Ch. 47 Data Collection And Client Care Flashcards
Auscultation
Listening for sounds from within the body using a stethoscope or an ultrasound blood flow detector
Palpation
Feeling body tissues or parts with hands or fingers
Inspection
Careful, close and detailed visual examination of the body
Observation
Watching for general characteristics or factors that do not require closer scrutiny or the use of measurement aids
Percussion
Tapping or striking fingers against the body
Biopsy
Helps determine the presence of cancer or other disorders
Endoscopy
Helps determine a clients digestive or respiratory structure and function
Lumbar puncture
Spinal tap
Helps determine the status of the clients nervous system
X-ray examination
Helps determine fractures and other pathology
Treadmill stress test
Helps evaluate a clients cardiovascular status
Evidence of disease that can be seen or measured such as a rash or swelling is called?
Signs
Subject evidence (data) only the client knows and can report
Symptoms
Infection
The invasion of cells tissues or organs by pathogens
Serous exudate
Serum
Involves clear drainage from a wound
Purulent
Contains pus caused by the presence of bacteria
Endoscopy
A long slender flexible tube with a fiberoptic scope
Helps to Determine a clients digestive or respiratory structure and function
What instrument is used to examine the esophagus?
Esophagoscope
What instrument is used to examine the stomach?
Gastroscopy
What instrument is used to examine the large intestine?
Colonoscopy
What instrument is used to examine the rectum?
Sigmoidoscopy
What is a bronchial scope is used to examine?
The trachea, bronchi, and lungs
Disease
A definite pathologic process
Suppuration
The formation of pus
Wound sinus
A canal or passage leading to an abscess
Nursing diagnosis
Focuses on the person and his or her needs in response to the disease rather than the disease itself
What disease develops suddenly and runs it’s course in days or weeks?
An acute disease
Chronic disease
May continue four months years or life
Acuity
A disorder level of severity
Primary disease
Occurs independently (by itself)
secondary disease
Directly results from or depends on another disease
Cholecystitis
Inflammation of the gallbladder
Who determines the medical diagnosis in a healthcare facility?
A physician
Vitamins, herbs, acupuncture, or homeopathic remedies are all examples of?
(CAM) complementary and alternative medicine
What are the different stages of complications that may occur in a client?
Early, continuing, late, or terminal stages may occur
What is the importance of laboratory test?
To assure patient safety and reduce medical error
What instrument is used to examine the abdomen
Laparoscope
What instrument is used to examine the joint
Arthroscope
