ANSWERS
A bubblelike cavity filled with air or fluid in particular correct answer bula
A complete assessment includes correct answer General survey. Vital Signs .
Measurements. Head to to Assessment
A cylindrical mass of nerve tissue encased within the bony vertebral column,
extending from medulla to first or second lumbar vertebra correct answer Spinal
cord
A deeper loss of epidermis and dermis may bleed and scar correct answer Ulcer
A linear crack in the skin, often resulting from excessive dryness correct answer
Fissure (EX: Athletes foot)
A mnemonic for the patients perspective is correct answer FIFE -- Feelings. Ideas.
Function. Expectations
A mnemous for responding to emotional ques correct answer NuReS
Naming.Understanding. Respecting
A structural framework for organizing patient information in written verbal form
for other healthcare providers. It focuses on specific kinds of information that
must be obtained from the pt. correct answer The health history format
,Abnormalities in rate and breathing: Breathing punctuated by frequent sights
should alert yo to the possibility of hyperventilation syndrome correct answer
Sighing respiration
Abnormalities in rate and breathing: Rate is between 12-20 per minute for
respiration and up to 44 per minute for children correct answer Normal
Abnormalities in rate and breathing: Slow breathing may be secondary to diabetic
comas,drug induced respiratory depression and increased intracranial pressure.
correct answer slow breathing (bradypenia)
Abnormalities in rate and breathing: this is symptoms of ____. correct answer
Restrictive lung disease. pleurtici chest pain and elevated diaphragm (tachypnea)
After infancy the rate of physical growth slows by approx. half after two years
toddlesers gain about ___ correct answer 4.5 - 6.5 pounds and grow 2 inches per
year.
After information is gathered what happens next? correct answer The nurse
moves on to Head-to-Toe assessment.
aggregations of neuronal cell bodies; rims the surfaces of the cerebral
hemispheres, forming the cerebral cortex correct answer Gray matter
All history information is considered? correct answer subjective
,Allows the nurse to obtain a full picture of the pt's health status and current
problems as well as provide health promotion and risk reduction. (this is when
pt's ask questions too) correct answer comprehensive health assessment
Another name for "arm going to sleep" correct answer paraesthesia
Appropriate in many situations especially when the pt is known to the nurse.
(check-ups) correct answer focused or problem-oriented assessment
Are anything the pt has tried to relieve the problem correct answer relieving
factors
Are what else is going on when the pt exeperinces the sign or symptoms correct
answer Associated manifestations
Assesment areas for food: correct answer Food pattern. food preference. food
preparation. Finances. Accessibility. Patient Health. Exercise pattern. Body image.
Family Health. Family dietary patterns
Assess - Inspect Skin correct answer Look for patient guarding or protecting any
area of the skin. Inspect for localized variations-lesions (Rash, infections, Sunburn,
allergic response) (note: size, shape, configuration, color, and texture) (depressed
or pedunculted)(odor and amount of exudate) (Multiple lesions - pattern,
location, and distribution) Inspect of cleanliness and odor, Compare symmetry of
color (Jaundice, Pallor, Cyanosis) Look for " Wear and tear" (Calluses, warts)
Assessment is typically performed when? correct answer Done on admission
, at the base of the brain, which coordinates all movement and helps maintain the
body upright in space correct answer Cerebellum
Avoid using what type of questions correct answer leading
Band of skin inverted by the sensory root of a single spinal nerve correct answer
Dermatomes
Before making an assumption about a persons lack of a vitamin or mineral look at
correct answer what they are eating
Begin a physical assessment with ____ correct answer height and weight and vital
signs
Bluish varies from very small may resemble spider correct answer Spider vein
Bright or ruby red may become brownish with age correct answer Cherry angioma
By asking this mnemonic it will help you better ask questions about your pt.
correct answer OLD CART Onset, Location, Duration, Characteristics, Associated
manifestations, Relieving factors, Treatment
CAH:Varies according to the pt's memory trust and mood correct answer
reliability
Can be explained as how the patient experinces all aspects of the disease correct
answer illness