KNOWLEDGE DUMP Flashcards
What are the steps to nursing process
ASSESSMENT NURSING DIAGNOSIS PLANNING IMPLEMENTING/INTERVENTION EVALUATING
if the visual field is smaller than normal this is an indication of? it is also the disturbance in the circulation of aqueous fluid which causes an increase in inta ocular pressure
GLAUCOMA
the term used for when they eyes turn inwards
esotropia
the term used for when they eyes turn outward
exotropia
the term used for when they eyes turn upward
hypertropia
the term used for when they eyes turn downward
hypotropia
loss of elasticity of the lens and thus loss of ability to see close objects
presbyopia
uneven curvature of the cornea that prevents horizontal and vertical rays from focusing on the retina
ATIGMATISM
nearsightedness-
myopia- 20/30
far sightedness
hyperopia
redness swelling/tenderness of hair follicle
HORDEOLUM
Opacity of the lens and its capsule
CATARACT
normal respiration
EUPNEA
RAPID RATE OF RESPIRATION
TACHYPNEA
Abnormally slow respiratory rate
bradypnea
cessation of breathing
apnea
inability to breathe except in upright or standing position
orthopnea
difficult or uncomfortable breathing
dyspnea
method of palpation involving the use of two hands to locate body structures and assess their texture, size, consistency, mobility and tenderness.
BIMANUAL PALPATION
critical observation of the patient during which examiner may use sight, hearing or smell to make informed observation.
INSPECTION
change in the shape of the lens that allows the eye to focus
ACCOMODATION
accumulation of serous fluid in a saclike structure such as the testis
HYDROCELE-
accumulation of _____ causes jaundice
BILIRUBIN
puckering or depression of the skin of the breast possibly caused by underlying growth; also called retraction
DIMPLING
permanently dilated small blood vessels that form a web-like pattern
TELANGIECTASIS
abnormal protrusion of a structure through an opening such as a loop of bowel through a muscle wall
HERNIA-
inability to understand the spoken word, difficulty expressing or comprehending speech
APHASIA
benign acquired skin condition of unknown cause consisting of complete absence of melanin pigment leading to patchy areas of white or light skin
VITILIGO-
entrance to a canal or cavity such as the vagina
INTROITUS
protein-deficiency malnutrition that occurs in young children and involves loss of visceral protein
KWASHIORKOR-
uncoordinated actions when voluntary muscle movements are attempted
ATAXIA-
musical drum-like sound heard during percussion over a hollow organ such as the stomach
TYMPANY-
is a low-pitched, snoring, rumbling breath sound heard on inhalation but more pronounced on exhalation-
rhonchi
enlargement of breast tissues in a male
GYNECOMASTIA
palpable vibrations that results from air passing through the bronchopulmonary system and transmitting vibrations to the chest wall
FREMITUS
commonly used for female pelvic examination in which the patient lies on her back with her hips and knees flexed and her thighs abducted and rotated externally
DORSAL LITHOTOMY POSITION
physical assess technique by which the examiner uses the sense of touch to feel pulsations and vibrations or to locate body structures and assess their texture size, consistency, mobility and tenderness
PALPATION-
fixation of a joint due to fibrous or bony union
ANKYLOSIS
intermittent non musical, crackling breath sounds that are caused by collapsed or fluid filled alveoli popping open at the end of inspiration
CRACKLES
decreased muscle tone which causes muscle to become weak or flabby
FLACCIDITY
difficulty in swallowing
DYSPHAGIA
language disorder characterized by difficulty expressing or comprehending speech
APHASIA-
sharp stabbing pain that occurs when the abdomen is pushed in deeply and then suddenly released; usually associated with peritoneal inflammation
REBOUND TENDERNESS
loss of appetite
ANOREXIA
point at which the upward thrust of the heart against the chest wall is the greatest usually over the apex of the heart
PMI (POINT OF MAXIMUM IMPULSE)-
Is the speech defect commonly related to a motor deficit of the tongue or speech muscles
DYSARTHRIA
Loud, high-pitched crowing sound usually heard during inspiration without the need for a stethoscope
STRIDOR-
Auscultation point on the precordium at the third intercostal space the left of the sternum
ERB’S POINT
Palpable vibration felt over the heart or vessel that results from turbulent blood flow
THRILL
Accumulation of fluid in the abdominal cavity
ASCITES
- Noise or vibration produced by rubbing together irregular cartilage surface or broken ends of a bone
CREPITUS
Thickening and hardening of the skin often resulting from the irritation caused by repeated scratching of a pruritic lesion
LICHENIFICATION
Normal degree of vigor and tension; in muscle, the normal degree of tension
TONE
Physical assess technique by which the examiner TAPS on the skin surface with her fingers to assess the size, border, consistency of internal organs and to detect and evaluate fluid in body cavity
PERCUSSION
Measurements of the human body taken as a part of a comprehensive nutritional assessment
ANTROPOMETRIC MEASUREMENT
what are the cardinal signs?
body temperature pulse respiration rate blood pressure pain
balance between heat produced by the body and heat loss
body temperature
temperature of the deep tissues
core temp
body temperature above normal range
pyrexia/hyperthermia
very high fever
hyperpyrexia
subnormal temperature
hypothermia
This is a wave of blood created by contraction of the left ventricle of the
heart. The heart is a pulsating pump, and the blood enters the arteries with
each heartbeat, causing pressure pulses or pulse waves. Generally, the pulse
wave represents the stroke volume and the compliance of the arteries.
Pulse
pulse rate below 60 beats/min
Bradycardia–
pulse rate of above 100 beats/min
Tachycardia
what pulse are you listening to when using a sthethoscope
apical pulse
how many pulses in the human body
9 pulse
Is the exchange of oxygen and carbon dioxide between the
atmosphere and the body.
respiration
what is the normal rr in an adult
14-20
This can be established by watching the movement of the chest. It is
generally described as normal, deep, or shallow.
Depth
This is the force exerted by the blood against a vessel wall. Arterial blood
pressure is a measure of the pressure exerted by the blood as it flows through
the arteries. There are two blood pressure measures:
blood pressure
This is the pressure of the blood because of contraction of
the ventricles, which is the height of the blood wave.
systolic pressure
This is the pressure when the ventricles are at rest. It is the
lower pressure present at all times within the arteries.
diastolic pressure
is an abnormally low blood pressure below 100min Hg systolic.
Hypotension
