Taylor Ch 25 Key Terms

Question 1

ADL’s

Answer 1

Activities of daily living

Question 2

Adventitious

Answer 2

Abnormal

Question 3

Auscultation

Answer 3

Listening for sounds within the body

Question 4

BMI

Answer 4

Body mass index/ratio of height to weight

Question 5

Bronchial sounds

Answer 5

Those heard over trachea;high in pitch and intensity, w/ expiration being longer than inspiration

Question 6

Bronchovescular sounds

Answer 6

Normal breath sounds heard over upper anterior chest and intercostal area

Question 7

Bruits

Answer 7

Unusual sound, usually abnormal, heard in auscultation

Question 8

Comprehensive assessment

Answer 8

Health hx and complete physical examination, usually conducted when a pt first enters health care setting; provides a baseline for comparing later assessment

Question 9

Cyanosis

Answer 9

Bluish coloring of skin and mucous membranes

Question 10

Diaphoresis

Answer 10

Excessive amount of perspiration, such as when the entire skin is moist

Question 11

ecchymosis

Answer 11

Collection of blood in subcutaneous tissues that causes a purplish discoloration

Question 12

Edema

Answer 12

Accumulation of fluid in extracellular spaces

Question 13

Emergency assessment

Answer 13

Rapid focused assessment conducted to determine potentially fatal situations

Question 14

Erythema

Answer 14

Redness of skin

Question 15

Focused assessment

Answer 15

Assessment conducted to assess a specific problem; focuses on pertinent hx and body regions

Question 16

Health hx

Answer 16

Collection of subjective info that provides info about the pt’s health status

Question 17

Inspection

Answer 17

Purposeful and systematic observation

Question 18

IADL’s

Answer 18

Instrumental Activities of Daily Living/activities of daily living needed for independent living

Question 19

Jaundice

Answer 19

Yellow appearance of the skin

Question 20

Ongoing partial assessment

Answer 20

Assessment conducted at regular intervals during care of pt; concentrates on identified health problems to monitor positive or negative changes and evaluate the effectiveness of interventions

Question 21

Pallor

Answer 21

Paleness of skin

Question 22

Palpation

Answer 22

Method of examining by feeling a certain part of the body with fingers or hand

Question 23

Percussion

Answer 23

Act of striking one object against another for the purpose of producing a sound;used to assess the location,shape,size and density of body tissues

Question 24

Petechiae

Answer 24

Small,purplish hemorrhagic spots on the skin that do not blanch with applied pressure

Question 25

Physical assessment

Answer 25

Systematic examination of the patient for objective data to better define the pt's condition and to help the nurse in planning care,usually performed in a head to toe format;collection of objective data about changes in the pt's body systems

Question 26

Precordium

Answer 26

Anterior surface of the chest wall overlying the heart and its related structures

Question 27

ROS

Answer 27

Review Of Systems; physical examination of all body systems in a systematic manner as part of the nursing assessment

Question 28

Turgor

Answer 28

Tension of the skin determined by its hydration

Question 29

Vesicular breath sounds

Answer 29

Normal sound of respirations heard on auscultation over peripheral lung areas

Question 30

Waist circumference

Answer 30

Numerical measurement of the waist, used to assess an individual's abdominal fat and establish ideal body weight