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HEalth Assessment
4
48
Nursing
Undergraduate 1
09/16/2012

Additional Nursing Flashcards

 


 

Cards

Term
4 Basic Assessment Techniques
Definition
Inspection, Palpation, Percussion, and Ausculation
Term
Inspection
Definition
visual  examination of the body, including body movements and posture. Maintain modesty and may use instruments like penlight
Term
Palpation
Definition
using the hands to feel texture, size, shape, consistency, pulsations, and location  of certain parts of the body and assess if tender or painful. Gloves worn when palpating mucous membranes
Term
Palmar Surfaces of fingers and finger pads
Definition
are more sensitive than the fingertips
Term
Is the dorsal or ulnar surface of hand better for temp checking?
Definition
Dorsal surface
Term
Deep palpation
Definition
Pressing up to a depth of 4 cm 
Term
Percussion
Definition
evaluates the size, borders, and consistency of internal organs, detect tenderness, and to determine the extent of fluid in a body cavity
Term
Two types of percussion
Definition
Direct and Indirect
Term
What are the percussion tones in the stomach?
Definition
Tympanic
Term
Percussion Tones in Lungs
Definition
Resonant
Term
Percussion tones in the Bone and Muscle
Definition
Flat
Term
Percussion tones in Viscera and Liver Borders
Definition
Dull
Term
Percussion tones in Air trapped in lungs(emphysema)
Definition
Hyperresonant
Term
Ausculation
Definition
act of listening to sounds within the body
Term
Stesthoscope
Definition
used for ausculation to block out extraneous sounds when evaluating the condition of the heart, blood vessels, lungs, and intestines.
Term
Characteristics of sounds heard by ausculation
Definition
Intensity, Pitch, Duration of Sound Vibrations, Quality
Term
Intensity
Definition
louudness of sound. soft, medium, or loud
Term
Pitch
Definition
frequency or number of sounds waves generated per second. high pitched is high frequencies
Term
Duration of Sound Vibrations
Definition
short medium or long
Term
Quality
Definition
hollow dull or crackle
Term
2 most common thermometers
Definition
electronic and tympanic and more increasingly tympanic
Term
2 most common thermometers in children
Definition
Pacifer and Chemical Dot Thermometers
Term
Sounds of Diaphragm
Definition
High pitched
Term

Sounds of Bell

 

Definition
Low pitched
Term
NIBP
Definition
noninvasive blood pressure monitor
Term
NIBP monitor
Definition
electronic device attached to the BP cuff
Term
What happens if the cuff is too wide?
Definition
underestimate BP
Term
Cuff is too narrow
Definition
Overestimate BP
Term
Correct cuff width
Definition
40% of circumference of limb
Term
Pulse Oximetry's Purpose
Definition
to identify the arterial oxygen saturation in the blood. finger
Term
Range of Pulse oximetry
Definition
70-100%
Term
Scales
Definition
body height and weight
Term
Snellan's Chart is hung at a distance of ? FT
Definition
20
Term
Top and Bottom Number of Snellan's Chart
Definition
Top-distance btwn the client and the chart. Bottom-distance at which a person with normal vision should be able to read that line of the chart
Term
Opthalmoscope
Definition
 inspect eyes
Term
Otoscope
Definition
external auditory canal and tympanic membrane
Term
Tape Measure
Definition
Disposable one cud be used on an infant or to measure extremities
Term
Tuning Fork
Definition
Auditory screening and vibratory assessment
Term
Reflex Hammer
Definition
Test deep tendon reflexes
Term
Doppler
Definition
amplify sounds difficult to hear
Term
Goniometer
Definition
Determine degree of flexion or extension of a joint
Term
Calipers
Definition
to measure body fat
Term
Audioscope
Definition
perform basic screening for hearing acuity
Term
Monofilament
Definition
Test for sensation on lower extremities
Term
Transilluminator
Definition
to differentiate the characteristics of tissue, fluid, and air within a specific body cavity
Term
Wood's Lamp
Definition
detect fungal infections or to detect corneal abrasions
Term
Magnification Device
Definition
assist with skin lesions
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