Exam 1 terms Flashcards
Auscultation
listening to sounds within the body
Cyanosis
bluish-greyish discoloration of the skin and mucous membranes caused by an excess of deoxygenated hemoglobin in the blood; Seen in nail beds, earlobes, lips, palms, mucous membranes and feet
Palpitation
to use back of hands, or hands to inspect skin such as temp, skin turgor etc
Percussion
performed to evaluate the size, borders, and consistency of internal organs; detect tenderness, and find out the extent of fluid in the body cavity
Inspection
data obtained by visual examination of the body; body movement, posture, and smell
Pallor
pale skin color that may appear white
Supine pos.
Pos most normally relaxed pos. Provides easy access to pulse sites
Dorsal recumbent
pos is used for stomach assessment, it promotes relaxation of abdominal muscles
Lithotomy pos
pos provides maximum exposure of genitalia and facilities insertion of a vaginal speculum
Trendelenburg pos
the body is pos in supine pos but the table is tilted to the floor with legs in the air
skin turgor
Skin elasticity
Wheal
My car wheel
Elevated, solid, transient lesion; often not reg shaped but well-demarcated; an edematous response
Nodule
HINT( there is a NOD in your neck)
solid skin elevation that extends into the dermal layer and is 1 to 2 cm in diameter
Macule
HINT( Becky is white and flat but think she black)
the flat, circumscribed(separated) area that is a change in color of the skin; less than 1 cm in diameter
Papule
HINT( his acne looks like papcorn)
solid, elevated circumscribed(separated), superficial lesion 1 cm or less in diameter
Ulcer
A circumscribed(seprated) crater on the surface of the skin or mucous membrane that results in necrosis
Symptoms
subjective indicator or sensation perceived by the patient
Vesicle
Elevated, circumscribed(seperated), superficial not into the dermis, filled with serous fluid, less than 1 cm in diameter
Cyst
elevated, circumscribed, encapsulated lesion in the dermis or subcutaneous layer filled with liquid or semisolid material
Scale
a small, thin flake of epithelial cells; flaky skin, heaped up keratinized cells
Petechiae
red to purple small lesions on the skin from minute hemorrhages in the dermal or submucosal layers; 0.5 cm less than in diameter
Objective data
data obtained from examination, measurements, or diagnostic test; observable by a nurse
Subjective data
data obtained from a health history or provided to nurse by a patient
Purulent
consisting of, containing, or discharging pus
Signs
objective finding perceived by a nurse
Pruritus
Itching of the skin
Ecchymosis
Bruise; dark red, purple, yellow, or green color depending on the age of a bruise
Striae
Stretch marks; streaks of linear scars from tension in the skin
Purpura
Hemmorahe into the tissue, usually circumscribed. Lesions may be described as petechiae, ecchymoses, or hematomas
Erythema
Redness of the skin
Jaundice
Yellowing of the skin