Physical Assessment (Wilkinson) Flashcards
what are the components of a nursing/health history?
-biographical data
-reason for seeking healthcare
-history of present health concern
-past medical history
-family history
-lifestyle
-functional health assessment
-review of systems
what are the steps for collecting data during the physical assessment?
Inspection, Palpation, Percussion, and Auscultation
-FOR ABDOMEN WILL PALPATE AT THE END
explain the inspection step of a physical assessment
the process of performing deliberate, purposeful observations in a systematic manner
explain the palpation step of a physical assessment
use of the sense of touch to assess skin temperature, turgor, texture, and moisture as well as vibrations within the body
explain the percussion step of a physical assessment
the act of striking one object against another to produce sound
explain the auscultation step of a physical assessment
the act of listening with a stethoscope to sounds produced within the body
what is a comprehensive health assessment?
broad and includes a complete health history and physical assessment
usually conducted when a patient first enters a health care setting, with information providing a baseline for comparing later assessments
what is erythema
redness of the skin, is caused by dilation of superficial blood vessels
what is cyanosis
bluish or grayish discoloration of the skin in response to inadequate oxygenation
what is jaundice
yellow color of the skin resulting from elevated amounts of bilirubin in the blood
what is pallor
paleness of the skin, often results from a decrease in the amount of circulating blood or hemoglobin, causing inadequate oxygenation of the body tissues
what is ecchymosis
a collection of blood in the subcutaneous tissues, causing purplish discoloration
what is petechiae
small hemorrhagic spots caused by capillary bleeding
