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Study sets matching "assessment nursing ha mod"

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Study sets matching "assessment nursing ha mod"

34 terms
HA Mod 1: Nursing Process
Nursing Process
Critical Thinking
A well-cultivated critical thinker is…
Clinical Judgement
-An organizing framework for professional nursing practice, a…
A process by which the thinker improves the quality of his/he…
-Raises questions and problems and formulates them clearly an…
Consists of informed opinions and decisions based on empirica…
Nursing Process
-An organizing framework for professional nursing practice, a…
Critical Thinking
A process by which the thinker improves the quality of his/he…
106 terms
HA: Mod 11 Neuro Assessment
analgesia
anesthesia
clonus
fasciculation
Absent pain sensation
Absent touch sensation
A set of rapid, rhythmic contractions of the same muscle.
Rapid, continuous twitching of resting muscle or part of musc…
analgesia
Absent pain sensation
anesthesia
Absent touch sensation
33 terms
HA: Mod 10 Assessment of Development
adolescence
cephalocaudal
chronological age
cognitive development
12-18 y/o; begins with entry into the teen years. have mature…
development that proceeds from the head downward through the…
calculation of the child's age; date of exam - date of birth…
Piaget's theory; helps to explain how children think, reason,…
adolescence
12-18 y/o; begins with entry into the teen years. have mature…
cephalocaudal
development that proceeds from the head downward through the…
63 terms
HA Mod 7 Assessment of the Abdomen
anorexia
ascites
borborygmus
bruit
a lost or decreased interest and desire for food; side effect…
excessive accumulation of fluid in the abdominal cavity
rumbling or gurgling noises produced by movement of gas, flui…
a blowing or whooshing sound auscultated with the stethoscope…
anorexia
a lost or decreased interest and desire for food; side effect…
ascites
excessive accumulation of fluid in the abdominal cavity
70 terms
HA Mod 3: General Assessment and Vital Signs
Standard precautions in physical exam
Stethoscope
Bell
Diaphragm
-Hand hygiene ... -Use of gloves/gown/mask/eye protection/face s…
-Blocks out extraneous room sounds so that soft body sounds c…
-Best for soft, low-pitched sounds ... -"bellow"... -light pressure
-Best for high-pitched sounds... -firm pressure
Standard precautions in physical exam
-Hand hygiene ... -Use of gloves/gown/mask/eye protection/face s…
Stethoscope
-Blocks out extraneous room sounds so that soft body sounds c…
33 terms
HA: Ch. 1 Nurse's Role in Health Assessment
advocacy
assessment
body systems assessment
collaborative problems
keeping patients safe... communicating their needs... identifying t…
Gathering information about the health status of the patient,…
Assessment method in which a nurse examines the patient focus…
Problems that nurses monitor but require the expertise of oth…
advocacy
keeping patients safe... communicating their needs... identifying t…
assessment
Gathering information about the health status of the patient,…
49 terms
43: Assessment of the Nervous System Test Bank 1. The nurse assesses a client who has trauma to the cerebrum. Which clinical manifestation does the nurse expect to observe? a. Poor coordination b. Memory loss c. Hyperthermia d. Slurred speech 2. The nur
Inhaler Use
Sulfametazole:
Laxatives
Diabetes Drug Interaction:
Check nose, Cover first one nostril and then the other one.
Allergic reaction: agranulocytes, erythema, edema. If steven…
Glass of water (provide fluids) If pt has diarrhea stop the m…
Sulfonylureas: cannot give with alcohol, birth control pills,…
Inhaler Use
Check nose, Cover first one nostril and then the other one.
