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Nursing Fund. 2
Mrs.Gains Class Week #1
| Question | Answer |
|---|---|
| Ability to hear and discriminate sound | Hearing Acuity |
| ability to constrict when looking at a near object and dilate when looking at a objects in the distance | accommodation |
| eye movements controlled by several pair of eye muscles | extraocular |
| is a assessment of peripheral vision and continuity in the visual field | visual field examination |
| yellowish-brown waxy secretion produced by glands within the ear | Cerumen |
| assessment technique for determining equality or disparity of bone-conducted sound | Weber Test |
| assessment technique for comparing air versus bone conduction of sound | Rinne Test |
| a sophisticated test of range of hearing | Audiometry |
| ability to smell and identify odors | smelling Acuity |
| resiliency of the skin | Turgor |
| is an exaggerated natural lumbar curve of the spine | lordosis |
| is a pronounced lateral curvature of the spine | scoliosis |
| is an increased thoracic curve | kyphosis |
| loud and coarse | tracheal Sounds |
| heard over the upper sternum and between the scapulare are hash and loud | Bronchial Sound |
| are heard on either side of the central chest or back | Bronchovesicular Sounds |
| Are located in the periphery of all the lung fields | vesicular Sound |
| Abnormal lung sounds | Adventitious |
| high-pitched popping and heard in the distant areas of the lungs primarily during inspiration | crackles |
| are low-pitched continuos bubbling and heard in larger airways | Gurgles |
| whistling or squeaking sounds | wheezes |
| grating leathery sounds caused by two dry pleural surfaces moving over each other | Rubs |
| time it takes blood to resume flowing in the base of the nail beds | Capillary refill time |
| is excessive fluid within tissue and signifies abnormal fluid distribution | edema |
| brisk equal and simultaneous constriction of both pupils when one eye that the other is stimulated with light | consensual response |
| a visual assessment tool with small print | Jaeger Chart |
| tool for assessing far vision | Snellen eye chart |
| ability to see both far near and near | Visual Acuity |
| technique for determining the level of a clients conitive functionin | mental status assessment |
| means gathering data from the top of the body to the feet this is what Nurses use | head-to-toe approach |
| means collecting data according to the functional system of the body This is for Medical uses | Body system approach |
| sheet of soft cloth or paper | drape |
| is lightly toching or applying pressure to the body | Palpation |
| listening to body sounds | Auscultation |
| least used assessment by nurses this is striking or tapping part of the clients body with the fingertips to produce vibratory sounds | Percussion |
| purposeful observation | inspection |
| systematic examination of body structres | Physical Assessment |
| Pale, regardless of race | Pallor |
| Red | Erythema |
| Pink | flushed |
| Purple | Ecchymosis |
| Blue | cyanosis |
| Yellow | Jaundice |
| Brown | Tan |
| Anemia, Blood Loss | Pallor |
| Superficial burns, local inflammation, carbon monoxide poisoning | Erythema |
| Fever Hypertenison | Flushed |
| Trauma to soft tissue | Ecchymosis |
| Low tissue oxygenation | Cyanosis |
| Liver or kidney diease, destruction of red blood cells | Jaundice |
| Ethnic variation, sun exposure, pregnancy, Addison's disease | Tan |
| break in the skin | wound |
| open crater-like area | ulcer |
| is an area that has been rubbed away by friction | abrasion |
| torn jagged wound | laceration |
| a crack in the skin especially in or near mucous membranes | fissuer |
| mark left by the healing of a wound or lession | scar |