deck_1093758 Flashcards
(158 cards)
2
Q
Elasticity of skin
A
Skin turgor
3
Q
Swelling
A
Edema
4
Q
Feel or sound of cracking rattling or rough surfaces rubbing together
A
Crepitation
5
Q
Extreme sweating
A
Diaphoresis
6
Q
Skin redness
A
Erythema
7
Q
Itching
A
Pruritis
8
Q
Hives, intense itching
A
Urticaria
9
Q
Excessive hair
A
Hirsutism
10
Q
Loss of hair
A
Alopecia
11
Q
Yellowing of skin or eyes
A
Jaundice
12
Q
Blue skin, nails or lips
A
Cyanosis
13
Q
Pale, grey tone to skin
A
Pallor
14
Q
Annular, confluent, generalized
A
Lesion shapes
15
Q
Ring shaped, central clearing (bullseye)
A
Annular
16
Q
Flowing, blending areas
A
Confluent
17
Q
Scattered all over body
A
Generalized
18
Q
Macule, papule, patch, plaque, wheal, nodule, tumor, vesicle, bulla, pustule, cyst
A
Primary lesions
19
Q
Flat, circumscribed ;less than 1cm in diameter
A
Macule
20
Q
Elevated and firm; Less than 1 cm in diameter; Example would be a wart
A
Papule
21
Q
Flat non palpable and irregular shape and less than 1 cm in diameter
A
Patch
22
Q
Elevated firm rough lesion greater than 1 cm in diameter
A
Plaque
23
Q
Elevated solid irregular shaped area of cutaneous edema
A
Wheal
24
Q
Elevated firm circumscribed lesions; Deeper in dermis then and papule; 1 to 2 cm in diameter
A
Nodule
25
Q
Elevated and solid lesion; May or may not be clearly demarcated; Deeper in dermis and greater than 2 cm in diameter
A
Tumor
26
Elevated circumscribed and superficial; Not into dermis; Filled with serous fluid and less than 1 cm in diameter
Vesicle
27
Vesicle greater than 1 cm in diameter
Bulla
28
Elevated superficial lesion; Similar to a vesicle but filled with purulent fluid
Pustule
29
Elevated circumscribed encapsulated lesion; in dermis or subcutaneous layer usually filled with fluid or semisolid material
Cyst
30
Callus, corn ,excoriation ,ulcer
Secondary skin lesions
31
Loss of epidermis ;linear hollowed out crusted area
Excoriation
32
Loss of epidermis and dermis usually concave and varies in size
Ulcer
33
A horny mass of condensed epithelial cells overlying a bony prominence
Corn
34
A common usually painless thickening of the stratum corneum at locations of external pressure or friction
Callus
35
Petechiae, ecchymosis
Vascular skin lesions
36
Tiny flat reddish purple non-blanchable spots in the skin less than 0.5 cm in diameter; Appear as tiny Red spots pinpoint to pinhead in size
Petechiae
37
Reddish purple non blanchable spots of variable sizes
Ecchymosis (bruise)
38
Opacity of the crystalline lens of the eyes
Cataracts
39
Great ring composed of lipids deposited in the Peripheral cornea; commonly seen in older adults
Arcus senilis
40
Double vision
Diplopia
41
disease characterized by abnormally increased intraocular pressure caused by obstruction of the outflow of aqueous humor
Glaucoma
42
Abnormal Forward placement of the eyeball
Exophthalmos
43
Condition in which the pupil is constricted ;usually drug-induced
Miosis
44
Dilation of the pupil; usually drug-induced
Mydriasis
45
Involuntary rhythmical movement of the eyes oscillations maybe horizontal vertical rotary or mixed
Nystagmus
46
Condition in which the eyes are not directed at the same object or point ; cross eyed
Strabismus
47
Drooping of the upper eyelid ;can be unilateral or bilateral
Ptosis
48
The outer structure of that ear consisting of the auricle and external acoustic meatus .sound waves are funneled through the external ear to the middle ear
External ear
49
The tympanic cavity with the auditory ossicles contained in an irregular space in the temporal bone.it is separated from the external ear by the tympanic membrane from the inner ear by the oval window the auditory station to hear from the posterior nasopharynx into the middle ear also called tympanic cavity
Middle ear
50
Complex inner structure of the ear containing receptors for carrying and balance
Inner ear
51
Tube lined with mucous membrane that joins the nasopharynx and the tympanic cavity
Eustachian tube
52
Thin semi transparent membrane in the middle ear that transmit sound vibrations to the internal ear By means of the auditory ossicles ; pearly color
Tympanic membrane
53
Waxy secretion of the glands of the external acoustic meatus also known as earwax
Cerumen
54
Tinkling or ringing sound heard in one or both ears
Tinnitus
55
Pertaining to the inside of The cheek the surface of the tooth for the gum beside the cheek
Buccal
56
A small cone shaped tissue suspended midline from the soft palate
Uvula
57
Pertaining to the gum
Gingiva
58
Difficulty speaking
Dysphasia
59
Bleeding from the nose
Epistaxis
60
Appraisal of an individual's perception of his or her intellectual awareness potential for growth and recognition by others for his or her mental skills and contributions
Cognitive function
61
Perpetual distortion of an external stimulus; inaccurate perception
Illusion
62
Sensory perception that does not arise from an external stimulus can be auditory visual tactile gustatory or olfactory; experience stimuli that do not exist
Hallucination
63
Referring to the bottom surface of the foot
Plantar
64