Sulfametazole:
Allergic reaction: agranulocytes, erythema, edema. If steven…
HA Mod 8 Musculoskeletal
abduction
Active vs. Passive Range of Motion
adduction
arthralgia
Moving a limb away from the midline of the body
Active: Person does the moving... Passive: Other does the moving
Moving a limb toward the midline of the body
Joint pain
abduction
Moving a limb away from the midline of the body
Active vs. Passive Range of Motion
Active: Person does the moving... Passive: Other does the moving
HA mod 8
tendons
ligaments
cartilage
internal (medial) rotation
connect muscles to bones
connect bones to each other at the joint level
cushioning tissue within a joint
rotating the extremity medially along its own axis
tendons
connect muscles to bones
ligaments
connect bones to each other at the joint level
HA Mod 9 Head and Neck
accommodation
acromegaly
anisocoria
arcus senilis
Adaptation of the eye for near vision. It is accomplished by…
Occurs with hyperthyroidism. Excessive secretion of growth ho…
People (5% of population) who normally have pupils of two dif…
Gray-white arc or circle around the limbus; it is caused by d…
accommodation
Adaptation of the eye for near vision. It is accomplished by…
acromegaly
Occurs with hyperthyroidism. Excessive secretion of growth ho…
40 terms
HA Mod 3 Key Terms
afebrile
apical pulse
apnea
auscultatory gap
without fever
the heartbeat as heard with a stethoscope placed on the chest…
an absence of spontaneous respiration
time in which sound is not heard in the auscultatory method o…
afebrile
without fever
apical pulse
the heartbeat as heard with a stethoscope placed on the chest…
HA Mod 5: Respiratory
anatomic landmarks of the thorax
point at which the 2nd rib articulates…
usually no more than 90 degrees... rib in…
anterior chest... mid-sternal line... anteri…
Angle of Louis (manubriosternal junction)
angle of louis
costal angle
clavicles
anatomic landmarks of the thorax
Angle of Louis (manubriosternal junction)
point at which the 2nd rib articulates…
angle of louis
40 terms
NUR 146 Mod 1
Types of Assessments
Complete Assessment
Episodic/Problem Centered/Focused Asse…
Follow up Assessment
•Complete... •Episodic/Problem Centered... •Follow up
hx and physical exam - vitals, ht, wt. Prepare pt by emptying…
Usually done when a patient is following up with a health car…
used to follow up on the status of a short term or chronic he…
Types of Assessments
•Complete... •Episodic/Problem Centered... •Follow up
Complete Assessment
hx and physical exam - vitals, ht, wt. Prepare pt by emptying…
76 terms
HA- Nursing CH 18
A nurse observes a client sitting in t…
A group of students is reviewing the v…
A patient from a severe motor vehicle…
The thoracic cavity contains which of…
Observe for the use of accessory muscles
Vertebral line
Severe brain damage
• Heart... • Lungs... • Most of the esophagus
A nurse observes a client sitting in t…
Observe for the use of accessory muscles
A group of students is reviewing the v…
Vertebral line
87 terms
HA Mod 4
Albinism
Alopecia
Atrophy
Beau's Lines
A group of inherited disorders with deficiency or absence of…
Hair loss; Balding
Thinning of the skin surface and loss of markings (striae; ag…
Transverse depressions of all of the nails that appear at the…
Albinism
A group of inherited disorders with deficiency or absence of…
Alopecia
Hair loss; Balding
55 terms
HA Mod 5 Study Guide
apnea
barrel chest
bradypnea
bronchphony
A suspension of external breathing
Equal AP-to-transverse diameter and ribs are horizontal inste…
Slow breathing.... Examples: Drug-induced depression of the res…
Listening to the chest wall with a stethoscope while the pers…
apnea
A suspension of external breathing
barrel chest
Equal AP-to-transverse diameter and ribs are horizontal inste…
HA Mod 10
Adolescence
Cephalocaudal
Chronological Age
Cognitive Development
the period in development between the onset of puberty and ad…
pertaining to the long axis of the body, or the relationship…
the age of an individual expressed as time that has elapsed s…
the developmental process by which an infant becomes an intel…
Adolescence
the period in development between the onset of puberty and ad…
Cephalocaudal
pertaining to the long axis of the body, or the relationship…
144 terms
HA: Mod 7 Abdomen
anorexia
ascites
borborygmus
bruit
loss of appetite from a GI disease or as a side effect of som…
the build up of fluid in the space between the lining of the…
audible hyperactive bowel sound. Stomach growling.
Turbulent blood flow through the vessels.
anorexia
loss of appetite from a GI disease or as a side effect of som…
ascites
the build up of fluid in the space between the lining of the…
43 terms
wisemanBMTCP Basic Nursing Mod 3
Health Record made of 4 parts
Part 1
*** SF 601 or DD Form 2766C
*** DD Form 2215
1) Record of Preventive Medicine and Occupational Health... 2) C…
...
