Term
| WHAT IS A HEALTH ASSESSMENT? |
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Definition
| A SYSTEMATIC COLLECTION OF DATA |
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Term
| WHAT IS THE PURPOSE OF A HEALTH ASSESSMENT? |
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Definition
1. TO GATHER BASELINE DATA
2. MAKE NURSING DX
3. EVALUATE OUTCOMES OF CARE
4. MAKE CLINICAL JUDGMENTS |
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Term
| WHAT SHOULD YOU DO IN A HEALTH ASSESSMENT? |
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Definition
1. INTRODUCE YOURSELF
2. MAINTAIN EYE CONTACT
3. ID THE CLIENT
4. TELL THE CLIENT WHAT YOU WILL BE DOING
5. USE OPEN ENDED QUESTIONS
6. PERSONALIZE THE INTERVIEW
7. BE RESPECTFUL |
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Term
| WHAT ARE THE COMPONENTS OF A HEALTH HISTORY? |
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Definition
1. BIO DATA
2. CC
3. HX OF PRESENT ILLNESS
4. FAMILY HX
5. LIFESTYLE
6. SOCIAL DATA
7. PSYCHOLOGICAL DATA |
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Term
| WHAT ARE THE TWO SOURCES OF DATA IN A HEALTH ASSESSMENT? |
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Definition
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Term
| WHEN IS SECONDARY DATA USEFUL? |
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Definition
| WHEN THE CLIENT IS CONFUSED OF UNCONSCIUS |
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Term
| WHAT ARE THEY TYPES OF ASSESSMENTS? |
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Definition
1. TIME LAPSED
2. EMERGENCY
3. PROBLEM FOCUSED
4. INITIAL OR COMPREHENSIVE |
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Term
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Definition
| LYING FLAT WITH ARMS TO THE SIDE |
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Term
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Definition
| ARMS AT SIDE, FEET FLAT ON FLOOR OR DANGLING |
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Term
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Definition
| GYNECOLOGICAL POSITION, ARMS TO THE SIDE, LEGS UP IN STIRRUPS ROTATED OUT |
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Term
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Definition
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Term
| WHAT ARE THE FOUR TECHNIQUES USED IN A PHYSICAL ASSESSMENT? |
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Definition
1. PERCUSSION- ABDOMEN
2. AUSCULATATION- HEART AND ABDOMEN
3. INSPECTION- ABDOMEN
4. PALPATION- ABDOMEN |
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Term
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Definition
OBSERVATION
JUST LOOKING WHICH IS THE FIRST THING YOU DO
A VISUAL EXAM OF THE PATIENT USING YOUR SIGHT
USE SMELL AND HEARING AS WELL DURING AN PE |
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Term
| WHAT ARE YOU LOOKING AT DURING INSPECTION? |
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Definition
1. COLOR
2. SHAPE
3. SYMMETRY
4. POSITION
5. ODOR
6. TEXTURE
7. SOUNDS
8. ABNORMALITIES |
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Term
| WHAT DOES IT MEAN TO PALPATE? |
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Definition
TOUCH USING VARYING DEGREES OF PRESSURE
ALWAYS TOUCH TENDER AREAS LAST
LIGHT- 1/2 - 3/4 INCHES DEEP |
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Term
| WHAT ARE YOU LOOKING FOR WHEN YOU PALPATE? |
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Definition
1. DISTENTION
2. PAIN
3. CONSISTENCY
4. TEXTURE
5. TEMPERATURE
6. MOISTURE |
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Term
| WHAT DOES IT MEAN TO PERCUSS? |
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Definition
1. TAP FINGER ON THE SURFACE OF SKIN
2. MIDDLE FINGER
3. TAP BRISKLY
4. CREATES A VIBRATION ON TISSUES UNDERNEATH |
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Term
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Definition
1. STRIKES ULNAR SURFACE OF THE FIST AGAINST THE PATIENTS SKIN
2. PLACE NON DOMINANT HAND ON SKIN AND THEN STRIKE YOUR HAND
3. USEFUL FOR DETECTING PAIN OR INFLAMMATION |
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Term
| WHAT ARE THE DESCRIPTORS FOR PERCUSSION? |
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Definition
1. FLATNESS
2. DULLNESS
3. RESONANCE
4. HYPER-RESONANCE
5. TYMPANY |
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Term
| WHEN DO YOU AUSCULTATE AND WHAT DO YOU CHECK FOR? |
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Definition
