test 1 nursing theory Flashcards
What are some general data that you can obtain just from observing and interacting with your client
physical appearance with regard to clothing and hygiene, level of consciousness, body size, posture, gait and coordinated movement, use of ambulatory aids, mood and emotional tone
what is included in a mental status assessment
attention, concentration, memory, and ability to think abstractly
what is examined during an eye assessment
appearance of the eyes, iris, sclera, corneas, eyelashes
what is the purpose of the weber test
technique used for determining equality or disparity of bone-conducted sound
what is the purpose of the rinne test
technique used for comparing air versus bone conduction of sound
normal oral and mucous membrane should appear
pink, intact, and kept moist by salivary glands located below the tongue
define wound
a break in the skin
define ulcer
an open, crater-like are
define abrasion
an area that has been rubbed away by friction
define laceration
a torn, jagged wound
define fissure
a crack in the skin, especially in or near mucous membranes
define scar
a mark by the healing of. a wound or laceration
identify the term pailor (pale)
pale regardless of race
identify the term erythema
red, superficial burns, local inflammation, carbon monoxide poisoning
identify the term ecchymosis
purple-trauma to soft tissue
identify the term flushed
pink-fever, hypertension
identify the term cyanosis
blue- low tissue oxygen
identify macule
flat, round, colored, non palable area- freckles
identify papule
elevated, palpable, solid- wart
identify vesicle
elevated, round, filled with serum - blister
identify wheel
elevated, irregular border, no free fluid- hives
identify pustule
elevated, raised border, filled with pus- boil
identify lordosis
exaggerated natural curve of the spine
define kyphosis
an increased thoracic curve