Immunization Record
Baseline Audiogram
Health Record made of 4 parts
1) Record of Preventive Medicine and Occupational Health... 2) C…
Part 1
...
70 terms
HA Mod 4 Pictures
Albinism
Alopecia
Atrophy
beau's lines
Albinism
Alopecia
53 terms
HA Mod 4 Vocab
albinism
alopecia
atrophy
Beau's lines
An inherited disorder with a deficiency or absence of pigment…
loss of hair
Thinning of the skin surface and loss of normal skin markings…
Transverse grooves or ridges on the nail plate that are tempo…
albinism
An inherited disorder with a deficiency or absence of pigment…
alopecia
loss of hair
HA Mod 6 CV
bradycardia
Apical pulse in newborns
bruit
capillary refill
Slower-than-normal heart rate; heart contracts fewer than 60…
-in 4th LICS left of the MCL until age 4... -by age 7, it is at…
Blowing, swishing sound indicating blood flow turbulence; nor…
An index of peripheral perfusion and cardiac output (can test…
bradycardia
Slower-than-normal heart rate; heart contracts fewer than 60…
Apical pulse in newborns
-in 4th LICS left of the MCL until age 4... -by age 7, it is at…
65 terms
HA MOD 10 from Objectives
Piaget
Erikson
trust vs. mistrust
trust v mistrust
4 stages of development; cognitive
who: 8 stages of development; psychosocial
Erikson - Establishing a basic sense of trust is essential fo…
Erikson - Birth to 1 Year
Piaget
4 stages of development; cognitive
Erikson
who: 8 stages of development; psychosocial
173 terms
Nursing HA & History
Describe the phases of an interview pr…
Describe appropriate interviewing tech…
State the purpose of a health history
Describe the information that should b…
An initial patient-centered interview involves:... 1) setting t…
• open-ended questions prompts patients to describe a situati…
Ultimately your aim is to match the patient's lifestyle patte…
Physical and developmental... Emotional... Social... Intellectual... Spir…
Describe the phases of an interview pr…
An initial patient-centered interview involves:... 1) setting t…
Describe appropriate interviewing tech…
• open-ended questions prompts patients to describe a situati…
17 terms
NUR 112 MOD A
Subjective Data
Objective Data
Admit Assessment
Shift Assessment
>what the pt. tells me
> what I observe about the pt.
>assessment done on a pt. when being admitted into a med. fac…
>assessment done a pt. when change shifts
Subjective Data
>what the pt. tells me
Objective Data
> what I observe about the pt.
31 terms
HA Mod 5 Vocab
Apnea
Barrel Chest
Bradypnea
Broncophony
Absence of breathing
When the anterior-posterior diameter of the chest is equal to…
A slow respiratory rate (less than 12 breaths per minute in a…
An abnormal transmission of sounds from the lungs; increase i…
Apnea
Absence of breathing
Barrel Chest
When the anterior-posterior diameter of the chest is equal to…
40 terms
HA Mod 3 - Vital Signs
afebrile
apical pulse
apnea
auscultatory gap
without fever
the heartbeat as heard with a stethoscope placed on the chest…
an absence of spontaneous respiration
time in which sound is not heard in the auscultatory method o…
afebrile
without fever
apical pulse
the heartbeat as heard with a stethoscope placed on the chest…
82 terms
HA Mod 8 Study Guide
abduction
adduction
arthralgia
atrophy
Moving the extremity laterally, away from the midline... Think…
Moving to the extremity medially, toward the midline.... Think…
Non-inflammatory joint pain
Reduction in muscle size and shape. Results in thin, flabby m…
abduction
Moving the extremity laterally, away from the midline... Think…
adduction
Moving to the extremity medially, toward the midline.... Think…
46 terms
HA mod 9 supplemental info
vertigo spinning of ones self
vertigo spinning of room or objects
preauricular lymph nodes
postauricular lymph nodes
means internal
means external
