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Hesi Admission Assessment Vocabulary
Hesi Admission Assessment Vocabulary 2nd edition
102
Nursing
Undergraduate 1
07/23/2011

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Cards

Term
Abrupt
Definition

Sudden

 

The nurse noticed an abrupt

change in the patient's level of pain

Term
Abstain
Definition

To voluntarily refrain from something.

 

The dental hygienist instructed

the patient to abstain from smoking

to improve his breath odor

Term
Access
Definition

A means to obtain entry or

 a means of approach

 

To administer medications into the patient's

veins, the nurse must access the vein with a

special needle.

Term
Accountable
Definition

Responsible

 

Paramedics are accountable for maintaining up-to-date knowledge of resuscitation techniques

Term
Adhere
Definition

To hold fast or stick together

 

The tape must adhere to the patient's skin to hold the bandage in place

Term
Adverse
Definition

Undesired, possible harmful

 

Vomiting is an adverse effect of many medications.

Term
Affect
Definition

Appearance of observable emotions

 

The nurse observered that a depressed patient exhibited no obvious emotion and reported that the patient had a flat affect.

Term
Annual
Definition

Occurring every year.

 

The patient told the nurse that she had scheduled her annual mammogram, as she had been instructed.

Term
Apply
Definition

To place, put on, or spread something.

 

The physical therapist will apply a medication to the wound before covering the would with a bandage.

Term
Audible
Definition

Able to be heard.

 

The respiratory therapist noticed that when the patient was having difficulty breathing, the therapist could hear an audible wheezing sound.

Term
Bilateral
Definition

Present on two sides.

 

The unlicensed assistive personnel reported to the nurse that the patient had bilateral weakness in the legs when walking.

Term
Cast
Definition

Hard protective device applied to protect a broken bone while the bone heals.

 

The nurse instructed the child that he could no go swimming while the cast was on his broken arm.

Term
Cease
Definition

Come to an end or bring to an end.

 

Because the patient's breathing had ceased, the paramedic began resuscitation measures.

Term
Compensatory
Definition

Offsetting or making up for something.

 

When the patient's blood pressure decreased, the paramedic noted that the heart rate increased, which the paramedic recognized as a compensatory action.

Term
Complication
Definition

An undesired problem that is the result of some other event.

 

The physician told the patient that loss of eyesight is a possible complicaton of eye surgery.

Term
Comply
Definition

Do as directed.

 

The nurse asked the patient to comply with the instructions for taking the medications.

Term
Concave
Definition

Rounded inward.

 

The dietician noticed that the patient was very thin, and the patient's abdomen appeared concave.

Term
Concise
Definition

Brief, to the point.

 

When teaching a patient, the nurse tried to be concise, so the instructions would be easy to remember.

Term
Consistency
Definition

Degree of viscosity; how thick or thin a fluid is.

 

The respiratory therapist noticed that the mucus the patient was coughing was of a thin, watery consistency.

Term
Constrict
Definition

To draw together or become smaller.

 

The nurse knows that the small blood vessels of the skin will constrict when ice is applied to the skin.

Term
Contingent
Definition

Dependent.

 

The hygienist told the patient that a healthy mouth is contingent on careful daily brushing and fossing.

Term
Contour
Definition

Shape or outline of a shape.

 

While bathing an overweight patient, the unlicensed assistive personnel noticed that the contour of the patient's addomen was quite round.

Term
Contract
Definition

To draw together, to reduce in size.

 

The physical therapist exercises the patient's muscles so they contract and expand.

Term
Contraindication
Definition

A reason why something is not advisable or why it should not be done.

 

The patient's excessive bleeding was a contraindication for discharge from the hospital.

Term
Defecate
Definition

Expel feces.

 

The unlicensed assistive personnel helped the patients to the toilet when he needed to defecate.

Term
Deficit
Definition

A deficiency or lack of something.

 

The therapist explained that the patient will experience a fluid deficit if the patient continues to perspire heavily during exercise without drinking enought fluids.

Term
Depress
Definition

Press downward.

 

The nurse will depress the patient's skin to see if any swelling is present.

Term
Depth
Definition

Downward measurement from a surface.

 

The physician measures the depth of a wound by inserting a cotton swab into the wound.

Term
Deteriorating
Definition

Worsening.

 

The dental hygienist explains that the condition of the patient's gums is deteriorating, and treatment by the dentist is needed right away.

Term

Device

 

 

Definition

 

Tool or piece of equipment.

 

A thermometer is a device used to measure the patient's body temperature.

Term
Diameter
Definition

The distance across the center of an object.

 

When measuring a patient's blood pressure, the nurse knows that when the diameter of a blood vessel increases, the pressure in that blood vessel goes down.

Term
Dilate
Definition

To enlarge or expand.

 

When shining a light in the patient's eyes, the nurse looks to see if both pupils dilate in response to the light.