A neurologic condition in which language function is absent or severely impaired
Aphasia
65
Inability to coordinate muscular movement; referring to gait
Ataxia
66
Ability to recognize objects by the sense of touch
Stereognosis
67
Awareness of body posture movement and changes in equilibrium originating from sensory nerve endings within Muscles and tendons
Proprioception
68
Abnormal sensation Such as numbness or tingling
Peristhesia
69
Increased tone or Contractions of muscles causing stiff and awkward movements seen with upper motor neuron lesions
Spasticity
70
Continuous and voluntary trembling movement of a part or parts of the body
Tremor
71
Sensation of moving around and of objects moving about themselves resulting in disturbance of individuals equilibrium ; sense that you are spinning
Vertigo
72
Test of cerebral or function that evaluates an individuals ability to maintain a given position when standing erect With feet together and eyes closed
Romberg exam
73
Six sets of muscles that control movement of the eyeballs
Extra-ocular movements
74
A measure of the resolving power of the eye particularly with its ability to distinguish letters and numbers at a given distance ;measures optic nerve
Visual acuity
75
A mental state characterized by disorientation regarding time place person or situation it causes the wilderness perplexity black orderly thought and inability to choose or act decisively and perform ADLs
Confusion
76
The conscious recognition and interpretation of sensory stimuli that serve as a basis for understanding learning and knowing or promoting a particular action or reaction
Perception
77
Unstable characterized by Tendency to change or be altered or modified
Labile (lability)
78
Hole that leads to tear duct
Puncta
79
Inflammation of the gingiva with symptoms that Include redness swelling and bleeding
Gingivitis
80
Offensive breath resulting from poor oral hygiene
Halitosis
81
Abnormal contact between the teeth of the other Jaw and those of the lower jaw
Malocclusion
82
The free discharge of the thin watery nasal fluid
Rhinorrhea
83
A clear state of awareness of the self and the environment in which attention is focused on media matters as distinguished from mental activity of an unconscious or subconscious make
Consciousness
84
The awareness of one's physical environment with regard to time place in the identity of other people
Orientation
85
State or quality of dullness prolonged sleepiness sluggishness or serious drowsiness
Lethargic
86
Anterior to the auricle of the ear
Preauricular
87
Posterior to the auricle of the ear
Postauricular
88
Highly vascular organ at the front of the neck usually weighing about 30 g consisting of bilateral lobes connected in the middle by a narrow isthmus
Thyroid gland
89
Any discharge from the external ear
Otorrhea
90
The mucous membranes lining the inside of the mouth
Buccal mucosa
91
A tooth disease caused by the complex interaction of food especially starches and sugars with saliva in the bacteria that form dental plaque
Caries
92
Paralysis of the lower portion of the body and of both legs
Paraplegia
93
Ability to recognize outlines numbers words or symbols traced or written on the skin
Graphesthesia
94
Correspondence in shape size and related position at parts on opposite sides of the body
Symmetry
95
The back or posterior surface of a part
Dorsum
96
Relaxed flabby having defective or absent muscular tone
Flaccidity
97
Paralysis of one side of the body
Hemiplegia
98
Dysphasia
Difficulty speaking
99
Thinking outside of the box ; critical thinking
Abstract reasoning
100
Retrieval of events from the past
Recall memory
101
Ability to recall events from immediate past
Recent memory
102
Ability to recall events from long ago
Remote memory
103
What the thought is about
Thought content
104
What to do with that thought
Thought process
105
Along in a straight line ; head above chest etc
Alignment
106
Dorsal flexing of foot ; normal adult curls toes ; abnormal big toe curls and others fan
Babinski test
107
Improved sanitation in battle fields ; developed 1st program for training nurses; disease prevention/ nursing research
Florence Nightingale
108
feminist ; womens rights ; responisble for push for nursing control
Lavina Dock
109
advocate for public health ; planned parent hood
Margaret Sanger
110
developed first school for midwifery
Mary Breckenridge
111
founder of community health
Lillian Wald
112
founder of the Red Cross
Clara Barton
113
method of what we do as a way of life ; responsibility /commitment
Professionalism
114
Implementing nursing interventions without an order from a physician ; responsibility
Autonomy
115
organization that works to improve standards of health and availability of care ; create high standards for nursing and promote development and welfare for nurses 1896
ANA american nurses association
116
advances nursing education to prepare nurses for ever changing needs ; accredit our nursing program
NLN nation league of nursing
117
main focus is greater career development and preparation for liscensure
national student nurses association
118
what defines a profession?
