PHYSICAL ASSESSMENT OF AN ADULT
Terms in this set (42)
Adjustment of the lens of the eye to view internal eye structures.
External expression of the face.
A fluid/blood filled sac formed by the dilation of the wall of an artery which forms a pulsating tumor.
Loss of smell.
Collecting and verifying data and analyzing the data as a basis for developing a patients plan of care.
Listening to the body sounds.
Bronchial breath sounds
Loud, high-pitched, hollow sounds normally heard over the trachea.
Bronchovesicular breath sounds
Medium-pitched and quieter sounds normally heard over the mainstem bronchi.
Blowing, swishing sounds heard in an artery that indicate turbulent blood flow.
Enlargement of the fingertips and flattening of the angle between the fingernail and the nailbed, a sign of long-term oxygen deprivation.
Perceiving, thinking, and remembering.
Delicate membrane lining the eyelids and covering the eyeball.
A dry, crackling or grating sound produced by air in subcutaneous tissue, by air moving through fluid in the alveoli of the lungs, or by bone rubbing against bone.
Away from the body
Accumulation of excess interstitial fluid/swelling.
Reddening of the skin due to swelling.
6 eye muscles that allow for eye movement.
Fluid, cells, or debris that escaped the blood vessels and deposited in or on tissues due to inflammation.
A scratching or squeaking sound that is heard over the lung fields or the percordium, indicating inflammation of the pleura or pericardial lining.
Protrusion through a muscle wall.
Portion of the pelvis that when sitting the weight is frequently placed upon the ischial tuberosity.
The muscle that closes the mouth and is the major muscle involved in mastication (chewing).
Single strand of material; used to describe suture.
Abnormal heart sound caused by improper closure of the valves.
Longitudinal opening between the eyelids.
Open or exposed.
Accumulation of air or gas in the pleural space.
Anterior portion of the chest wall covering the heart and stomach.
Close to the body.
Motor effects caused by cerebral activity.
Drooping of the upper eyelid.
Used to test patients hearing or sense of vibration.
Tests for sensation, esp for examining diabetes pts feet because they get neuropathy.
How do you test a patients level of consciousness?
Are they alert?
Do they acknowledge you?
Do they know where they are?
Do they know the time/day?
Do they know why they are here?
"Patient is alert and oriented times ___"
Glasgow coma scale
Eye opening, verbal, and motor response using points.
Nothing - 0
To pain - 1
To words - 2
Regular - 4
Oriented - 5
Confused but answering - 4
Inappropriate words - 3
Incomprehensible - 2
Nothing - 1
Obeys - 6
Movement to pain -5
Withdraws to pain - 4
Flexion to pain - 3
Extension to pain - 2
Nothing - 1
Describe what to include in a general patient survey
Skin color, respiratory effort, present of distress
Mood and affect
Hygiene, grooming, and dress
Height, weight, and BMI
What are the components to inspecting the skin?
Skin color, variation, hair distribution, lesions
Temperature, texture, and moisture
Edema, turgor, and lesions
Nail color, thickness, shape, clubbing, CRT