health assess HW - Health Assessment Homework Chapter 25 True\/False 1 A nurse would use the technique of inspection to assess the consistency texture

health assess HW - Health Assessment Homework Chapter 25...

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Health Assessment Homework, Chapter 25 True/False 1 A nurse would use the technique of inspection to assess the consistency, texture, and tenderness of a mass. – FALSE, inspection is to closely observe visually mostly, but can also use hearing and smell. Correct answer for this would be PALPATION. 2 Turgor, a term used to describe the fullness or elasticity of the skin, is usually assessed on the sternum or under the clavicle. - TRUE 3 Adventitious breath sounds are heard over the mainstem bronchus and are described as “blowing” sounds. – FALSE, adventitious breath sounds are not normally heard in the lungs, but if present may be ausulcated. The correct answer for this would be BRONCHIAL SOUNDS. 4 A patient who exhibits decorticate or decerebrate posturing would receive a score of 3 or below in motor response on the Glasgow Coma Scale. 5 A nurse who asks a patient to raise his eyebrows, smile, and show his teeth is assessing cranial nerve VII. -TRUE Fill-in-the-Blank 1 A health __ HISTORY ____ is a collection of subjective information about the patient’s health status, whereas a physical assessment is a collection of objective data that provides information about changes in the patient’s body systems. 1
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2 A ___ FUNCTIONAL __ health assessment focuses on the effects of health or illness on a patient’s quality of life, including the strengths of the patient and areas that need to improve. 3 The four characteristics of sound heard when using auscultation are pitch, loudness, _ QUALITY __, and duration. 4 Cyanosis is a bluish or grayish discoloration of the skin in response to inadequate __ OXYGENATION ____, whereas jaundice is a yellow color of the skin resulting from elevated amounts of bilirubin in the blood. 5 Abnormal “swooshing or blowing” sounds heard over a blood vessel are known as __________, caused by blood that is swirling in a vessel rather than exhibiting a normal smooth flow. Vocabulary Skin 1. Erythema__ redness of the skin, caused by dilation of the superficial blood vessels. 2. Cyanosis__ a bluish or grayish discoloration of the skin due to inadequate oxegenation . 3. Jaundice__ a yellow color of the skin caused by excess bilirubim the the blood. 4. Pallor_ paleness of the skin. 5. Vitiligo__ white patchy areas on the skin. 6. Eccymosis_ purplish discoloration due to a collection of blood in the subcutaneous tissue. 7. Petechiae_ small hemorrhagic spots due to capillary bleeding. 8. Capillary Hemangiomas_ benign tumor consisting of an abnormal overgrowth of tiny blood vessels 9. Café’-au-lait spots_ hyperpigmented lesions 10. Flushing_ warm, redness of the skin 11. Mottling irregular arrangement of spots or patches of color 12. Turgor__ fullness/elasticity of the skin. 13. Tenting__ skin is unable to get back to original shape giving a tenting shape 14. Edematous_ accumulation of watery fluid in the cells causing swelling 15. Nevi___ a wart 2
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16. Skin Tags_ small flap of skin hanging from the rest of the skin 17. Straiae_ stretch marks ___ Skin : Signs of lesions: ABCDE 1. A___ asymmetry __________________________________ 2. B__ border _______________________________________________________________ 3. C_____ color ____________________________________________________________ 4. D____ diameter _____________________________________________________________ 5. E_____ evolving ____________________________________________________________ Respiratory 1.
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  • Fall '15
  • Rothwell
  • Health Assessment, Blood vessel, adventitious breath sounds

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