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N A Mid Term

Nursing Arts Mid Term

QuestionAnswer
What are the five methods of physical exam? Palpation, Auscultation, Percussion, Inspection, Mensuration
What exam is done with your eyes? Example: Skin color, general apperance, eyes, gait Inspection
What exam is done by feeling? Examples: Neck, thyroid, abdomen, hernias Palpation
What exam is done by tapping with fingers? Examples: Chest, back, abdomen Percussion
What exam is done with stethoscope? Ex: Carotid blockage, lungs, heart, abdomen Auscultation
What exam is considered the act of measuring? Examples: BP, HT, WT, Temp, ECG Mensuration
What is the name for measuring a persons range of motion? Manipulation
What does subjective symptom mean? A symptom from the patient.
What does objective symptom mean? A symptom observed by the doctor.
Medical term for eye chart Snellen
Medical term for piece used to cover one eye during exam. Occluder
What does the letter 'C' with a line over it represent? With
What does the letter 'S' with a line over it represent? Without
What line do you start with for an eye exam? Third line from the top (20/70)
When do you stop the eye exam? When the patient says that they cannot read anymore or when they miss three in one line.
Name four criteria or guide lines to be used when obtaining a patients history. Privacy, honesty, HIPAA, comfortable
Name two things that you can not put in patients record Opinions or patient is this or that
Instead of stating patient is something, what word would you use? Patient 'appears'
If you are unsure what a patient means during family history how do you clarify Restate using paraphrasing
Four things that MA should do during collection of patient history? Listen, keep eye contact, Watch your body posture, Treat pt with respect
How do you document a quote from the patient? Write patient stated then what was said in quotes.
What family members are included in family history? Grandparents, parents, siblings, children
What is the first question you would ask concerning the onset of pain? Date and time
What information are you looking for concerning the manner of onset of pain? Sudden or gradual
What kind of history covers childhood diseases, surgeries, allergies, immunizations PH or Past history
Where do you find the pt. name, address, DOB, test results, occupation, next of kin Database
How do you word present illness or PI on patients record? Use patients own words
Lack of hygiene, hair matted, and bad breath are what part of inspection? General appearance
Walking with a limp or off balance is what part of inspection? Gait
Medical term for laryngitis aphonia
Medical term for being unable to talk aphasia
Medical term for ear drum Tympanic membrane
Medical term for ear wax cerumen
Which eye do you cover with the occluder first? Left
What is the medical term for dehydration? Turgor (Skin does not flex back down when tested)
What is the proper sequence for the physical exam? Head to toe
During the Gen. Exam what instrument checks the heart, lungs, bowel sounds & BP? Stethoscope
During the Gen. Exam what instrument checks the Blood pressure? Sphygmomanometer
What is the name of the part that holds the batteries? Base
During the Gen. Exam what instrument checks the ear? Otoscope
During the Gen. Exam what instrument checks the eye? Ophthalmoscope
During the Gen. Exam what instrument checks hearing? Tuning fork
During the Gen. Exam what instrument checks the mouth? Tongue depressor
During the Gen. Exam what instrument checks reflexes? Percussion hammer
During the Gen. Exam what instrument checks the nose? Nasal speculum
What sounds does the stethoscope check? BP, Heart, lungs and bowels
What does the sphygmomanometer check? Blood pressure
What is a non sterile glove used for? Bimanual
What are you looking at or for with the otoscope? Tympanic membrane, cerumen, foreign objects, infection
What parts of the eye does the ophthalmoscope check? sclera, pupil, retina, blood vessels
What does the tuning fork check? Hearing and nerve sensitivity
What parts are examined using the tongue depressor? Gums, teeth, tonsils, throat
What reflexes are checked using the percussion hammer Babinski, patellar, bicep
What parts are checked using the nasal speculum? lining of the nose, nasal membranes & internal septum
What are the sections of a patient history? Database, Past History (PH), Family history (FH), Present Illness (PI), Chief Complaint CC
What is the medical term for eye exam? Distance Acuity Procedure
What must precede all entries of a patient charting? Month, day, year and time including am or pm
What are three details that are noted for a patients unusual complaints? Onset, duration, frequency
What must you do when detailing objective data such as wound? Use correct anatomical medical terms
When patient reports pain, how is it documented? Quality and intensity using the 1 to 10 pain scale.
What must be documented for a patients medication history? What is taken on a regular basis, OTC & prescription, last dose taken, effectiveness
Would you record details regarding a previous history of the current CC? Yes
What is the procedure for documenting forgotten information on a patients record? After last entry write Late entry, include date, time of note, and the omitted info.
What is the inches to centimeter conversion formula? HT times 2.54 (When converting inches to cm do not round use 1st # past decimal point.)
What is the pounds to kilograms conversion formula? Pounds divided by 2.2 (Do not round use 1st # past decimal point.)
When recording HT & WT you record to the nearest what? 1/4 lb or inch
Position where patient lays on back with legs straight? Supine
Position where patient lays on back with knees bent is called? Dorsel recumbent
Position where patient is laying face down? Prone
Position where patient is laying lateral with right leg flexed? Sim's
Position where patient is sitting at a 90 degree angle? High Fowler
Position where patient is sitting at a 45 degree angle? semi fowler
Position where patients head is lower then legs? Trendelenburg
Position where patient is on back with feet in stirrups? Lithotomy
Position where patient is on back with feet up in the air and knees towards chest Jacknife
Position where patients but is in the air? Knee-Chest
What is the position knee-chest used for? Proctological, sigmoidoscopy
What is the position Jackife used for? Rectal exam, vaginal exam
What is the position Lithotomy used for? Pelvic exam, vaginal exam, rectal exam
What is the position Semi Fowler used for? Dyspnea, head, neck, chest exam 45 degree angle
What is the position High Fowler used for? Dyspnea, head, neck, chest exam 90 degree angle
What is the position Trendelenburg used for? Shock or hypotension [low BP] (blood to the head)
What is the position Sim's used for? Rectal temp, digital rectal exam, enemas
What is the position Prone used for? Back and verebral column
What is the position Dorsal Recumbent used for? Breast & abdomen
What is the position Supine used for? Breast & abdomen
What position relaxes the abdomen muscles? Dorsal Recumbent
What does ROS stand for? Review of systems
Created by: spawmary