of clinical and cubjective characteristics of teh disease. |
| Signs | an objective finding as percieved by the examiner; a sign can be seen, heard, measured, or felt by the examiner. |
| Subjective Data | Symptoms, verbal statements produced by the patient. FROM THE PATIENT |
| Symptoms | Subjective indication of a disease or change in condition as percieved by the patient. |
| Thrill | FINE VIBRATION sensation alont hte artery, which is palpated by the examiner. |
| Turgor | The normal resiliency of the skin caused by the outward pressure of the cells and interstitial fluid. |
| Tympany | A HIGH-PITCHED DRUMLIKE sound produced by performing percussion over a hollow organ such as the stomach. |
| Wheezes | Adventious BREATH SOINDS that have a WHISTLING or SIGHING sound resulting from narrowing of the lumen of a respiratoru passageway. |
| Name four risk factors for disease. | 1. Genetic and Physiologic (Genetics and Predisposes). 2. Age 3. Environment 4. Lifestyle (Smoking, Overeating, Sunbathing, stress, alcohol and substance abuse). |
| ______________ diseases are transmitted genetically from parents to children. | Hereditary |
| ______________diseases appear at birth or shortly thereafter bur are not caused by genetic abnormalities. | Congenital |
| Anorexia | Lack of appetite resulting in the inability to eat. |
| Asthenia | Debility, loss of strength and energy, and depleted vitality. |
| Ecchymosis | (BRUISE) - discoloration of an area of the skin or mucous membrane cause dby the extravasation of blood into the subcutaneous tissue. |
| Fetid | Foul, Putrid, or offensive odor |
| Sallow | unhealthy, yellow color |
| Scleral icterus | The color of the Sclera is yellow |
| Which assessment is conducted by a Dr., but often carried out by a nurse? | Medical assessment |
| _________ __________usually includes data such as the date of birth, sexz, address, family members names and addresses, marital status, religious preferenve and practices, etc. | Biographic Data |
| A patients reason for seeking health care is oftern referred to as the __________ ____________. | Chief complaint |
| When discussing the history of a patients illness. What does (O P Q R S T U V) mean? | Onset, Precipitating-Provacative-Pallative, Quality, Region-Radiation, Severity, Treatments, Understanding, Values |
| What is the purpose of obtaining someones family history? | To obtain data about immediate and blood relatives and determine whether a patient may be at risk for illnesses of a genetic or familial nature. |
| What do these Mneumonic letters mean when assesing a patient? ABC, In & Out, PS | Airway(Is it compromised), Breathing (Ease& Rate), Circulation (Check color and palpate extremeties), What's going in, What's coming out, Pain, and Safety. |
| What does PERRLA mean? | Pupils, Equal, Round, Reactive to Light and Accomodation. |
| The strength of a pulse can be measured by using the following scale 0=___, 1+=_____, 2+=_______, 3+=_______ and 4+=_______. | 0=absent, 1+= thready, 2+= weak, 3+= normal and 4+= bounding. |
| Pitting Edema can be measured by using the following scale 1+=_____, 2+=_______, 3+=_______ and 4+=_______. | 1+= slight pitting, 2+= somewhat deeper pitting, 3+= Noticebly deep pitting, and 4+= Very Deep pitting. |
Created by:
losmica
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