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NRSG 100: Fundamentals > Exam 2 - Chapter 26 (Health Assessment) > Flashcards

Exam 2 - Chapter 26 (Health Assessment) Flashcards

1
Q

Types of HEalth Assessnments

A

Comprehensive
Ongoing Partial
Focused
Emergency

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2
Q

What is a Comprehensive Health Assessment?

A

This is broad and includes a complete health history and physical assessment

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3
Q

What is a Focused HEalth Assessment

A

Is conducted to assess a specific problem

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4
Q

What is a Emergency Health Assessment

A

It is a type of rapid focused assessment conducted when addressing a life-threatening or unstable situation

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5
Q

What is Ongoing Partial Health Assessment

A

It is one that is conducted at regular intervals during care of the patient

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6
Q

Considerations when performing health assessment

A

Lifespan Considerations
Cultural Considerations and Sensitivity
Patient Preparation
Environmental Preparations

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7
Q

Factors to Assess During a Health History

A 
Biographical Data
Reason for Seeking Health Care
History of Present Illness
Past Health History
Family History
Functional Health
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8
Q

Preparing for Physical Assessment (1)

A

Agree on a time for the assessment

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9
Q

Preparing for Physical Assessment (2)

A

Make sure patient is as free of pain as possible and empty bladder

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10
Q

Preparing for Physical Assessment (3)

A

Explain the procedure answers questions directly and honestly

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11
Q

Preparing for Physical Assessment (4)

A

Provide a gown and drape for the patient

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12
Q

Preparing for Physical Assessment (5)

A

Gather the supplies and instruments needed

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13
Q

Preparing for Physical Assessment (6)

A

Provide a curtain or screen if the area is open to others

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14
Q

Techniques used during a Physical Assessment

A

Inspection
Palpation
Percussion
Auscultation

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15
Q

Inspection

A

Assessing Size, Color, Shape, Position, And Symmetry

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16
Q

Palpation

A

Assesssing Temperature, Turgor, Texture, Moisture, Vibrations, And Shape

17
Q

Percussion

A

Assessing Location, Shape, Size, And density of tissuese

18
Q

Auscultation

A

Assessing the four characteristics of sound, that is, pitch, loudness, quality, and duration

19
Q

Characteristics of MAsses Determined by Palpation

A 
Shape
Size
Consisstency
Surface
Mobility
Tenderness
Pulsating
20
Q

Erythema

A

Redness of the skin, caused by dilation of superficial blood vessels

21
Q

Cyanosis

A

Blueish or grayish discoloration of the skin in response to inadequate oxygenation

22
Q

Jaundice

A

A yellow color of the skin resulting form elevated amounts of bilirubin in the blood

23
Q

Pallor

A

Paleness of the skin

24
Q

Ecchymosis

A

Collection of blood in the cubcutaneous tissues

25
Q

Petechiae

A

Small hemorrhagic spots caused by capillary bleeding.

26
Q

Diaphoresis

A

Exccessive amount of perspiration, such as when the entire skin is mosit

27
Q

Bronchial Breath Sounds

A

Heard over the larynx and trachea and are high-outched, harsh blowing sounds with sound of expiration being longer than inspiration

28
Q

Bronchovesicular Breath Sounds

A

Heard over the mainstem bronchus and are moderate blowing sounds

29
Q

Vesicular Breath Sounds

A

Soft-Low pitched whispering sounds heard over most of lung fields

30
Q

Adventitious Breaht Sounds

A

Not normally heard in the lungs and result from air movement through moisture

31
Q

Assessling Level of Awareness

A

Time, Place, Person, Situation

32
Q

Sound Heard: Pitch

A

Ranging from high to low

33
Q

Sound Heard: Loudness

A

Ranging from soft to load

34
Q

Sound Heard: Quality

A

For example, gurgling or swishing

35
Q

Sound Heard: Duration

A

Short medium or long

36
Q

Common Thorax and Lung Variations in Older Adults

A

Increased Anteroposterior Chest Diameter
Increase in the dorsal spinal curve (kyphosis)
Decrease thoracic expansion
Uce of accesory muscles to exhale

37
Q

Where is the best sound heard in the abdominal quadrants?

A

Left Lower Quadrant

38
Q

Common Abdominal Variations in Older Adults

A

Decreased bowel sounds
Decreased abdominal tone
Fat accumulation on the abdomen and hips

39
Q

Common Cardiovascular and Peripheral Vascular Variations in Older Adults

A 
Difficult-To-Palpate Distal Arteries
Dilated Proximal Arteries
More prominent and toruous blood vessels
Increased BP
Widening Pulse Pressure

NRSG 100: Fundamentals (27 decks)

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