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Nursing Concepts > Assessment > Flashcards

Assessment Flashcards

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1
Q

What does afebrile mean?

A

Body temperature is not elevated

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2
Q

Apnea

A

Absence of breathing

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3
Q

auscultatory gap

A

diminished/absent Korotkoff sounds, occurs during manual blood pressure reading

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4
Q

Blood pressure

A

force of blood against arterial walls

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5
Q

Bradycardia

A

slow heart rate

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6
Q

Bradypnea

A

slow rate of breathing

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7
Q

Dyspnea

A

difficult/labored breathing

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8
Q

Dysrhythmia

A

abnormal cardiac output

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9
Q

Febrile

A

elevated body temperature

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10
Q

Eupnea

A

normal respirations

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11
Q

Hypertension

A

blood pressure above normal limit

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12
Q

Hyperthermia

A

high body temperature

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13
Q

Hypotension

A

blood pressure below normal limits

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14
Q

Hypothermia

A

low body temperature

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15
Q

Korotkoff sounds

A

series of sounds that correspond to changes in blood flow

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16
Q

Orthopnea

A

type of dyspnea where breathing is easier when patient sits/stand

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17
Q

Orthostatic hypotension

A

temporary fall in blood pressure associated with assuming and upright position

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18
Q

Pulse

A

wave produced in the wall of an artery with each beat of the heart

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19
Q

Pulse deficit

A

difference between apical and radial pulse

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20
Q

Pulse Pressure

A

difference between systolic and diastolic pressures

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21
Q

Pyrexia

A

elevation above the upper limit of normal body temperature; synonym for fever

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22
Q

Respirations

A

Gas exchange between atmospheric air in the alveoli and blood in the capillaries

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23
Q

Systolic pressure

A

highest point of pressure on arterial walls when ventricles contratct

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24
Q

Tachycardia

A

Rapid heart rate

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25
Q

Tachypnea

A

rapid rate of breathing

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26
Q

Temperature

A

refers to hotness of coldness of a substance

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27
Q

Vital signs

A

body temp, pulse and respirations, blood pressure; synonym for cardinal signs

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28
Q

Activities of daily living (ADL)

A

self-care activities such as eating, bathing, dressing, and toileting

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29
Q

Adventitious breath sounds

A

abnormal breath sounds heard over lungs

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30
Q

Auscultation

A

listening for sound within the body

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31
Q

Body mass index (BMI)

A

ratio of height to weight

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32
Q

Bronchial breath sounds

A

sounds heard over the larynx and trachea, high pitched, harsh blowing sounds, with sound on expiration being longer than inspiration

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33
Q

Bronchovesicular breath sounds

A

normal breath sounds heard over the mainstem bronchus; moderate breath sounds. inspiration=expiration

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34
Q

Comprehensive health assessment

A

health assessment that consists of health history and physical assessment; usually conducted when a patient first enters a health care setting. provides a baseline for comparing later assessments.

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35
Q

Cyanosis

A

bluish coloring of the skin and mucous membranes

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36
Q

Ecchymosis

A

collection of blood in subcutaneous tissues that cause purple discoloration

37
Q

Diaphoresis

A

excessive amount of perspiration ( sweat)

38
Q

Edema

A

accumulation of fluid

39
Q

Emergency health assessment

A

rapid focused assessment conducted during life- threatening/ unstable situation

40
Q

Erythema

A

redness of skin

41
Q

Focused health assessment

A

assessment conducted to assess a specific problem.

42
Q

Health history

A

collection of subjective information about a persons health status

43
Q

Inspection

A

purposeful and systematic observation

44
Q

Instrumental activities of daily living (IADL)

A

activities of daily living needed for independent living

45
Q

Jaundice

A

yellow appearance of skin

46
Q

Ongoing partial assessment

A

“follow up assessment”. conducted at regular intervals during care of the patient.

47
Q

Pallor

A

paleness of skin

48
Q

Palpation

A

feeling a body part with fingers/hands

49
Q

Petechiae

A

small, purplish hemorrhagic spots on skin that do not blanch with applied pressure

50
Q

Physical assessment

A

examination of the patient for objective data to better define patients condition

51
Q

Precordium

A

anterior surface of chest wall overlying the heart

52
Q

Review of systems

A

physical examination of all body systems in a systematic manner as part of the nursing assessment

53
Q

Turgor

A

tension of skin (elasticity) determined by its hydration

54
Q

Vesicular breath sounds

A

Normal sound of respiration heard on auscultation over peripheral lungs.

55
Q

Newborn (birth-28 days) normal temp

A

97.2-99.9F

56
Q

Newborn; normal pulse

A

95-170

57
Q

Newborn; normal respirations

A

30-60

58
Q

Newborn; normal blood pressure

A

60-70/40

59
Q

Infant ; normal temp

A

96.0-99.7F

60
Q

Infant; normal pusle

A

85-170

61
Q

Infant; normal blood pressure

A

85/37

62
Q

Infant; normal respirations

A

30-50

63
Q

Toddler (1-3); normal temp

A

96-90F

64
Q

Toddler (1-3); normal pulse

A

70-150

65
Q

Toddler (1-3); normal respirations

A

20-40

66
Q

Toddler (1-3); normal blood pressure

A

88/42

67
Q

Child (3-12); normal temp

A

96-99F

68
Q

Child (3-12); normal pulse

A

65-130

69
Q

Child (3-12); normal respirations

A

15-25

70
Q

Child (3-12); normal BP

A

95/57

71
Q

Adolescent (12-18); normal temp

A

96.4-99.5F

72
Q

Adolescent ( 12-18); normal pulse

A

60-115

73
Q

Adolescent (12-18); normal respirations

A

12-20

74
Q

Adolescent (12-18); normal BP

A

102/60

75
Q

Adult (18-65); normal temp

A

96.4-99.5F

76
Q

Adult(18-65); normal pulse

A

60-115

77
Q

Adult (18-65); normal respirations

A

12-20

78
Q

Adult (18-65); normal BP

A

120/80

79
Q

Aged adult (65+); normal temp

A

96.4-98.3F

80
Q

Aged adult (65+); normal pulse

A

40-100

81
Q

Aged adult (65+); normal respirations

A

16-24

82
Q

Aged adult (65+); normal BP

A

120/80

83
Q

Bradycardia has how many beats/min

A

less than 60

84
Q

Tachycardia has how many beats per min

A

over 100

85
Q

Tachypnea has how many breaths/min

A

More than 24

86
Q

Bradypnea has how many breaths/min

A

more than 10

87
Q

Bruit

A

abnormal “swooshing/blowing” sounds heard over a blood vessel.

88
Q

Fever

A

elevation above the upper limit of normal body; fe

Nursing Concepts (1 decks)

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