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Anatomy > test 1 nursing theory > Flashcards

test 1 nursing theory Flashcards

1
Q

What are some general data that you can obtain just from observing and interacting with your client

A

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

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2
Q

what is included in a mental status assessment

A

attention, concentration, memory, and ability to think abstractly

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3
Q

what is examined during an eye assessment

A

appearance of the eyes, iris, sclera, corneas, eyelashes

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4
Q

what is the purpose of the weber test

A

technique used for determining equality or disparity of bone-conducted sound

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5
Q

what is the purpose of the rinne test

A

technique used for comparing air versus bone conduction of sound

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6
Q

normal oral and mucous membrane should appear

A

pink, intact, and kept moist by salivary glands located below the tongue

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7
Q

define wound

A

a break in the skin

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8
Q

define ulcer

A

an open, crater-like are

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9
Q

define abrasion

A

an area that has been rubbed away by friction

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10
Q

define laceration

A

a torn, jagged wound

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11
Q

define fissure

A

a crack in the skin, especially in or near mucous membranes

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12
Q

define scar

A

a mark by the healing of. a wound or laceration

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13
Q

identify the term pailor (pale)

A

pale regardless of race

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14
Q

identify the term erythema

A

red, superficial burns, local inflammation, carbon monoxide poisoning

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15
Q

identify the term ecchymosis

A

purple-trauma to soft tissue

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16
Q

identify the term flushed

A

pink-fever, hypertension

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17
Q

identify the term cyanosis

A

blue- low tissue oxygen

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18
Q

identify macule

A

flat, round, colored, non palable area- freckles

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19
Q

identify papule

A

elevated, palpable, solid- wart

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20
Q

identify vesicle

A

elevated, round, filled with serum - blister

21
Q

identify wheel

A

elevated, irregular border, no free fluid- hives

22
Q

identify pustule

A

elevated, raised border, filled with pus- boil

23
Q

identify lordosis

A

exaggerated natural curve of the spine

24
Q

define kyphosis

A

an increased thoracic curve

25
Q

define scoliosis

A

pronounced lateral curvature of spine

26
Q

s1 heart sound

A

lub sound is louder at the apex

27
Q

s2 heart sound

A

dub sound heard in the mitral area

28
Q

define tracheal sounds

A

loud and course

29
Q

define bronchial sounds

A

harsh and loud

30
Q

efine bronchovesicular sounds

A

medium range sounds equal in length with inspiration and expiration

31
Q

define vesicular sounds

A

soft rustling quality is longer in inspiration

32
Q

define crackles (rales)

A

intermittent, high pitched, popping

33
Q

define gurgles (ronchi)

A

low pitched, continuous bubbling, and heard in larger airways

34
Q

define wheezes

A

whistling or squeeking sounds caused by air moving through a narrowed passageway

35
Q

defin rubs (pleural friction)

A

grating, leathery sounds caused by two dry pleural surfaces

36
Q

what is edema

A

excessive fluid within tissue, abnormal fluid distribution

37
Q

what is the order of abdomen inspection

A

inspected, auscultated, palpation and percussion

38
Q

what is an anal fissure

A

a small tear in the thin, moist tissue that lines the anus

39
Q

when should cervical collars be worn

A

10 days to 2 weeks

40
Q

whats the purpose of a sling

A

to elevate, cradle and support parts of the body

41
Q

what is the purpose of traction

A

reduce muscle spasms, realign bones, relieve pain, prevent deformities

42
Q

what should a nurse observe for when a client is walking

A

pallor, dizziness, weakness

43
Q

define negligence

A

harms that results because a person did not act accordingly

44
Q

define fidelity

A

being faithful to work related commitments and obligations

45
Q

define veracity

A

duty to be honest and avoid decieving or misleading a client

46
Q

define benficence

A

doing good or acting for anothers benefit

47
Q

what is the order of assessing bowel sounds in the head to toe

A

rlq, rlq, ruq, luq, llq

48
Q

what is bucks and russels traction

A

when tape or some type of material is stuck to the skin and the wight pulls against it.

Anatomy (8 decks)

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