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Taylor: Ch 25
Health Assessment
| Question | Answer |
|---|---|
| Adventitious breath sounds | abnormal breath sound heard over the lungs |
| Auscultation | listening for sounds within the body |
| Bronchial sounds | those heard over the trachea; high in pitch and intensity, with expiration being longer than inspiration |
| Bronchovesicular sounds | normal breath sounds heard over the upper anterior chest and intercostal area |
| Bruits | unusual sound, usually abnormal, heard in auscultation |
| Comprehensive assessment | health history and complete physical examination, usually conducted when a patient first enters a healthcare setting, provides a baseline for comparing later assessment |
| Cyanosis | bluish coloring of the skin and mucous membranes |
| Ecchymosis | collection of blood in subcutaneous tissues that causes a purplish discoloration |
| Edema | accumulation of fluid in extracellular spaces |
| Emergency Assessment | rapid focused assessment conducted to determine potentially fatal situations |
| Erythema | redness of the skin |
| Focused assessment | assessment conducted to assess a specific problem; focuses on pertinent history and body regions |
| Inspection | purposeful and systematic observation |
| Jaundice | yellow appearance of the skin |
| Ongoing partial assessment | assessment that is conducted at regular intervals during care of the patient; concentrates on identified health problems to monitor positive or negative changes and evaluate the effectiveness of interventions |
| Pallor | paleness of the skin |
| Palpation | method of examining by feeling a part with the fingers or hand |
| Percussion | 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 |
| Petechiae | small, purplish hemorrhagic spots on the skin that do not blanch with applied pressure |
| Precordium | anterior surface of the chest wall overlying the heart and its related structures |
| Turgor | tension of the skin determined by its hydration |
| Vesicular breath sounds | normal sound of respirations heard on auscultation over peripheral lung areas |