NURS 212 Exam 1

When performing a physical assessment, the first technique the nurse will always use is: A. Palpation. B. Inspection. C. Percussion. D. Auscultation. - Inspection Which of these techniques uses the sense of touch to assess texture, temperature, moisture, and swelling when the nurse is assessing a patient? A. Palpation B. Inspection C. Percussion D. Auscultation - Palpation When performing a physical examination, safety must be considered to protect the examiner and the patient against the spread of infection. Which of these statements describes the most appropriate action the nurse should take when performing a physical examination? A. Washing one's hands after removing gloves is not necessary, as long as the gloves are still intact. B. Hands are washed before and after every physical patient encounter. C. Hands are washed before the examination of each body system to prevent the spread of bacteria from one part of the body to another. D. Gloves are worn throughout the entire examination to demonstrate to the patient concern regarding the spread of infectious diseases. - B. Hands are washed before and after every physical patient encounter. Write down the color that best describes the following medical terms. A. Erythema___________ B. Cyanosis____________ C. Jaundice____________ D. Pallor______________ - A. redness B. blueness C. yellowness D. paleness Which part of the hand is used to check the temperature of skin?A. palm B. dorsum C. fingertips D. mid-finger - Dorsum When assessing the range of motion of the knee the nurse hears a grating sound. This is known as: A. partial range of motion B. crepitation C. subluxation D. ankyloses - Crepitation To supinate the palm, the patient should: A. touch the thumb to the base of the 5th finger B. turn the palm downward C. turn the palm upward D. flex all fingers - Turn the palm upward The nurse asks the client to perform eversion of the foot. The client should turn his/her foot: A. outward, so that the sole of the foot faces outward B. inward, so that the sole of the foot faces inward C. so that the toes are higher than the heel D. so that the heel is higher than the toes - Outward, so that the sole of the foot faces outward The assessment technique used to determine if underlying structures are air filled, fluid filled or solid is called: A. palpation B. percussion C. auscultation D. inspection - percussion An example of circumduction is: A. Throwing a ball B. Jumping rope C. Bending forward D. Climbing up stairs - Jumping rope Define alopecia - baldness; hair loss"a-" = without ; without hair Define annular - circular shape to a skin lesion (anulus in latin = little ring) Define Bulla/Vesicle - Bulla: elevated cavity containing free fluid larger than 1 cm in diameter Vesicle: only UP TO 1 cm diameter (EX: shingles, early chicken pox, herpes simplex, contact dermatitis) Define confluent - skin lesions that run together ("con-" = with ; "-flu-" to flow) skin lesions flowing together Define crust - thick, dried out exudate left on skin when vesicles/pustules burst or dry up Define erosion - -scooped-out, shallow depression in skin -wearing away, gradual destruction of a surface caused by inflammation, injury or other causes Define excoriation - Self-inflicted abrasion on skin due to scratching Define fissure (of the skin) - -linear crack in the skin extending to dermis Ex) super dry heels Define furuncle - infected hair follicle that inflames into a boil Define lichenification - -You scratch constantly and the *skin becomes thickened* and you see the wrinkle lines -tightly packed set of papules that tickens skin; caused by prolonged intense scratching What is Vitiligo? - hypopigmentation- melanin is missing Michael Jackson had this presence as white patches on skin