Review for Prelims Exam Flashcards
Uses fingertips (rough/smooth)
Texture
use back of hand (warm, hot, and cold)
Temperature
Joint position size,m consistenct, and mobility
Crepitation and vibration
urinary bladder
Distention
Solid fluid and air filled
Consistency of Structure
fint descriminations, pulses, texture, size, and consistency, shpae, and crepitu
Fingerpads
vibrations, thrills, and fremitus
Ulnar/palmar
temeprature
Dorsal
very little / no depression (<1cm)
circular motion
uses, pulse and tenderness
Light palpation
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
Moderate palpation
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
Deep palpation
`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
Bimanual palpation
striking thte bost directly w/one /two fingertips ex tenderness over the sinuses
Direct
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
indirect
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)
Blunt
A hollow sound
resonance
a booming sound
Hyperresonance
Tympany
DRUM sound by the stomach
Dullness
THUD sound - liver and enlarged spleen or a full bladder
Flatness
EXTREMELY DULL such as muscle and bone
Intensity
REfers to LOUDNESS and SOFTNESS of sound
Pitch
Number of vibrations per sec Frequency
duration
- Length long or short
Quality
subjective description of a sound (whistling, gurgling, or snapping)
use of unaided ear
direct wheezing sound and grating of moving joint
use of unaided ear
direct wheezing sound and grating of moving jointi
indirect
use of stethoscope
high pitched sounds hear lungs and abdomen
Diaphragm
low pitches sounds and blood vessels
Bell
swish sound
Bruit
sound of hose
thrill
sound changes in the ________
abdomen
longer the tube
more sound has to travel
if using bell
less pressure
warm in your hands first
listen concentrate on the sounds
how was general health been?
any colds in past year?
accients?
use of cigarettesm alcohol, and drugs?
health Perception and Health Management
describes food and fluid consumption relative to metabolic need and patter indicators
supplements
daily fluid intake
weight loss or gain
appetitieq
Nutritional
bowel elimination pattern
frequency
urniary elimination
excessive persperiation
Elimination
exercise pattern
type regularity?
Activity
desribes patter of sleep rest and relacation
sleep onset problems?
Sleep-rest pattern
ability of the individual to understand and follow
hearing difficulty hearing aid
vision
wear glasses?
change in memory lately?
cognitive and perceptual pattern
client’s self worth
how describe self most of the feel good about self?
changes in way you feel about self/body
Self -perception
Roles relationship pattern
do you live alone? family? family structure?
family oor others depend on you for things
Roles-Relationship Pattern
when appropraite to age and situations - sexual relationships satisficing? changes? problems?
use of contraceptives’? problems?
Sexuality-reproduction system
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?
Coping-stress tolerance pattern
patters of values, beliefs (including spiritual_ and goals that guides the clients choices and decisions
Values-Beliefs patern
the core temperature must be between _____ and ____
36.5C and 37.7C
high metabolic rate is
high in vital signs
Strenuous Exercise, Stress, Ovulation
Increase in Temperature
below 36.5C or 90.0F seen in prolonged exposure to cold, hypoglycemia, hypothyroidism, or starvation
Hypothermia
See in viral or bacterial indections, malignancies trauma, immune disorders above 38.0C or 100F
Hyperthermia
a shockwave is produced when the heart contracts and forcefully pumps blood out of the ventricles into the aorta
Pulse
Number of pulse beat per miute
Rate
how many beats per minute normal adult
60-100bpm
Taachycardia
> 100bpm
Bradycardia
<60bpm
refers to the evenness of the beat
Rhytym
regular
evenly spaced beats
ireglar/irregularly regular
regular patern overall w/ skipped beats
irregularly irregular
Chaotic withno discernable pattern
Determined by the amount of blood forced into the artery by the hearbeat
volume