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Nursing Patient Centered Care
Vocabulary Test 1
240
Nursing
Undergraduate 2
05/20/2016

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Term
Amplitude
Definition
Intensity; how loud or soft
Term
duration
Definition
the length of time a note lingers
Term
ophthalmoscope
Definition
an instrument that illuminates the internal eye structures, enabling the examiner to look through the pupil at the fundus (background) of eye
Term
otoscope
Definition
an instrument that illuminates the ear canal, enabling the examiner to look at the ear canal and tympanic membrane
Term
pitch
Definition
frequency; the number of vibrations or cycles per second of a note
Term
quality
Definition
timbre; a subjective difference in a sound as a result of the sound's distinctive overtones
Term
sphygmomanometer
Definition
instrument for measuring arterial blood pressure
Term
alopecia
Definition
baldness; hair loss
Term
annular
Definition
circular shape to skin lesion
Term
cyanosis
Definition
dusky blue color to skin or mucous membranes as a result of increased amount of non-oxygenated hemoglobin
Term
erythema
Definition
intense redness of the skin due to excess blood in dilated superficial capillaries, as in fever or inflammation
Term
excoriation
Definition
self-inflicted abrasions due to scratching
Term
jaundice
Definition
yellow color to skin, palate, and sclera due to excess bilirubin in the blood
Term
keloid
Definition
hypertrophic scar, elevated beyond site of original injury
Term
macule
Definition
flat skin lesion with only a color change. Freckles
Term
pallor
Definition
excessively pale, whitish-pink color to lightly pigmented skin
Term
papule
Definition
palpable skin lesion smaller than 1 cm in diameter. Wart, mole.
Term
pruritis
Definition
itching
Term
scale
Definition
compact desiccated flakes of skin from shedding of dead skin cells
Term
ulcer
Definition
sloughing of necrotic inflammatory tissue that causes a deep depression in skin, extending into dermis
Term
vesicle
Definition
elevated cavity containing free fluid up to 1 cm in diameter. Chickenpox, herpes zoster (shingles)
Term
wheal
Definition
raised red skin lesion due to interstitial fluid. Mosquito bite.
Term
zosteriform
Definition
linear shape of skin lesion along a nerve route
Term
bruit
Definition
blowing, swooshing sound heard through the stethoscope over an area of abnormal blood flow
Term
dysphagia
Definition
difficulty in swallowing
Term
goiter
Definition
increase in the size of thyroid gland that occurs with hyperthyroidism
Term
lymphadenopahty
Definition
enlargement of the lymph nodes due to infection, allergy, or neoplasm
Term
macrocephalic
Definition
abnormally large head
Term
microcephalic
Definition
abnormally small head
Term
normocephalic
Definition
refers to round symmetric skull that is appropriately related to body size
Term
vertigo
Definition
illusory sensation of either the room or one's own body spinning; not the same as dizziness
Term
accommodation
Definition
adaptation of the eye for near vision by increasing the curvature of the lens
Term
cataract
Definition
opacity of the lens of the eye that develops slowly with aging and gradually obstructs vision
Term
conjunctivitis
Definition
infection of the conjunctiva "pink eye"
Term
diplopia
Definition
double vision
Term
exophthalmos
Definition
protruding eyeballs
Term
glaucoma
Definition
a group of eye diseases characterized by increased intraocular pressure
Term
miosis
Definition
constricted pupils
Term
mydriasis
Definition
dialted pupils
Term
nystagmus
Definition
involuntary, rapid rhythmic movement of the eyeball
Term
red reflex
Definition
red glow that appears to fill the person's pupil when first visualized through the ophthalmoscope
Term
buccal
Definition
pertaining to cheek
Term
candidiasis
Definition
(monilasis) white, cheesy, curd-like patch on buccal mucosa due to superficial fungal infection
Term
caries
Definition
decay of the teeth
Term
epitaxis
Definition
nose bleed, usually from the anterior septum
Term
gingivitis
Definition
red, swollen gums that bleed easily
Term
malocclusion
Definition
upper or lower dental aarches out of alignment
Term
partoid glands
Definition
pair of salivary glands in the cheeks in front of the ears
Term
pharyngitis
Definition
inflammation of the throat
Term
rhinitis
Definition
red, swollen inflammation of the nasal mucosa
Term
uvula
Definition
free projection hanging down from the middle of the soft palate
Term
angina pectoris
Definition
acute chest pain that occurs when myocardial demand exceeds its oxygen supply
Term
apical impulse
Definition
