Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

health assessment > exam 3 > Flashcards

exam 3 Flashcards

1
Q

stage 1 pressure ulcer

A

intact skin, non blanchable redness over bony prominence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

stage 2 pressure ulcer

A

partial thickness tissue of dermis presenting as a shallow open ulcer with reddish pink would bed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

stage 3 pressure ulcer

A

full thickness tissue loss with visible sub q fat, no muscle or bone exposure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

stage 4 pressure ulcer

A

full thickness loss with exposed muscle or bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ABCDEs of skin lesions

A

asymmetry
border
color
diameter
evolution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

signs and symptoms of dehydrated individual

A

decreased turgor
dry mouth, kips, eyes
dark urine
dizzy
sunket eyes and cheeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

confluent lesions

A

smaller lesions run together to form a larger lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what assessment findings indicate jaundice?

A

yellow skin tones, sclera, oral mucosa, palms, and soles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

1+ edema

A

mild pitting, 2 mm depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

2+ edema

A

moderate pitting, 4 mm depression disappears in 10-15 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

3+ edema

A

moderately severe pitting, 6 mm depression may last more than a minute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

4+ edema

A

severe pitting, 8 mm depression can last more than 2 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

skin functions

A

protection
fluid & electrolyte balance
sensation
excretion
vitamin D
repair
external view of internal system
temperatuer regulation
youth and appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how to interpret a Braden scale score

A

lower Braden score= higher risk
< 18 indicates risk status

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

otitis media symptoms

A

red, bulging eardrum and diminished or absent light reflex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how are the tonsils graded

A

1+ normal size or no tonsils
2+ tonsils a little enlarged
3+ tonsil touching uvula; tonsils beyond pillars
4+ tonsils expand to midline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how should pupils react to penlight?

A

pupils constrict to direct and indirect light

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what does PERRLA stand for

A

pupils
equal
round
reactive to
light and
accommodation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how to place otoscope in an adult ear

A

up & back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

how to place otoscope in a child ear

A

down & back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

where to you assess a dark-skinned person for pallor

A

eye & mouth lining

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

weber test

A

strike the tuning fork on top of the head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

normal weber test

A

sound heard equally in both ears

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

abnormal weber test

A

hear louder in one ear than the other

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

conductive hearing loss

A

sound lateralizes to defective ear; something impairing passage of vibrations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

sensorineural hearing loss

A

sound lateralizes to the better ear; damage to inner ear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

rinne test

A

tuning fork at opening of the ear canal and patient states how long they hear the sound. once they can not hear it anymore, move tuning fork to the mastoid bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what does rinne test

A

air and bone conduction

29
Q

normal rinne test

A

AC > BC

30
Q

abnormal rinne test

A

BC > AC

31
Q

OD

A

ocular dexter (right eye)

32
Q

OS

A

ocular sinister (left eye)

33
Q

glaucoma

A

crescent shaped shadow in the iris, blurred vision, severe eye & head pain, nausea or vomiting, sudden sight loss

34
Q

normal snellen chart reading

A

20/20 in both eyes
a patient can see at 20 feet what people normally see at 20 feet

35
Q

what type of vision loss is glaucoma

A

gradual peripheral vision loss

36
Q

macular degeneration

A

slow, progressive loss of central vision “you let the blinds down halfway”

37
Q

retinal detachment

A

sudden appearance of floaters, flashes of light in one or both eyes, blurred vision

38
Q

what type of vision loss is retinal detachment

A

gradual reduced peripheral vision; emergency!!

39
Q

cataracts

A

blurry/cloudy vision, cannot see well at night, halo around lights

40
Q

hypothyroidism

A

decreased metabolism; sensitive to cold, weight gain, constipation, muscle aches and weakness, fatigue, hair loss

41
Q

hyperthyroidism

A

increased metabolism; sensitive to hear, hyperactivity, difficulty sleeping, feeling tired all the time, unintentional weight loss, rapid heartbeat

42
Q

hirsutism

A

excessive facial hair on females, characteristic of Cushing disease

43
Q

macule

A

small, flat, non-palpable skin color change less than 1 cm; ex. freckles, flat moles, port wine stains

44
Q

papule

A

elevated, palpable, solid mass with border less than 0.5; ex. elevated nevi, warts

45
Q

vesicle

A

circumscribed elevated, palpable mass containing serous fluid less than 0.5 cm; ex. herpes simplex/zoster, varicella, poison ivy

46
Q

strabismus

A

constant misalighment of the eye

47
Q

nystagmus

A

an oscillating movement of the eye, may be associated with an inner ear disorder, multiple sclerosis, brain lesions, or narcotics use

48
Q

dysphagia

A

difficulty swallowing

49
Q

entropion

A

inverted lower eye lid

50
Q

ectropion

A

everted lower eye lid

51
Q

exophthalmos

A

protruding eyeballs and retracting eye lids

52
Q

presbycusis

A

gradual loss of hearing due to age, especially high-pitched sounds

53
Q

adenopathy

A

large or swollen lymph nodes

54
Q

lymph nodes to know

A

preauricular
postauricular
occipital
submental
submandibular
tonsillar
posterior cervical chain

55
Q

posterior cervical chain location

A

behind ear and dow both sides

56
Q

how do you palpate the thyroid gland?

A

stand behind patient, make sure their chin is lowered, ask patient to swallow and with one hand press and feel the thyroid move with the other

57
Q

what documentation is important regarding skin lesions?

A

COLDSPA
type, color, shape, pattern, location, size, configuration

58
Q

confrontation test

A

tests visual fields; you are sitting across from pt and hold your fingers out and have pt tell you when they can see your fingers

59
Q

who is the control in the confrontation test

A

nurse

60
Q

cardinals field of gaze

A

make sure eye movement is clean and smooth

61
Q

ptosis

A

dropping of the lid

62
Q

what are the visual abnormalities associated with age

A

glaucoma
macular degeneration
cataracts

63
Q

acute angle glaucoma

A

sudden onset eye pain

64
Q

risk factors for oral cancer

A

smoking, alcohol, exposure to HDV, male gender, older than 55, poor oral hygiene

65
Q

temporal artery

A

palpate; tenderness and inflammation can lead to blindness

66
Q

purpose of the cochlea

A

helps with balance

67
Q

romberg test

A

tests for equilibrium

68
Q

tragus

A

inner ear

health assessment (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions