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health assesstment > Review for Prelims Exam > Flashcards

Review for Prelims Exam Flashcards

1
Q

Uses fingertips (rough/smooth)

A

Texture

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2
Q

use back of hand (warm, hot, and cold)

A

Temperature

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3
Q

Joint position size,m consistenct, and mobility

A

Crepitation and vibration

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4
Q

urinary bladder

A

Distention

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5
Q

Solid fluid and air filled

A

Consistency of Structure

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6
Q

fint descriminations, pulses, texture, size, and consistency, shpae, and crepitu

A

Fingerpads

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7
Q

vibrations, thrills, and fremitus

A

Ulnar/palmar

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8
Q

temeprature

A

Dorsal

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9
Q

very little / no depression (<1cm)
circular motion
uses, pulse and tenderness

A

Light palpation

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10
Q

depressed the skinsurface -2cm (0.5-0.75 inces)
feel for palpable body organ and masses
note the size and consistency and mobility of structure

A

Moderate palpation

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11
Q

2-2.5cm (1 and 2 inch), uterus, breast, and spleen, use one hand to apply pressure and the other hand to feel pressure
size consistency and mobility of structure

A

Deep palpation

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12
Q

`place dominant hand on the skin surface and non dominant hand on top of the dominant hand to apply pressure
surface depression 2.5cm-5cm (12.2 inch)
-feel deep organs / structure

A

Bimanual palpation

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13
Q

striking thte bost directly w/one /two fingertips ex tenderness over the sinuses

A

Direct

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14
Q

most commonly used, striking of an obj held against the body, striking body surface to elicit sounds, cibrations, ex solid tissue - soft tune
fluid- louder tone
air - produced more louder tone

A

indirect

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15
Q

placing one hand flat on the surface and using the fist of the other hand to strike the back of the hand flat on the body surface
used to detect tenderness over organs (kidneys)

A

Blunt

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16
Q

A hollow sound

A

resonance

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17
Q

a booming sound

A

Hyperresonance

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18
Q

Tympany

A

DRUM sound by the stomach

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19
Q

Dullness

A

THUD sound - liver and enlarged spleen or a full bladder

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20
Q

Flatness

A

EXTREMELY DULL such as muscle and bone

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21
Q

Intensity

A

REfers to LOUDNESS and SOFTNESS of sound

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22
Q

Pitch

A

Number of vibrations per sec Frequency

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23
Q

duration

A
  • Length long or short
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24
Q

Quality

A

subjective description of a sound (whistling, gurgling, or snapping)

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25
Q

use of unaided ear

A

direct wheezing sound and grating of moving joint

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26
Q

use of unaided ear

A

direct wheezing sound and grating of moving jointi

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27
Q

indirect

A

use of stethoscope

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28
Q

high pitched sounds hear lungs and abdomen

A

Diaphragm

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29
Q

low pitches sounds and blood vessels

A

Bell

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30
Q

swish sound

A

Bruit

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31
Q

sound of hose

A

thrill

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32
Q

sound changes in the ________

A

abdomen

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33
Q

longer the tube

A

more sound has to travel

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34
Q

if using bell

A

less pressure
warm in your hands first
listen concentrate on the sounds

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35
Q

how was general health been?
any colds in past year?
accients?
use of cigarettesm alcohol, and drugs?

A

health Perception and Health Management

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36
Q

describes food and fluid consumption relative to metabolic need and patter indicators
supplements
daily fluid intake
weight loss or gain
appetitieq

A

Nutritional

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37
Q

bowel elimination pattern
frequency
urniary elimination
excessive persperiation

A

Elimination

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38
Q

exercise pattern
type regularity?

A

Activity

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39
Q

desribes patter of sleep rest and relacation
sleep onset problems?

A

Sleep-rest pattern

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40
Q

ability of the individual to understand and follow

hearing difficulty hearing aid
vision
wear glasses?
change in memory lately?

A

cognitive and perceptual pattern

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41
Q

client’s self worth
how describe self most of the feel good about self?
changes in way you feel about self/body

A

Self -perception

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42
Q

Roles relationship pattern
do you live alone? family? family structure?
family oor others depend on you for things

A

Roles-Relationship Pattern

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43
Q

when appropraite to age and situations - sexual relationships satisficing? changes? problems?
use of contraceptives’? problems?

A

Sexuality-reproduction system

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44
Q

any big changes in your life in the tlast year
who’s most helpful in talking thing over available to you now?>
tense or relaxed?
medicines drugs alcohol?

A

Coping-stress tolerance pattern

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45
Q

patters of values, beliefs (including spiritual_ and goals that guides the clients choices and decisions

A

Values-Beliefs patern

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46
Q

the core temperature must be between _____ and ____

A

36.5C and 37.7C

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47
Q

high metabolic rate is

A

high in vital signs

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48
Q

Strenuous Exercise, Stress, Ovulation

A

Increase in Temperature

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49
Q

below 36.5C or 90.0F seen in prolonged exposure to cold, hypoglycemia, hypothyroidism, or starvation

A

Hypothermia

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50
Q

See in viral or bacterial indections, malignancies trauma, immune disorders above 38.0C or 100F

A

Hyperthermia

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51
Q

a shockwave is produced when the heart contracts and forcefully pumps blood out of the ventricles into the aorta

A

Pulse

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52
Q

Number of pulse beat per miute

A

Rate

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53
Q

how many beats per minute normal adult

A

60-100bpm

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54
Q

Taachycardia

A

> 100bpm

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55
Q

Bradycardia

A

<60bpm

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56
Q

refers to the evenness of the beat

A

Rhytym

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57
Q

regular

A

evenly spaced beats

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58
Q

ireglar/irregularly regular

A

regular patern overall w/ skipped beats

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59
Q

irregularly irregular

A

Chaotic withno discernable pattern

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60
Q

Determined by the amount of blood forced into the artery by the hearbeat

A

volume

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61
Q

0

A

absent

62
Q

1+

A

palpable, but thready

63
Q

2+

A

palpable, but thready

64
Q

1+

A

palpable, but threadynormal and identified

65
Q

3+

A

increased, moderate

66
Q

4+

A

full, bounding, cannot obliterate

67
Q

normal respiration for adults is

A

12-20bpm

68
Q

normal or labored

A

DOB

69
Q

count breaths in _ minute

A

1

70
Q

6 months

A

30-60bpm

71
Q

6-12 months

A

24-30bpm

72
Q

1-5 years

A

20-30bpm

73
Q

6-12 yeasrs

A

12-20bpm

74
Q

12 years and above

A

12-20bpm

75
Q

reflects the pressure exerted on the walls of arteries

A

Blood Pressure

76
Q

difference between systolic and diastolic pressure

A

Pulse Pressure

77
Q

Normal

A

> 120 and >80

78
Q

Elevated

A

120-129 >80

79
Q

HBP HS 1

A

130-139 80-89

80
Q

Hypertensive Stage 2

A

> 140, >90

81
Q

Hypertensive stage 3

A

> 180, >120

82
Q

Decreased height and delayed puberty with chubbiness’

A

Hypopituary Dwarfism

83
Q

Skeletal malformation w/ decrease in height

A

Achonroplastic dwarfism

84
Q

Overgrow of bones in the face head hands and feet with normal height

A

Hyperpituary Acromegaly

85
Q

Extreme weight loss

A

anorexia nervosa

86
Q

arm span is greater then height in pubis to sole measuyrement exceeds pubis to crown measruement

A

marfan syndrome

87
Q

exessive fan evenly distrubuted

A

exogenous obesity

88
Q

central body weight buffalo hump

A

endogenous obesity

89
Q

place probley very gently at the opening ear canal for 2-3 seconds untilk the temp appears digital display and normal findings

A

Tympanic membrane 36.7 - 38.3

90
Q

place the thermometer under the client’s tongue to the right or left frenulum deep in the posterior sublingual pocket and normal findings

A

oral temperature 35.9 - 37.5

91
Q

hold the glass or electronic thermometer under the axilla firmly by having the client hold the arms down and accross the chest for 10 mins

A

axillary temperature

92
Q

place the thermo over the client’s forehead and while pressing the scan button gently stroke the thermo across the client’s forehead over the temporal artery to a point directly behind the ear normal findings - 6 seconds - 36.3 - 37.9

A

Temporal Arterial temp

93
Q

hold a glass thermo in place for 3 mins, use this route when only if other routes are not practical, normal findings: 36.3 - 37.9

A

Rectal temp

94
Q

radial pulse normal rate

A

60-100bpm

95
Q

perform _____ of the apical pulse if the client exhibits aby abnormal findings

A

cardiac auscultation

96
Q

normal RR

A

between 12-20bpm

97
Q

SBP

A

<120mmHG

98
Q

DBP

A

<80mmHG

99
Q

ssure difference of ___ between arms is normal

A

10mmHG

100
Q

Arterioschleorosis

A

thickening

101
Q

aetherosclerosis

A

narrowing

102
Q

normal findinfs of orthostatic hypotension

A

a drop of <20mmHG from recoredded sitting position is normal

103
Q

Pulse pressure is

A

30-50mmHG

104
Q

body weight is within ____ of ideal range

A

10%

105
Q

severe malnutrition

A

70-80%

106
Q

overwieght

A

> 10%

107
Q

obesity

A

> 20%

108
Q

BMI <18.50

A

underweight

109
Q

18.50-24.99

A

Normal Range

110
Q

> 25.00

A

Overweight

111
Q

25-00-29.99

A

Pre-obese

112
Q

> 30

A

obese

113
Q

waist circumferece female NF

A

<35inches(88cm)

114
Q

waist circumferece male NF

A

<40 inches (102cm)

115
Q

waist to hip ration male NF

A

<0.9

116
Q

waist to hip ratio female NF

A

<.80

117
Q

mid arm circum standard male

A

29.3

118
Q

mid arm circum standard female

A

28..5

119
Q

mid arm circum standard male moderately malnourished

A

26.3

120
Q

mid arm circum standard female moderately malnourished

A

25.7

121
Q

mid arm circum standard male severelymalnourished

A

17.6

122
Q

mid arm circum standard female severely malnourished

A

17.1

123
Q

venous filling flat

A

dehydrated

124
Q

venous filling bumpy

A

cardiovascular problem

125
Q

loud or harsh sounds lung sounds

A

decreased pleural fluid
friction rubs
crackles

126
Q

awake or readily aroused oriented full aware of external and internal stimuli, respond appropriately conducts meaningful interpersonal interactions

A

Alert

127
Q

not fully alert drist off to sleep when not stimulated can be aroused but looks frowsy response appropriately to questions or commands
slow and fuzzy
inattentive
loses train of thought
spontaneous movement decresead

A

lethargy

128
Q

transitional state between lethargy and stupor
sleeps most of the timeq

A

Obtunded

129
Q

spontaneously unconcious
respons only to vigorous shake/pain
has appropriate motor response

A

Stupor

130
Q

completely unconsious makes no response to pain

A

Coma

131
Q

Lowest possible score for GCS

A

3 - Coma

132
Q

Highest possible score for GCS

A

15 - Alert

133
Q

15

A

Alert

134
Q

13-14

A

Lethargy / Somnolence

135
Q

9-12

A

Obtundation / Stupor

136
Q

3-8

A

Coma

137
Q

most superficial layers of the skin
stratified squamous cell epithelium divided intro strata

A

Epidermis

138
Q

a layer of dense connective tissue
collagen and elastic fibers provide structual strength

A

dermis

139
Q

most superficial stratum dead squamous cells filled with kertain

A

Stratum Corneum

140
Q

deepest stratum
cuboidal or columbar cell
mitotic division every 19 days

A

stratum Basale

141
Q

trransformation of stratum basale cells into stratum corneum cells

A

keratinization

142
Q

prodution is determiend genetically but can be modified by exposure to ulraviolet light by hormones

yellow brown or black pigments

A

Melanin

143
Q

a plant pigment ingested as a source of VIT A can cause the skin to appear yellowish

orange-yellow pigment form some vegetables

A

Carotene

144
Q

_______ is the yellow color seen in the skin of many newborns. Jaundice happens when a chemical called bilirubin builds up in the baby’s blood. During pregnancy, the mother’s liver removes bilirubin for the baby, but after birth the baby’s liver must remove the bilirubin.

A

Jaundice

145
Q

People whose blood is low in oxygen tend to have a bluish color to their skin. This condition is called

A

cyanosis

146
Q

sweat glands produce a sweat, which cool,s the body

A

Eccrine

147
Q

sweat glands produce an oprganic secretion that causes body odor when broken down by bacteria

A

Apocrine

148
Q

Head and 2 subsections

A

Cranium and Face

149
Q

_ cranial bones

A

8

150
Q

_ facial bones

A

14

health assesstment (31 decks)

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