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Health assessment I
Review for final
102
Nursing
Undergraduate 2
05/16/2011

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Cards

Term
Normal Lung sounds
Definition
vesicular, bronchial vesicular, bronchial trachea
Term
anthropometric
Definition
unhealthy fat, HTN, waist to hip ratio
Term
Bowel obstruction sound
Definition
tinkling=fatal
Term
chronic hypoxia
Definition
nail clubbing, cyanosis acute
Term
BMI
Definition
body mass index= wx705/htsquared
Term
pancreas
Definition
RUQ
Term
macronutrients
Definition
Carbs-55-60%, Fat-30%, Protein 12-20%
Term
what is a fissure?
Definition
Term
What is percussion?
Definition
Term
what are the layers of the skin
Definition
Term
How do you determine MAP?
Definition
Term
What are some abnormal lung sounds?
Definition
crackles, rales,
Term
Pre-HTN
Definition
Term
What is vitamin C used for
Definition
Term
What is OLDCARTS
Definition
onset, location, duration, characteristics,aggravating and alleviating, related symptoms, treatments and severity
Term
What is GMATSO?
Definition
General appearance, mood, affect, thought processes, speech patterns, orientation
Term
melanoma ABCDEF
Definition
asymetry, borders,color, diameter, elevation and feeling
Term
Describe a macule
Definition
flat, circumscribed, change in the color of the skin
Term
Examples of a macule
Definition
freckle, flat mole, petechiae, measles, scarlet fever
Term
Examples of a papule
Definition
wart, elevated mole, lichen planus, cherry angioma, skin tag
Term
Examples of a skin patch
Definition
vitiligo, port wine stain, mongolian spots,
Term
describe a patch
Definition
flat, nonpalpable, irregular shaped, more than 1 cm in diameter
Term
describe a papule
Definition
elevated, firm, circumscribed area less than 1 cm in diameter
Term
Describe a plaque
Definition
elevated, firm, rough lesion with flat top surface greater tha 1 cm in diameter
Term
Examples of plague
Definition
psoriasis, seborrheic acd actinic keratosis, eczema
Term
describe a wheal
Definition
elevated irregular shaped are of cutaneous edema, solid transient variable diameter
Term
examples of a wheal
Definition
insect bite, urticaria,allergic reation, lupus
Term
Nodule looks like
Definition
elevated, firm circumscribed lesion, deeper in the dermis than a papule, 1 to 2 cm
Term
Examples of nodules
Definition
dermafibroma erythema nodosum, lipoma, melanoma, hemangioma, neurofibroma
Term
Aspices of the lungs
Definition
from c7(vertebral prominence when chin is touching the chest) to T1 where the first rib begins
Term
Lung aspices
Definition
rise about 4 cm above the first rib
Term
what is the purpose of a focused assessment?
Definition
To gather information on a particular problem or complaint
Term
What is a comprehensive assessment?
Definition
Term
Components of a Health history
Definition
biographical data, cc, HPI, PHS(over past 6 months),PHI (medical and surgical), family history-2 generations, psychosocial history, ROS
Term
Components of physical exam
Definition
General survey, VS and measurements, Head to toe assessment
Term
What is CAGE
Definition
Cut down, annoyed, guilty, eye opener
Term
nutrients-macronutrients
Definition
needed in large amounts-cho, fats abd protiens
Term
nutrients-macronutrients
Definition
needed in large amounts-cho, fats abd protiens
Term
micronutrients
Definition
needed in small amounts-vitamins, mineral
Term
nutrients
Definition
water
Term
carbohydrates
Definition
1gm-4cal
Term
RDA rec. for cho.
Definition
130gm/day
Term
carbs
Definition
50-60% of total calories
Term
Proteins
Definition
1gm =4kcal
Term
kcal
Definition
Term
proteins
Definition
0.8/kg/day
Term
protein RDA
Definition
45-56d/day
Term
protein
Definition
12-20% of total calories
Term
proteins
Definition
growth and repair
Term
oh
Definition
Term
fats
Definition
energy is stored in fats
Term
fats
Definition
essential for metabolic process
Term
fats
Definition
linoleic and linolenic acid
Term
fats
Definition
1gm=9 kcal
Term
fats
Definition
less than 30% of total diet
Term
calculating calories from macronutrients
Definition
(gramsXkcal/gram)/total calories
Term
RDA
Definition
grains 6ounces, vegetables 21/2 cups, fruit 2 cups, milk 3 cups, meat and beans 51/2 ounces
Term
people at risk for eating disorders
Definition
preoccupied with weight,perfectionist, poor self esteem, self image disturbance, peer pressure, althlete, compulive or binge eaters
Term
lactose intolerance
Definition
American Indians 95%, whites 25%
Term
hip to waist ratio
Definition
0.8 women, 1.o men Measure waist at narrowest point, measure hips at largest point
Term
pre albumin and albumin
Definition
pre tell how calories have been over past 2-3 days, albumin is a picture of now
Term
normal trigyceride level
Definition
40-160 males, 35-135 females
Term
A1C
Definition
DM goal is 7 or lower and normal 6-5.
Term
BG
Definition
70-110
Term
hgb
Definition
males 14-18 females-12-16
Term
hct
Definition
males 42-52, females 37-47
Term
hgb
Definition
carries O2 and determines erythrocytes. It screens for anemia, iron, folate, Vit. B deficencies
Term
Hct
Definition
evaluates hydration status
Term
hct
Definition
if low anemia, if high dehydration, chronic anoxia, polycythemia
Term
hct
Definition
if high dehydration
Term
BG
Definition
evaluates for CHO metabolism, screend for DM, or glucose intolerance
Term
Normal BMI
Definition
18.9-24.9
Term
BMI
Definition
18.5 or less is below normal
Term
BMI
Definition
25-29.9 overweight
Term
BMI
Definition
30-34.9 obese class I
Term
BMI
Definition
35-39.9 obese class II
Term
BMI
Definition
greater than obese class III
Term
BMI
Definition
18.5-24.9 normal
Term
cholesterol
Definition
less than 200
Term
HDL
Definition
greater than 45 males, greater than 55 for females
Term
LDL
Definition
less than 100
Term
BUN/creatinine
Definition
20:10
Term
serum albumin
Definition
3.5-5.0
Term
hyperlipidemia
Definition
not associated with symptoms until a cardiovascular event occurs
Term
waist to hip ratio
Definition
indication of risk of unhealthy fat distribution
Term
liver and gallbladder are located
Definition
RUQ
Term
spleen ans tomach are located
Definition
LUQ
Term
appendix and bladder if distended is found
Definition
RLQ
Term
sigmoid colon and bladder if distended can be found
Definition
LLQ
Term
Mcburney point
Definition
RLQ
Term
an ulcer occurring in the lower end of the esophagus
Definition
peptic
Term
ulcerative colitis
Definition
starts in the rectum
Term
lift
Definition
apical pulse is felt during diastole
Term
heave
Definition
thrust of the heart during systole
Term
thrill
Definition
palpable vibration
Term
listening to the valves
Definition
APTM-ape to man-aortic, pulmonic, Erbs point, tricuspid, mitral
Term
abnormal lung sounds
Definition
crackles, rhonchi, wheeze, pleural friction rub
Term
crackles
Definition
crackling noise pneumonia, heart failure, asthma, pulmonary disease
Term
rhonchi
Definition
low pitched, cours, loud-sounds like snoring-obstruction, chronic bronchitis
Term
wheeze
Definition
high pitched musical noise=narrowed airways
Term
pleural friction rub
Definition
low pitched coarse rubbing noise=pleurisy
Term
percussion noise
Definition
dull=
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