4 in front of the ear
6 behind the ear
vertigo spinning of ones self
means internal
vertigo spinning of room or objects
means external
89 terms
HA: Mod 9 Head & Neck
accommodation
anisocoria
arcus senilis
astigmatism
Adaptation of the eye for near vision. constriction of pupils…
a condition characterized by an unequal size of the eye's pup…
a whitish ring-shaped or bow-shaped deposit in the cornea tha…
a vision condition that causes blurred vision due either to t…
accommodation
Adaptation of the eye for near vision. constriction of pupils…
anisocoria
a condition characterized by an unequal size of the eye's pup…
135 terms
HA: Mod 8 Musc/Skel
abduction
adduction
arthralgia
atrophy
Laterally away from body
a movement which brings a part of the anatomy closer to the m…
joint pain that is a symptom of an underlying disease rather…
decrease in size or wasting away of a body part or tissue
abduction
Laterally away from body
adduction
a movement which brings a part of the anatomy closer to the m…
115 terms
HA Mod 9 Study Guide
accommodation
acromegaly
anisocoria
arcus senilis
The pupils constrict focusing on near objects and dilate on f…
Excessive secretion of the growth hormone from puberty causes…
Pupils of two different sizes
A grey-white arc or circle around the limbus; the cornea look…
accommodation
The pupils constrict focusing on near objects and dilate on f…
acromegaly
Excessive secretion of the growth hormone from puberty causes…
107 terms
HA Mod 11 Study Guide
analgesia
anesthesia
clonus
fasciculation
Absent pain sensation
Absent touch sensation
A set of rapid, rhythmic contractions of the same muscle
Rapid, continuous twitching of resting muscle
analgesia
Absent pain sensation
anesthesia
Absent touch sensation
115 terms
HA Final
Assessing the brain stem
Assessing the brain
Assessing the spinal cord... (Pencil & Le…
Assessing parasympathetic
Primitive : breath sounds, vitals, CN
conversation, mental stat
movement, reflex, and sensation (derma/myo)... -L1-L2, connects…
PEACE bowel and bladder
Assessing the brain stem
Primitive : breath sounds, vitals, CN
Assessing the brain
conversation, mental stat
HA, Mod 3: Vital Signs Terms
Afebrile
Apical pulse
Apnea
Auscultatory gap
Without fever
Heartbeat as listened to with the bell or diaphragm of a stet…
Absence of respirations for a period of time
Disappearance of sound when obtaining a blood pressure; typic…
Afebrile
Without fever
Apical pulse
Heartbeat as listened to with the bell or diaphragm of a stet…
484 terms
Exam 3 - SUM16 - NUR1060C - HA
Neurologic System Assessment
What makes up the NS?
What makes up the CNS?
What makes up the PNS?
...
CNS... PNS
Brain ... Spinal Cord
12 pairs of CN... 31 pairs of spinal nerves... SNS... ANS
Neurologic System Assessment
...
What makes up the NS?
CNS... PNS
15 terms
HA Mod 11 - Neuro
analgesia
anesthesia
clonus
fasciculation
decreased or absent sensation of pain
absence of all sensation
abnormal neuromuscular activity characterized by rapidly alte…
localized uncontrollable twitching of single muscle group
analgesia
decreased or absent sensation of pain
anesthesia
absence of all sensation
30 terms
HA Mod 5 Respiratory Terms
Apnea
Barrel Chest
Bradypnea
Bronchophony
Cessation of breathing
AP(anteriorposterior) = TD (transverse diameter). Ribs are ho…
Slow breathing. A decreased but regular rate; as in drung-ind…
Normal voice transmission is soft, muffled, and indistinct. C…
Apnea
Cessation of breathing
Barrel Chest
AP(anteriorposterior) = TD (transverse diameter). Ribs are ho…
207 terms
Adult Nursing Exam 2
Pain and Pain Control
Pain
Interpersonal example of Pain?
Intrapersonal example of pain?
...
-Unpleasant sensory and emotional experience that is associat…
Kidney stone
IV
Pain and Pain Control
...