point of maximal impulse (PMI); pulsation created as the left ventricle rotates against the chest wall during systole, normally at the 5th intercostal space
Term
bell of stethoscope
Definition
cut shaped end piece used for soft, low-pitched sounds
Term
bradycardia
Definition
slow heart rate, less than 50 minutes in the adult
Term
bruit
Definition
blowing or swishing sound
Term
cyanosis
Definition
dusky blue mottling of the skin and mucous membranes due to excessive amount of reduced hemoglobin in the blood
Term
diaphragm
Definition
flat end of piece of the stethoscope used for hearing relatively high pitched sounds
Term
dyspnea
Definition
difficult, labored breathing
Term
Edema
Definition
swelling of legs or dependent body part due to increased interstitial fluid
Term
Erb's point
Definition
third intercostal space. Traditional auscultatory area
Term
Left ventricle hypertrophy (LVH)
Definition
increased in thickness of myocardial wall that occurs when the heart pumps against chronic outflow obstruction (aortic stenosis)
Term
midclavicular line (MCL)
Definition
imaginary vertical line bisecting the middle of the clavicle in each hemi thorax
Term
murmur
Definition
sustained swishing or blowing sounds heard at the beginning , middle, or end of the cardiac cycle
Term
orthostatic hypotension (postural hypotension)
Definition
when a normotensive person develops symptoms and low BP when changing body positions from lying, sitting, and standing
Term
palpitation
Definition
uncomfortable awareness of rapid or irregular heart rate
Term
physiologic splitting
Definition
normal variation in the S2 heard as two separate components during inspiration (end of systole and beginning of diastole)
Term
pulse pressure
Definition
the difference between systolic and diastolic pressure
Term
tachycardia
Definition
rapid heart rate, greater than 95 bpm in adult
Term
thrill
Definition
a palpable vibration over the precordium or artery; it feels like a fine, palpable, rushing vibration and is associated with a loud murmur
Term
apnea
Definition
cessation of breathing
Term
atelectasis
Definition
an abnormal respiratory condition characterized by collapsed, shrunken, deflated sections of alveoli
Term
bradypnea
Definition
slow breathing less than 10 breaths per minute with regular rate
Term
bronchovesicular
Definition
the normal breath sound heard over major bronchi, characterized by moderate pitch and equal duration of inspiration and expiration
Term
chronic obstructive pulmonary disease
(COPD)
Definition
a functional category of abnormal conditions characterized by airflow obstruction (emphysema, chronic bronchitis)
Term
crackles
Definition
rales, abnormal, discontinuous, adventitious lung sounds heard on inspiration
Term
emphysema
Definition
COPD characterized by enlargement of alveoli distal to terminal bronchioles
Term
fremitus
Definition
a palpable vibration from the spoke voice felt over the chest wall
Term
hemoptysis
Definition
bloody sputum
Term
hyperventilation
Definition
increased rate and depth of breathing
Term
hypoxemia
Definition
decreased level of O2 in blood
Term
intercostal space
Definition
space b/w ribs
Term
orthopnea
Definition
ability to breathe easily in an upright position
Term
percussion
Definition
striking over the chest wall with short, sharp blows of the fingers to determine the size and density of the underlying organ
Term
rhonchi
Definition
low pitched, musical, snoring, adventitious lung sounds created by airflow obstruction from secretions
Term
tachypnea
Definition
rapid, shallow breathing; more than 24 breaths per minute
Term
vesicular breath sounds
Definition
refers to soft, low-pitched, normal breath sounds heard over peripheral lung fields
Term
wheeze
Definition
high-pitched, musical, squeaking adventitious lung sound
Term
aneurysm
Definition
defect or sac formed by dilation in artery wall due to atherosclerosis, trauma, or a congenital defect
Term
arrythmia
Definition
variation from the heart's normal rhythm
Term
arteriosclerosis
Definition
thickening and loss of elasticity of the arterial walls
Term
atherosclerosis
Definition
plaques of fatty deposits formed in the inner layer (intima) of the arteries
Term
ischemia
Definition
deficiency of arterial blood to a body part due to constriction or obstruction of a blood vessel
Term
lymphedema
Definition
swelling of extremity due to obstructed lymph channel, non-pitting
Term
pitting edema
Definition
indention left after examiner depresses skin over swollen edematous tissue
Term
pulse
Definition
pressure wave created by each heartbeat, palpable at body sites where the artery lies close to the skin and over a bone
Term
thrombophlebitis
Definition
inflammation of the vein associated with thrombus formation
Term
varicose veins
Definition
