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39 Cards in this Set
- Front
- Back
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Acanthosis Nigricans |
skin conditions characterized by dark, velvety patches in body folds and creases -hyperpigmentation associated disorders: diabetes mellitus |
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Actinic Keratosis |
rough scaly patch on the skin caused by years of sun exposure |
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Ascultation |
one of the techniques used for conducting a physical assessment by which the nurse listens for movements of air or fluid in the body |
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Auscultation on low frequency |
Bellpicksup low pitched sounds such as heart murmurs. |
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Auscultation high frequency |
Flat diaphragmpicks up high-pitched respiratory sounds best. |
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Basal cell carcinoma |
80% of skin cancers
shiny and translucent |
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Baseline data (importance of) |
a general assessment gives you this occurs during everyday simple task, such as, bathing, carrying the food tray in, taking VS gives you something to compare back to |
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Chloasma |
brownish or yellowish patchy skin changes during pregnancy. |
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venous stars |
spider veins |
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Macule |
flat, distinct, colored area of skin that is less than 10 mm in diameter and does not include a change in skin texture or thickness. birthmark |
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Papule |
raised, defined, any color, less than 1 cm diameter |
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Pustules |
Pustulespurulent fluid-filled raised lesion of any size |
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Dullness |
A tone of a sound during physical assessment that is high in pitch, sounds like a thud, and is heard over the liver |
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Eczema |
a skin rash caused by contact with a certain substance |
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Genogram, purpose of |
looking at pt.'s hx and risk of... |
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Health Hx |
included interviewing to collect the pt. past medical and surgical hx, risk factors, and current symptoms |
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Hemangioma |
vascular lesions, present at birth, rapidly develop and grow but spontaneously resolve by age 9 years. made up of endothelial cells that form caverns and fill with blood, they blanch with applied pressure |
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Hx of present illness |
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hyperigmentation |
abnormal darkening of skin
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hypopigmentation |
abnormal lightening skin |
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impetigo |
highly contagious skin infection that causes red sores on the face. |
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inspection |
the first of a health assessment, goes with auscultation, palpating, and percussion |
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nursing process |
Assessment Dx Planning (outcomes/interventions) Implementation Evaluation |
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Objective data |
measurable data- VS, weight physical exam 20% Lab & diagnostics test 10% |
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Subjective data |
what the pt says, pain scale, i hurt here... |
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Palpation |
light or deep Light– uses only one hand& ~ ½ inches deep (~ 1 cm) Deep – uses both hands ~ 1 ½ inches (4 cm) deep used to palpate organ size |
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percussion sounds related to organ areas flat |
bone |
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Percussion sounds related to organ areas dull |
liver |
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percussion sounds related to organ areas resonant |
healthy lungs |
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percussion sounds related to organ areas tympanic |
gastric bubble |
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percussion sounds related to organ areas hyperresonant |
emphysematous lungs |
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primary data |
information about pt from them |
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secondary data |
charts and info from family about pt |
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resonant |
a tone of a sound during physical |
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seborrhea |
an inflammatory skin disorder characterized by mascular pink, red, or orange-yellow lesions that may or may not have a fine scale. Distribution is usually on the face, scalp, and ears |
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squamous cell carcinma |
16% of skin cancers crusty, scaly, and ulcerated, they can metastasize |
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Melanoma |
4% of skin cancers Rapidly increasing in frequency, they spread rapidly |
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comprehensive assessment |
overall status includes a complete health hx and physical assessment. is done annually on an out-pt basis, following admission to a hospital or long-term care facility, or every 8 hrs for pt in intensive care |
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focused assessment |
problem oriented based on the pt's health issues. can occur in all settings, including the clinic, hospital, and home health setting. |