Term
Dilute
Definition

To make a liquid less concentrated.

 

So that the medication will be easier to swallow, the nurse uses fruit juice to dilute a foul-tasting drug.

Term
Discrete
Definition

Distinct, separate.

 

The paramedic observed several discrete bruise marks on the patient's body.

Term
Distended
Definition

Enlarged or expanded from pressure.

 

When a blood vessel is distended, it is easier for the laboratory technician to insert a needle to obtain a blood sample.

Term
Elevate
Definition

To lift up or place in a higher position.

 

The paramedic decided to elevate the head of the stretcher in order to help the patient breathe more easily.

Term
Endogenous
Definition

Produced within the body.

 

The nurse explained that endogenous insulin produced by the body's pancreas helps regulate the body's blood sugar levels.

Term
Exacerbate
Definition

To make worse or more severe.

 

The physical therapist recognized that too much exercise would exacerbate the patient's breathing difficulties.

Term
Excess
Definition

More than what is needed or usual.

 

The dietician explained that an excess consumption of caffeine may cause unpleasant effects such as feelings nervous and on edge.

Term
Exogenous
Definition

Produced outside the body.

 

The nurse explained that people with diabetes often need to receive exogenous forms of insulin because their bodies are unable to produce enough insulin.

Term
Expand
Definition

To increase in size or amount.

 

The unlicensed assistive personnel turns the patient frequently so that the size of the skin sore will not expand any further.

Term
Exposure
Definition

Contact.

 

The nurse taught the parents of a newborn to avoid exposure to people with servere infections.

Term
External
Definition

Located outside the body.

 

The unlicensed assistive personnel measured the amount of blood in the external drain after the patient's surgery.

Term
Fatal
Definition

Resulting in death.

 

The emergency medical technicians arrived too late to save any lives at the scene of a fatal car accident.

Term
Fatigue
Definition

Extreme tiredness, exhaustion.

 

The dietician explained to the patient that eating more iron rich foods may help reduce feelings of fatigue.

Term
Flaccid
Definition

Limp, lacking tone.

 

After her stroke, the patient could not feed herself because her arms were flaccid.

Term
Flushed
Definition

Reddened or ruddy appearance.

 

The therapist observed that the patient's face was flushed after completing the exercises.

Term
Gaping
Definition

Wide open.

 

In the emergency room, the nurse observed a gaping wound when examining a gun shot victim.

Term
Gender
Definition

Sex of an individual, as in male or female.

 

female gender places patients at higher risk for breast cancer.

Term
Hydration
Definition

Maintenance of body fluid balance.

 

the nurse explains that adequate hydration helps keep skin soft and supple.

Term
Hygiene
Definition

Measures contributing to cleanliness and good health.

 

The dental assistant teaches patients about good hygiene practices to maintain strong teeth.

Term
Impaired
Definition

Diminished or lacking some usual quality or level.

 

The paramedic stated that the patient's impaired speech was obvious in the way she slurred.

Term
Impending
Definition

Likely to occur soon.

 

The nurse observed the patient signing the consent form for the impending procedure.

Term
Incidence
Definition

Occurrence.

 

In recent years there has been an increased incidence of infections that do not respond to antibiotics.

Term
Inflamed.
Definition

Reddened, swollen, warm and often tender.

 

The nurse observede that the skin around the patient's wound was imflammed.

 

 

Term
Ingest
Definition

To swallow for digestion.

 

the paramedic may contact the posion control center when providing emergency care for a child who has ingested cleaning fluid.

Term
Initiate
Definition

To begin or put into paractice.

 

the nurse decided to initiate safety measures to prevent injury because the patient was very weak.

Term
Insidious
Definition

So gradual as to not become apparent for a long time.

 

the physician explained that the cancer probably started years ago but had not been detected because its spread was so insidious.

Term
Intact
Definition

In place, unharmed.

 

The nurse observed that the bandage was intact after surgery.

Term
Internal
Definition

Located within the body.

 

The paramedic reported that the patient was unconscious because of internal bleeding.

Term
Labile
Definition

Changing rapidly and often.

 

Because the child's temperature was very labile, the nurse instructed the unlicensed assistive personnel to check the temperature frequently.

Term
Latent
Definition

Present, but not active or visible.

 

The latent infection produced symptoms only when the patient's condition was weakened from another illness.

Term
Lethargic
Definition

Difficult to arouse.

 

The unlicensed assistive personnel observed that the morning after a patient received a sleeping pill, the patient was too lethargic to eat breakfast.

Term
Manifestation
Definition

An indication or sign of a condition.

 

The dietician looked for manifestations of poor nutrition, such as excessive weith loss and poor skin condition.

Term
Nutrient
Definition

Substance or ingredient that provides nourishment.

 

The dietician explains that fruits and vegetables contain nutrients that reduce the risk of some cancers.

