Janet R. Weber; Jane H. Kelley
A ______ is a collection of information about a patients health status. - ANSWER:
health history
A ______ provides objective data about a patient's body systems. - ANSWER:
physical assessment
A ______ assessment includes health history and a complete physical, and is
normally done on admission. - ANSWER: comprehensive
A(n) _____ assessment is considered a shift assessment, and is conducted at least
once a shift. - ANSWER: ongoing partial
A _____ assessment is used to assess a specific problem. - ANSWER: focused
A(n) _______ assessment is used for assessing life-threatening or unstable situations.
- ANSWER: emergency
What are examples of biographical data? - ANSWER: name
birthday
address
What are the four primary assessment techniques? - ANSWER: inspection
palpation
percussion
auscultation
_____ is using sight, smell, and hearing to assess a patient. - ANSWER: inspection
_____ is using the hands and fingers to assess temp, turgor, texture, moisture, and
vibrations. - ANSWER: palpation
______ is the act of striking one object against another to produce sound. - ANSWER:
percussion
______ is the act of using a stethoscope to listen within the body for sounds. -
ANSWER: auscultation
What part of the hand is best to measure temp? - ANSWER: the dorsum (back)
What part of the hand is best to measure texture, vibration, fluid, or size of a mass? -
ANSWER: the palmar surfaces or the fingertips
, What position is easiest to assess the anus and rectum? - ANSWER: Knee-chest
What position is best used to assess the female genitalia and rectum? - ANSWER:
lithotomy
What are the ABCDEs of assessing skin lesions? - ANSWER: asymmetry
border
color
diameter
evolving
_____ is caused by dilation of superficial blood vessels. - ANSWER: Erythema
_____ is a blue or pale discoloration caused by inadequate oxygen. - ANSWER:
Cyanosis
_____ is a yellow color resulting from liver problems. - ANSWER: Jaundice
______, or paleness of the skin, results from a decrease in circulating blood or
hemoglobin. - ANSWER: Pallor
What is resonance? - ANSWER: a clear, hollow sound percussed over the lungs.
What is hyperresonance? - ANSWER: a loud booming sound percussed in
overinflated lungs
What is tympany? - ANSWER: a musical, drum like sound percussed over the
stomach and intestines.
What is a dull sound? - ANSWER: a muffled thud percussed over the lover and
spleen.
What is a flat sound? - ANSWER: a dead stop of sound percussed over muscles, bone,
and tumors.
What are ecchymosis? - ANSWER: A collection of blood in the subcutaneous tissue.
(bruise)
______ are small hemorrhages caused by capillary bleeding. - ANSWER: Petechiae
What is diaphoresis? - ANSWER: excessive perspiration
_____ is the elasticity of the skin. - ANSWER: turgor
Where is turgor tested? - ANSWER: under the clavicle
Decreased skin turgor is a normal finding in who? - ANSWER: older adults