requires a basic liberal foundation and extended education of its members ; body of knowledge leading to skills; specific service ; member have autonomy ; code of ethics
119
Clue the patient in ; get help ; check your footing; move close ; lift ; smooth and synchronized ; turn, don't twist ; don't lift when you can push or pull ; teach and preach
ten commandments of body mechanics
120
helps with upper body strength ; give them something to do in their care
trapeze bar
121
give support; guides pts ; pt safety
gait belts
122
lateral movers
slide boards
123
reserved for total care pts
mechanical lifts
124
increased muscle mass due to exercising or training
hypertrophy
125
increased muscle tone that interferes with movement
spasticity
126
impaired muscle strength , weakness, or paralysis
paresis
127
decreased muscle mass die to disuse or neurologic impairment
atrophy
128
a slight residual tension in a resting normal muscle
muscle tone
129
paralysis of the arms and legs due to trauma or disease
quadriplegia
130
decreased muscle tone due to disuse or neurologic impairment
flaccidity
131
weakness or paralysis on one half of the body
hemiparesis
132
primary data resources
pt
133
secondary data resources
family ; records; physician
134
obtaining data so a plan that promotes health, prevents diseases, resolves acute health problems and minimizes limitations related to chronic health problems
health interview/health history
135
Introduction ; describe process of interview ; describe purpose of interview
orientation phase
136
use various communication techniques to collect data
working phase
137
summarize data with pt ; allow pt to clarify ; validate that pt understands the problems
termination phase
138
patient experiences these
subjective data
139
something you see
objective data
140
non therapeutic communication techniques that cause obstacles when collecting a history
probing ; not listening ; being too personal; changing the subject; jargon ; patronizing
141
therapeutic communication techniques that will enhance data collection
silence ; general leads; be specific ; ask open ended questions
142
longer times for processing ; visual impairments; more history
special considerations used when interviewing an older adult
143
allow time for play ; include the child
special considerations when interviewing a child
144
treat them like an adult ; right to privacy ; need reassurance of what is normal
special considerations when interviewing an adolescent
145
male female interactions; eye contact ; distances ; modesty
cultural considerations when doing a health interview
146
visual, palpate, percuss , listen
physical assessment techniques
147
used to auscultate low pitched sounds such as extra heart sounds
bell
148
used to auscultate high pitched sounds such as breath and bowel sounds
diaphragm
149
symptoms include tachycardia , confusion, flush , hot and dry to touch , high temp present
heat stroke
150
profuse diaphoresis with excess water and electrolyte loss ; weakness, normal temp, nausea
heat exhaustion
151
factors that affect accuracy of pulse ox readings
polish, cold, circulation /PVD, edema, hypothermia, hypo-tension, dark skin, jaudice
152
diastolic at rest above 90 mmhg ; systolic pumping above 140mmhg
hypertension
153
systolic falls below 80mmhg
hypotension
154
even inhalation and exhalation
normal respiratory pattern
155
rapid reparations
tachypnea
156
abnormal breathing pattern characterized by progressively deeper and faster breathing followed by a gradual decease followed by apnea
cheyne stokes
157
rapid and deep breathing
kussmauls
158
using a stethoscope with too long of tubing; using a cuff that is too wide for clients arm; positioning the arm above the heart; not pumping the cuff up high enough ; deflating the cuff too quickly
false low bp reading
159
not centering the cuff over the artery; putting the cuff on too lose; using a cuff that is too narrow for the clients arm; over inflating the cuff
false high bp