Pain
-Unpleasant sensory and emotional experience that is associat…
12 terms
Nursing assessment
Assessing
database
database
assessment
systematic and continuous collection ,analysis, validation, a…
includes all the pertinent patient info collected by the nurs…
also helps and develops comprehensive and effective plan of c…
first step in ADPIE, gather info
Assessing
systematic and continuous collection ,analysis, validation, a…
database
includes all the pertinent patient info collected by the nurs…
65 terms
HA Mod 7 Study Guide
anorexia
ascites
bi-manual technique
borborygmus
The loss of appetite from GI disease as a side effect to some…
The accumulation of fluid in the peritoneal cavity, causing a…
Palpating the kidneys by placing the hands in a "duck-bill" p…
AKA "tummy growls" and hyperperistalsis. It is a signal of in…
anorexia
The loss of appetite from GI disease as a side effect to some…
ascites
The accumulation of fluid in the peritoneal cavity, causing a…
76 terms
HA Mod 6 Study Guide
bradycardia
Carotid Bruit (Adult)
capillary refill
diastole
Slow resting heart rate that is below 60 bpm.
Low-pitched bowing sound over a peripheral vessel. Best to he…
An index of peripheral perfusion and cardiac output. Should b…
Atria contracts and ventricles relax. Mitral and tricuspid va…
bradycardia
Slow resting heart rate that is below 60 bpm.
Carotid Bruit (Adult)
Low-pitched bowing sound over a peripheral vessel. Best to he…
HA Mod 4 Vocab
Albinism
Alopecia
Atrophy
Beau's line
Group of inherited disorders with deficiency or absence of pi…
Partial or complete loss of hair; baldness.
Thinning of the skin surface and loss of markings. Striae, ag…
Transverse depressions of all of the nails the appear at the…
Albinism
Group of inherited disorders with deficiency or absence of pi…
Alopecia
Partial or complete loss of hair; baldness.
55 terms
NUR 103: Mod K Musculoskeletal Assessment
what is in charge of production of RBC…
how many bones are in the human body?
what is an emboli?
what part of the bone is the growth pl…
bone marrow
256
anything that breaks off and goes somewhere its not supposed…
epiphyseal line
what is in charge of production of RBC…
bone marrow
how many bones are in the human body?
256
23 terms
HA Mod 11 Development
adolescence
cephalocaudal
chronological age
cognitive development
The period of physical and psychological development from the…
A pattern of neuromuscular growth and development which start…
The number of days, weeks, months, or years a person has lived
Piaget's theory, process by which an infant becomes an intell…
adolescence
The period of physical and psychological development from the…
cephalocaudal
A pattern of neuromuscular growth and development which start…
74 terms
HA- Nursing CH 20
Which is true of a third heart sound (…
The nursing instructor is discussing a…
A patient with dehydration or volume d…
A nurse performs an initial health his…
It is caused by rapid deceleration of blood against the ventr…
A thrill
Flat neck veins
No current medications or treatments
Which is true of a third heart sound (…
It is caused by rapid deceleration of blood against the ventr…
The nursing instructor is discussing a…
A thrill
71 terms
NUR 103: Mod F Thorax and Lungs
what conducts sounds in the lungs?
what does dyspnea mean?
what breath sound is heard over the ma…
where on the chest wall does the trach…
density
difficulty breathing
vesicular
carina, level at the angle of louis
what conducts sounds in the lungs?
density
what does dyspnea mean?
difficulty breathing
31 terms
UNF HA Mod 5- vocab
Apnea
Barrel chest
Bradypnea
Bronchophony
Absence of breathing
When the anterior-posterior diameter of the chest is equal to…
A slow respiratory rate (less than 12 breaths per minute in a…
An abnormal transmission of sounds from the lungs; increase i…
Apnea
Absence of breathing
Barrel chest
When the anterior-posterior diameter of the chest is equal to…
80 terms
HA (Mod 2) symbols, root words, prefixes, and suffixes
increase
decrease
change
approximately
increase
decrease
162 terms
HA - test 1
Steps of Nursing process
Four types of Data
3 Levels of priorities
Medical Diagnosis Vs. Nursing Diagnosis
Assessment: collect data about patient... Diagnosis: what patien…
Complete Database... Focused Database... Follow-up Database... Emergen…
First Level: life threatening (ABCV)... Second Level: requires…
Medical: What the patient actually has (the disease)... Nursing…
Steps of Nursing process
Assessment: collect data about patient... Diagnosis: what patien…
Four types of Data
Complete Database... Focused Database... Follow-up Database... Emergen…
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