Term
Occluded
Definition

Closed or obstructed.

 

Because the patient's foot was cold and blue, the nurse reported that the patient's circulation to that foot was occluded.

Term
Ominous
Definition

Significantly important and dangerous.

 

After a patient sustained a head injury the paramedic noted that the patient's breathing was irregular, which was an omious sign that the patient's condition was worsening.

Term
Ongoing
Definition

Continous

 

The nurse instructed the patient that the treatment would be ongoing throughout the patient's entire hospital stay.

Term
Oral
Definition

Given through or affecting the mouth.

 

The unlicensed assistive personnel reminded that patient no to take any fluids orally because he was scheduled for surgery.

Term

Overt

 

Definition

Obvious, easily observed.

 

The overt symptoms of the disease included vomiting and diarrhea.

Term
Parameter
Definition

A characteristic or constant factor.

 

The dietician explained that the number of calories needed for energy is one of the important parameters of a healthly diet.

Term
Paroxysmal.
Definition

Beginning suddenly or abruptly.

 

The respiratory therapist provided a breathing treatment to stop the patient's paroxysmal breathing difficulty.

Term
Patent
Definition

Open

 

The nurse checked to see whether the intravenous needle was patent before giving the patient a medication.

Term

Potent

 

Definition

Producing a strong effect.

 

The medication was very potent and it immediately relieved the patient's pain.

Term

Potential

 

Definition

Capable of occurring or likely to occur.

 

Because the patient was very weak, the therapist felt the patient had a high potential for falling.

Term
Precaution
Definition

Preventive measure.

 

The laboratory technician wore gloves as a precauton against blood contamination.

Term
Predispose
Definition

To make more susceptible or more likely to occur.

 

The dietician explains that high dietary fat intake predisposes some persons to heart disease.

Term
Preexisting
Definition

Already present.

 

the nurse notified the physician that the patient has a preexisting condition that might lead to complications during the emergency surgery.

Term
Primary
Definition

First or most significant.

 

The patient's primary concern was when he could return to work after the operation.

Term
Priority
Definition

 

Of great importance.

 

the lab tech was gental when inserting the needle because it is a high priority to ensure that the patient does not experience excessive pain and discomfort during the procedure.

Term

Prognosis

 

 

Definition

The anticipated ro expected course or outcome.

 

The physician explained that with treatment the patient's prognosis was for a long and healthy life.

Term
Rationale
Definition

The underlying reason.

 

To make sure that the patient will follow the diet instructions, the dietician explains the rationale for the low-salt diet.

Term
Recur
Definition

To occur again.

 

To make sure that a tooth cavity does not recur, the dental hygienist instructs the paitent to use toothpaste with fluoride regularly.

Term
Restrict
Definition

To limit

 

The unlicensed assistive personnel removed the water pitcher from the room to assist the patient in following insturctions to restrict the intake of fluids.

Term
Retain
Definition

 

To hold or keep.

 

The nurse administered a medication to prevent the patient from retaining excess body fluid, which might cause unpleasant swelling.

Term
Site
Definition

Location

 

The nurse selected a site to start the patient's IV based on comfort for the patient.

Term
Status
Definition

Condition

 

The paramedic recognized that the patient's status was unstable, which necessitated  immediate transport to the nearest medical center.

Term

Strict

 

 

Definition

Stringent, exact, complete.

 

The nurse stressed that the patient must follow instructions to maintain strict bed rest to prevent further injury.

Term
Supplement
Definition

to take in addition toor to complete.

 

The dietician instructed the patient to supplement their diet with extra calcium tablets to help build strong bones.

Term

Suppress

 

Definition

To stop or subdue.

 

When the child's fever came down, the nurse checked to see if any medications had been given that would have suppressed the fever.

Term
Symmetric (symmetrical)
Definition

Being equal or the same in size, shape, and relative position.

 

The paramedic observed that the movement of both sides of the patient's chest was symmetrical after the accident.

Term
Symptom
Definition

An indication of a problem.

 

The nurse recognized that the patient's weakness was a symptom of bleeding after surgery.

Term
Untoward
Definition

Adverse or negative.

 

The patient became very confused which was an untoward effect of the medication received.

Term
Urinate
Definition

Excrete or expel urine.

 

the nurse instucted the patient to report any discomfort felt during urination.

Term
Verbal
Definition

Spoken, using words.

 

The paramedic called in a verbal report on the patient's condition to the emergency room nurse while transporting the patient to the hospital.

Term
Vital
Definition

Essential.

 

The paramedic knows that it is vital to learn what type of poison was taken when caring for a poisoning victim.

Term
Void
Definition

Excrete, or expel urine.

 

The paitient was insturcted to void into the container so the nurse could observe the appearance of the uring.

 

Term
Volume
Definition

 

Amount of space occupied by a fluid.

 

The nurse recorded the volume of cough syrup adminstered to the paitient.

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