ch 30 physical assessment Flashcards
is used for assessment of the rectum and the
vagina.
Sims’ position
(lateralization of sound), the nurse places the vibrating tuning fork in the middle of the patient’s forehead
Weber’s test
(comparison of air and bone conduction), the nurse places a vibrating tuning fork on the patient’s mastoid
process and compares the length of time air and bone conduction is heard
Rinne test
indicate carbon monoxide poisoning
Cherry-colored lips
are circumscribed, elevated skin lesions filled with serous fluid that measure less than 1 cm
Vesicles
are irregularly
shaped, elevated areas of superficial localized edema that vary in size. They are common with mosquito bites and hives
Wheals
are palpable, circumscribed, solid elevations in the skin that are smaller than 1 cm
Papules
are elevations of skin similar to
vesicles, but they are filled with pus and vary in size like acne.
DIF: Understand (comprehension)
OBJ: Describe physical measurements made in assessing each body syst
Pustules
toxic ingredient in shampoo
lindane-based shampoos.
shampoo thoroughly with pediculicide
(shampoo available at drugstores) in cold water at a basin or sink, comb thoroughly with a fine-toothed comb, and discard the
comb. A dilute solution of vinegar and water helps loosen nits.
head lice
, a clouding of the lens, develop slowly and progressively after age 35 or suddenly after trauma
Cataracts
is impaired near vision that occurs in middle-aged and older adults and is caused by loss of elasticity of the lens.
Presbyopia
is a (congenital) condition in which both eyes do not focus on an object simultaneously: The eyes appear crossed
Strabismus
low birth weight, nonbacterial intrauterine infection, and
excessively high bilirubin levels. due to ototoxicity
Hearing loss
infection increases the person’s risk for cervical cancer
Human papillomavirus (HPV)