| LASTLY AND YOU CHECK FOR THE HEART, LUNGS AND BOWELS WITH A STETHOSCOPE |
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Term
| WHAT ARE THE AUSCULATATION DESCRIPTORS? |
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Definition
1. PITCH- FREQUENCY OF VIBRATIONS
2. INTENSITY- LOUD VS. SOFT
3. DURATION- HOW LONG IS THE SOUND IN LENGTH
4. QUALITY- WHISTLING, GURGLING OR SNAPPING |
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Term
| WHAT ARE THE TWO WAYS TO EXAMINE FOR A SENSORY ASSESSMENT? |
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Definition
1. INSPECTION
2. PALPATION |
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Term
| IF THE HEAD IS OF NORMAL SIZE IT IS SAID TO BE WHAT? |
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Definition
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Term
| DURING A SENSORY ASSESSMENT, WHEN YOU INSPECT AND PALPATE YOU LOOK FOR? |
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Definition
SHAPE, SYMMETRY, AND SIZE WHEN INSPECTING
AND
NODULES/MASSES AND DEPRESSIONS WHEN PALPATING |
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Term
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Definition
| FARSIGHTEDNESS (CANT SEE CLOSE UP) |
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Term
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Definition
| YOU CAN SEE CLOSE UP OR FAR AWAY |
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Term
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Definition
| NEARSIGHTEDNESS (CANT SEE FAR AWAY) |
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Term
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Definition
| CURVATURE OF CORNEA AND PREVENTS HORIZONTAL AND VERTICAL RAYS FROM FOCUSING ON THE RETINA |
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Term
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Definition
| PINK EYE -- HIGHLY CONTAGIOUS |
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Term
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Definition
| EYES ARE CLOUDY AND MILKY (OPAQUE LENS CAPSULE) |
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Term
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Definition
| CENTER OF EYE IS CLEAR BUT ITS PERIPHERAL IS CLOUDY BECAUSE THE AQUEOUS FLUID IS DISTURBED |
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Term
| WHAT ARE THEY TWO WAYS TO ASSESS THE EAR? |
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Definition
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Term
| WHAT IS COVERED IN A NEURO ASSESSMENT? |
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Definition
1. CLIENTS CC
2. CLIENTS PHYSICAL CONDITION
3. CLIENTS COOPERATION
4. MENTAL STATUS (LOC)
5. REFLEXES
6. MOTOR FXN
7. SENSORY FXN
8. CRANIAL NERVES |
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Term
| WHAT ARE SOME THINGS YOU SHOULD BE OBSERVING DURING A SENSORY ASSESSMENT? |
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Definition
1. GENERAL APPEARANCE
2. BEHAVIOR
3. MOOD
4. AFFECT |
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Term
| YOU CAN ASSESS ORIENTATION BY 3 WAYS? |
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Definition
1. TO PERSON
2. TO PLACE
3. TO TIME |
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Term
| WHAT ARE THE 3 TYPES OF MEMORY DURING A NEURO ASSESSMENT? |
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Definition
1. IMMEDIATE- JUST HAPPENED
2. RECENT- EARLIER IN THE DAY
3. LONG TERM- MONTHS OR YEARS AGO (ALSO CALLED REMOTE) |
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Term
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Definition
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Term
| DYSPHAGIA IS ALSO CALLED? |
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Definition
| TROUBLE SWALLOWING AND YOU CAN TEST IT BY STICKING OUT YOUR TONGUE |
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Term
| WHAT ARE THE 2 WAYS TO ASSESS DURING A MS ASSESSMENT? |
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Definition
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Term
| WHAT DO YOU INSPECT DURING A MS ASSESSMENT? |
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Definition
1. SIZE
2. SYMMETRY
3. TREMORS
4. CONTRACTURES |
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Term
| WHAT DO YOU LOOK FOR WHEN YOU PALPATE DURING A MS ASSESSMENT? |
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Definition
1. MUSCLE TONE AT REST
2. ACTIVE AND PASSIVE ROM
3. FLACCIDITY
4. SPASTICITY
5. STRENGTH |
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Term
| WHAT DO YOU LOOK FOR DURING A SKELETAL ASSESSMENT? |
