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Principles

Wound Care ATI 31

QuestionAnswer
What is kyphosis? exaggereated curvature of the thoracic spine
What is lordosis? exaggerated curvature of the lumbar spine
What is coliosis? exaggereated lateral curvature
Assess joints for? warmth, inflammation, edema, stiffness, crepitus, deformities, tenderness, limitations, or instability
What is hypertrophy? enlargement of muscle due to strengthing
what is atrophy? a decrease in muscle size due to disease
What is alert? client is responsive and able to fully respond
What is lethargy? client canopen the eyes and respond, but is drowsy and falls asleep readily
What is abtundation? the client needs to be lightly shaken to respond
What is stupor? the client required painful stimuli to achieve a brief response
What is coma? there is o response to repeated painfl stimuli
What is decorticate rigidity? flexion and internal rotation of upper extremity joints and legs
What is decerebrate rigidity? neck and elbow extension, with the wrists and fingers flexed
How do you assess recent memory? ask the client to repeat a series of numbers
How do you assess remote memory? ask the client to state his birth date
How do you assess level and fund of knowledge? ask what he knows about his current hopitilization
How do you assess ability for calculation? ask to count backwards
How do you assess judgement? ask about what solutions they would pick
How do you assess though process? changing topics
How do you assess thought content? presence of delusions, hallucinations, and other ideas
What tests assess balance? romberg and heel to toe walk
What is two point discrimination? using papter clips to determine the distance at which the two points are felt as one
What is stereognosis? put object in clients hand and ask them to identify
What is graphesthesia? ask the client to identify a number drawn on his palm
Created by: alicia.rennaker
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