health history Flashcards

1
Q

Objective data

A

What you see and sense as the nurse

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2
Q

Subjective data

A

What the patient tells you, how they are feeling

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3
Q

IPPA

A

inspection, palpation, percussion, auscultation

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4
Q

COLDSPA (for pain)

A

Character, onset, location, duration, severity, pattern, associated factors

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5
Q

What is diaphragm used for

A

High pitched sounds, abdomen and heart

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6
Q

What is a bell used for

A

Low pitched sounds, heart murmurs

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7
Q

Initial comprehensive assessment includes

A

Subjective and objective data, all systems, past health history, family history, lifestyle and health practices

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8
Q

Ongoing or Partial assessment

A

Adds to comprehensive as incidents occur

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9
Q

Focused or problem-oriented assessment

A

Focus on specific problem or chief complaint

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10
Q

Emergency assessment

A

rapid, in life-threatening situation

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11
Q

Steps of health assessment

A

prep (review), collect data, validate data, document

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12
Q

Genogram

A

Family tree, documents disease process patterns in the family. can identify major health concerns or risks

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13
Q

Resonance

A

hollow sound

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14
Q

Hyperresonance

A

Booming sound

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15
Q

Tympany

A

Drum-like sound

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16
Q

Flatness

A

Flat sound

17
Q

Dullness

A

thud-like sound

18
Q

Health history components

A

Biographical data, reason for seeking healthcare, history of health concern, family history, past health history, review of systems, lifestyle practices, developmental level

19
Q

Purpose of ROS in assessment

A

to know current health problems

20
Q

finger pads in palpation

A

Fine discriminations, pulse, texture, size, consistency, shape, moisture

21
Q

palmar surface in palpation

A

Vibrations, vocal vibration (fremitus)

22
Q

dorsal surface in palpation

A

Temperature

23
Q

finger pads in percussion

A

direct, tenderness or inflammation

24
Q

palmar surface in percussion

A

blunt, tenderness of organs, size, shape, location of a mass

25
Q

both hands in percussion

A

indirect or mediate, striking hand on patient’s skin, detecting abnormal masses or stimulating reflexes