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Definition
1. INSPECT STRUCTURE
2. DEFORMITIES
3. MISALIGNED
4. PALPATE
5. TENDERNESS
6. SWELLING
7. BODY ALIGNMENT
8. SHOULDERS AND HIP SYMMETRY
9. TOES POINT FORWARD
10. SPINE IS STRAIGHT |
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Term
| WHAT ARE THE 3 TYPES OF SPINAL CURVATURES? |
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Definition
1. KYPHOSIS- HUMP BACK
2. LORDOSIS- INWARD CURVATURE OF LOWER SPINE (BUTT STICKS OUT)
3. SCOLIOSIS- LATERAL CURVATURE OF SPINE |
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Term
| WHAT ARE SOME WAYS YOU CAN ASSESS A PATIENTS GAIT? |
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Definition
1. WALK 10 FEET
2. CHIN LEVEL AND GAZE STRAIGHT
3. STERNUM LIFTED
4. SHOULDERS DOWN AND BACK, RELAXED
5. HEEL STRIKES FIRST
6. FEET DORSIFLEXED IN SWING PHASE |
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Term
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Definition
| FUNCTIONAL UNITS OF THE MS SYSTEM |
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Term
| WHAT ARE YOU FEELING FOR WHEN ASSESSING JOINTS? |
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Definition
1. REDNESS
2. WARMTH
3. SWELLING
4. CREPITUS |
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Term
| WHAT ARE THE 2 RANGES OF MOTION? |
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Definition
PASSIVE AND ACTIVE
PROM AND AROM |
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Term
| WHEN YOU TEST FOR MUSCLE STRENGTH, YOU ARE LOOKING FOR WHAT? |
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Definition
EQUAL STRENGTH ON BOTH SIDES SYMMETRICALLY
100% - 5
75% - 4
50% - 3
25% - 2
10% - 1 |
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Term
| WHAT IS THE LARGEST ORGAN IN THE BODY? |
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Definition
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Term
| WHAT IS INCLUDED IN THE SKIN ASSESSMENT? |
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Definition
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Term
| WHAT ARE THE TECHNIQUES USED IN A SKIN ASSESSMENT? |
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Definition
1. INSPECTION (SMELL)
2. PALPATION |
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Term
| WHAT ARE THREE THINGS THE CLIENT REPORTS? |
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Definition
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Term
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Definition
| LOSS OF PIGMENTATION IN SKIN |
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Term
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Definition
| LOSS OF COLOR; PALE; COOL TO THE TOUCH |
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Term
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Definition
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Term
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Definition
| LACK OF OXYGEN- EVIDENT IN NAIL BEDS, BUCCAL MEMBRANE |
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Term
| HOW DO BLACK PEOPLE LOOK WHEN THEY ARE CYANOTIC? |
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Definition
| GRAY OR A YELLOW TINT AND YOU CAN LOOK IN THE EYES TO SEE IT |
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Term
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Definition
| GET MORE SKIN PIGMENTATION |
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Term
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Definition
| REDNESS ASSOCIATED WITH DIFFERENT TYPES OF RASHES |
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Term
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Definition
| PINPOINT, RED AREAS SEEN ALOT ON LEGS, ABDOMEN AND CHEST |
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Term
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Definition
BRUISING UNDER TISSUE
NEW BRUISES ARE RED AND BLUE/PURPLE
OLD BRUISES ARE YELLOW/GREEN
BRUISES IN BLACKS ARE OFTEN PURPLISH COLOR |
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Term
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Definition
YELLOWISH COLOR
IN BLACKS LOOK IN HARD PALATE OF MOUTH |
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Term
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Definition
| HOW WE ASSESS IT PATIENT IS ADEQUATELY HYDRATED. YOU CAN PULL THE SKIN NEAR BREASTBONE AND IT SHOULD GO BACK DOWN AND NOT TENT |
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Term
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Definition
