chapter 17 Flashcards
Accumulation of serous fluid in the peritoneum is called?
ascites
loud, high pitched sounds, with a hollow quality often compared to the sound of air blowing through a pipe is?
bronchial breath sounds
sounds heard with auscultation; due to turbulent blood flow, such as occurs in partially obstructed blood vessels, tight or floppy heart valves, or dialysis fistulas are called?
bruits
areas evaluated when an acute problem with limb is possible is called?
circulation, motion, sensation (CMS)
swelling in the nails that flattens the profile angle to 180 degrees or less is called?
clubbing
grating feeling and pain that accompany problems with the temporal mandibular joint is called?
crepitus
redness, usually from irritation or inflammation is called?
erythema
communication disorder in which the patient understands and follows directions but cannot verbally and effectively communicate with the nurse is called?
expressive aphasia
assessment based on the patients problems, components include performing a vernal survey, taking vital signs, and assessing specific areas that relate to the problem is?
focused health assessment
standardized assessment tool used when serial assessments are done for high risk patients is called?
glasgow coma scale
skin color that may appear pale with hypoxia and anemia is called?
pallor
involuntary, rhythmic oscillations of the eyes is called?
nystagmus
Information that includes vital signs, height, and weight gathered directly from the patient during the initial stage of the assessment to obtain a general overview of the patients status is called?
primary data
disorder in which patients cannot understand simple directions is called?
receptive aphasia
What is the purpose of the health assessment?
to establish a database for the patients normal abilities, risk factors that can contribute to dysfunction, and any current alterations to function.
