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Physical Assessment
Ch 13 Physical Assessment
| Term | Definition |
|---|---|
| Accommodation | the ability to constrict when looking at a near object in the distance. |
| Audiometry | measures hearing acuity at various sound frequencies. |
| Auscultation | listening to body sounds. |
| Body systems approach | assessing the client according to the functional systems of the body. |
| Capillary refill time | the time it takes blood to resume flowing in the base of the nail beds. |
| Cerumen | a yellowish-brown, waxy secretion produced by glands within the ear. |
| Consensual response | a brisk, equal, and simultaneous constriction of both pupils when one eye and then the other is stimulated with light. |
| Drape | a sheet of soft cloth or paper. |
| Edema | excessive fluid within tissue and signifies abnormal fluid distribution. |
| Extraocular movements | eye movements controlled by several pairs of eye muscles. |
| Head-to-toe approach | assessing the client from the top of the body to the feet. |
| Hearing acuity | the ability to hear and discriminate sound. |
| Inspection | purposeful observation |
| Jaeger chart | a visual assessment tool with small print or newsprint with varying sizes of letters. |
| Mental status assessment | a technique for determining the level of a client's cognitive functioning |
| Ophthalmoscope | instrument used to examine structures within the eye. |
| Otoscope | instrument used to examine the tympanic membrane, or eardrum. |
| Palpation | involves lightly touching or applying pressure to the body. |
| Percussion | the least used assessment technique by nurses, is striking or tapping a part of the client's body with the fingertips to produce vibratory sounds. |
| PERRLA | pupils equally round and react to light and accommodation |
| Physical assessment | a systematic examination of body structures. |
| Rinne test | an assessment technique for comparing air versus bone conduction of sound. |
| Smelling acuity | the ability to smell and identify odors. |
| Snellen eye chart | a tool for assessing far vision. |
| Turgor | the resiliency of the skin; fullness or lack thereof. |
| Visual field examination | the assessment of peripheral vision and continuity in the visual field. |
| Visual acuity | the ability to see both far and near. |
| Weber test | an assessment technique for determining equality or disparity of bone-conducted sound. |