FLAT, UNELEVATED CHANGE IN COLOR
EX: BIRTHMARK, VITILIGO, RUBELLA |
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Term
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Definition
SOLID ELEVATION OF SKIN (CIRCUMSCRIBED)
EX. ELEVATED MOLES, ACNE, PIMPLES |
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Term
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Definition
LARGER THAN 1 CM
EX. PSORIASIS, RUBELLA |
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Term
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Definition
ELEVATED, SOLID, HARD MASS
EX. MALIGNANT MELANOMA |
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Term
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Definition
| ANCE VULGARIS OR IMPETIGO (FILLED WITH PUS) |
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Term
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Definition
ROUND OR OVAL, CIRCUMSCRIBED FILLED WITH SEROUS FLUID OR BLOOD
EX. HERPES SIMPLEX, SECOND DEGREE BURNS |
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Term
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Definition
REDDENED, LOCALIZED COLLECTION OF EDEMA FLUID; IRREGULAR IN SHAPE
EX. HIVES, MOSQUITO BITES |
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Term
| WHAT DO YOU LOOK FOR WHEN INSPECTING HAIR? |
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Definition
1. LUSTER
2. DISTRIBUTION
3. TEXTURE
4. DRY, OILY
ALSO LOOK AT HAIR FOLLICLES AND COLOR FOLLICLES, SCALP, SKIN |
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Term
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Definition
| PATCHES OF HAIR; HAIR LOSS |
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Term
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Definition
| LONG TERM LOSS OF OXYGEN WHERE THE ANGLE BETWEEN THE NAIL AND THE NAIL BED IS 180 DEGREES OR MORE |
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Term
| WHAT DO YOU ASSESS WHEN DOING A RESPIRATORY ASSESSMENT? |
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Definition
1. UPPER AIRWAY
2. LOWER AIRWAY
3. LUNGS |
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Term
| WHAT TECHNIQUES ARE USED TO ASSESS THE RESP ASSESSMENT? |
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Definition
INSPECT
PALPATE
PERCUSS
AUSCULTATE |
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Term
| WHERE ARE THE AREAS OF AUSCULTATION ON THE LUNGS? |
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Definition
1. ANTERIOR X 4
2. POSTERIOR X 6
3. LATERAL X 2 |
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Term
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Definition
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Term
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Definition
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Term
| WHERE ARE VESICULAR BREATH SOUNDS BEST HEARD? |
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Definition
| AT THE BASE OF THE LUNGS. THEY ARE LOW PITCHED GENTLE SIGHS |
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Term
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Definition
| SHORTNESS OF BREATH OR LABORED BREATHING |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| A TYPE OF BREATHING PATTERN (LIKE A DOG PANTING) |
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Term
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Definition
| START OUT AT BASE OF LUNGS; FINE SHORT INTERRUPTED CRACKLING SOUNDS |
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Term
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Definition
| CONTINUOUS, LOW PICTCHED, COARSE, GURGLING, HARSH, LOUDER SOUNDS WITH A MOANING OR SNORING QUALITY. BEST HEARD ON EXPIRATION BUT CAN BE HEARD ON BOTH INSPIRATION AND EXPIRATION. |
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Term
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Definition
| SUPERFICIAL GRATING OR CREAKING SOUNDS HEARD DURING INSPIRATION AND EXPIRATION. |
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Term
| WHEEZING IS CHARACTERIZED BY: |
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Definition
| CONTINUOUS, HIGH PITCHED SQUEAKY MUSICAL SOUNDS. BEST HEARD ON EXPIRATION. |
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Term
| WHAT ARE THEY 2 TYPES OF COUGHS? |
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Definition
| PRODUCTIVE AND NON-PRODUCTIVE |
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Term
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Definition
| UPPER AIRWAY PARTIAL OBSTRUCTION; NEED HELP ASAP |
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