Exam 1- Health Assessment Study Guide

Front 1

Acanthosis Nigricans

Back 1

skin conditions characterized by dark, velvety patches in body folds and creases -hyperpigmentation

associated disorders: diabetes mellitus

Front 2

Actinic Keratosis

Back 2

rough scaly patch on the skin caused by years of sun exposure

Front 3

Ascultation

Back 3

one of the techniques used for conducting a physical assessment by which the nurse listens for movements of air or fluid in the body

Front 4

Auscultation on low frequency

Back 4

Bellpicksup low pitched sounds such as heart murmurs.

Front 5

Auscultation high frequency

Back 5

Flat diaphragmpicks up high-pitched respiratory sounds best.

Front 6

Basal cell carcinoma

Back 6

80% of skin cancers

shiny and translucent

Front 7

Baseline data (importance of)

Back 7

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

Front 8

Chloasma

Back 8

brownish or yellowish patchy skin changes during pregnancy.

Front 9

venous stars

Back 9

spider veins

Front 10

Macule

Back 10

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

Front 11

Papule

Back 11

raised, defined, any color, less than 1 cm diameter

Front 12

Pustules

Back 12

Pustulespurulent fluid-filled raised lesion of any size

Front 13

Dullness

Back 13

A tone of a sound during physical assessment that is high in pitch, sounds like a thud, and is heard over the liver

Front 14

Eczema

Back 14

a skin rash caused by contact with a certain substance

Front 15

Genogram, purpose of

Back 15

looking at pt.'s hx and risk of...

Front 16

Health Hx

Back 16

included interviewing to collect the pt. past medical and surgical hx, risk factors, and current symptoms

Front 17

Hemangioma

Back 17

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

Front 18

Hx of present illness

Front 19

hyperigmentation

Back 19

abnormal darkening of skin

Front 20

hypopigmentation

Back 20

abnormal lightening skin

Front 21

impetigo

Back 21

highly contagious skin infection that causes red sores on the face.

Front 22

inspection

Back 22

the first of a health assessment, goes with auscultation, palpating, and percussion

Front 23

nursing process

Back 23

Assessment

Dx

Planning (outcomes/interventions)

Implementation

Evaluation

Front 24

Objective data

Back 24

measurable data- VS, weight

physical exam 20%

Lab & diagnostics test 10%

Front 25

Subjective data

Back 25

what the pt says, pain scale, i hurt here...

Front 26

Palpation

Back 26

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

Front 27

percussion sounds related to organ areas

flat

Back 27

bone

Front 28

Percussion sounds related to organ areas

dull

Back 28

liver

Front 29

percussion sounds related to organ areas

resonant

Back 29

healthy lungs

Front 30

percussion sounds related to organ areas

tympanic

Back 30

gastric bubble

Front 31

percussion sounds related to organ areas

hyperresonant

Back 31

emphysematous lungs

Front 32

primary data

Back 32

information about pt from them

Front 33

secondary data

Back 33

charts and info from family about pt

Front 34

resonant

Back 34

a tone of a sound during physical

Front 35

seborrhea

Back 35

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

Front 36

squamous cell carcinma

Back 36

16% of skin cancers

crusty, scaly, and ulcerated, they can metastasize

Front 37

Melanoma

Back 37

4% of skin cancers

Rapidly increasing in frequency, they spread rapidly

Front 38

comprehensive assessment

Back 38

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

Front 39

focused assessment

Back 39

problem oriented

based on the pt's health issues. can occur in all settings, including the clinic, hospital, and home health setting.