dilated tortuous veins with incompetent valves
Term
cerumen
Definition
yellow waxy material that lubricates and protects the ear canal
Term
otalgia
Definition
ear pain
Term
otitis externa
Definition
inflammation of the outer ear and ear canal
Term
otitis media
Definition
inflammation of the inner ear
Term
otorrhea
Definition
discharge from ear
Term
pinna
Definition
auricle, or outer ear
Term
tinnitus
Definition
ringing in the ears
Term
tympanic membrane
Definition
ear drum; think translucent, oval membrane that stretches across the ear canal and separates the middle ear from the outer ear
Term
vertigo
Definition
spinning, twirling sensation
Term
AMB
Definition
ambulatory
Term
BRP
Definition
bathroom privileges
Term
CBR
Definition
complete bed rest
Term
OOB
Definition
out of bed
Term
up ad lib
Definition
up as desired
Term
abd
Definition
abdomen
Term
BP
Definition
blood pressure
Term
bx
Definition
biopsy
Term
C
Definition
Celsius
Term
c/o
Definition
complains of
Term
CTA
Definition
clear to auscultation
Term
dx
Definition
diagnosis
Term
F
Definition
Fahrenheit
Term
FUO
Definition
fever of unknown origin
Term
GI
Definition
gastrointestinal
Term
GU
Definition
genitourinary
Term
H/A
Definition
headache
Term
h/o
Definition
history of
Term
HPI
Definition
history of present illness
Term
imp
Definition
impressions
Term
Lt or l
Definition
left
Term
MAE
Definition
moves all extremetries
Term
NAD
Definition
no apparent distress
Term
NKA
Definition
no known allergies
Term
N/V
Definition
nausea and vomiting
Term
neg
Definition
negative
Term
P
Definition
pulse
Term
PE
Definition
physical examination
Term
PMH
Definition
past medical history
Term
R
Definition
respirations
Term
R/O
Definition
rule out
Term
ROS
Definition
review of symptoms
Term
rt
Definition
right
Term
SOB
Definition
shortness of breath
Term
Sx
Definition
symptoms
Term
T
Definition
temperature
Term
ASCVD
Definition
arteriosclerotic cardiovascular disease
Term
ASHD
Definition
arteriosclerotic heart disease
Term
BPH
Definition
benign prostatic hypertrophy
Term
CA
Definition
cancer
Term
CAD
Definition
coronary artery disease
Term
CHF
Definition
congestive heart failure
Term
COPD
Definition
chronic obstructive pulmonary disease
Term
CVA
Definition
cerebrovascular accident
Term
DM
Definition
diabetes mellitus
Term
HTN
Definition
hypertension
Term
MI
Definition
myocardial infarction
Term
PE
Definition
pulmonary emboli
Term
PVD
Definition
peripheral vascular disease
Term
STD
Definition
sexually transmitted disease
Term
URI
Definition
upper respiratory infection
Term
ABG
Definition
arterial blood gasses
Term
BE
Definition
barium enema
Term
CBC
Definition
complete blood count
Term
CO2
Definition
carbon dioxide
Term
C&S
Definition
culture and sensitivity
Term
CXR
Definition
chest x ray
Term
EKG ECG
Definition
cardiogram
Term
lytes
Definition
electrolytes
Term
RBC
Definition
red blood cells
Term
UA
Definition
urinalysis
Term
UGI
Definition
upper GI
Term
WBC
Definition
white blood cell
Term
a
Definition
before
Term
ad lib
Definition
as desired
Term
AMA
Definition
against medical advice
Term
ASAP
Definition
as soon as possible
Term
BM
Definition
bowel movement
Term
BSD
Definition
bedside drainage
Term
c
Definition
with
Term
CABG
Definition
coronary artery bypass graft
Term
CPR
Definition
cardiopulmonary resuscitation
Term
dc
Definition
discontinue
Term
DNR (no code)
Definition
do not resuscitate
Term
Dsg
Definition
dressing
Term
dx
Definition
diagnosis
Term
FOB
Definition
foot of bed
Term
Fx
Definition
fracture
Term
GHWT
Definition
good handwashing technique
Term
HOB
Definition
head of bed
Term
hs
Definition
hour of sleep
Term
Hx
Definition
history
Term
I&O
Definition
intake and output
Term
IV
Definition
intravenous
Term
KVO
Definition
keep vein open
Term
NG
Definition
nasogastric
Term
noc
Definition
night
Term
npo
Definition
nothing by mouth
Term
NS, NIS, N/S
Definition
normal saline
Term
O2
Definition
oxygen
Term
OT
Definition
occupational therapy
Term
p
Definition
after
Term
postop
Definition
postoperative
Term
preop
Definition
preoperative
Term
prep
Definition
preperation
Term
PRN
Definition
as needed
Term
PT
Definition
physical therapy
Term
pt
Definition
patient
Term
q
Definition
every
Term
ROM
Definition
range of motion
Term
RX
Definition
treatment
Term
s
Definition
without
Term
SOB
Definition
side of bed
Term
S/P
Definition
status post
Term
STAT
Definition
immediately
Term
TF
Definition
tube feeding
Term
TPR
Definition
temperature, pulse, respirations
Term
TURP
Definition
transurethral resection of prostate
Term
TX
Definition
treatment
Term
VS
Definition
vital signs
Term
WA
Definition
while awake
Term
x
Definition
times
Term
Innate Immunity
Definition
natural or native immunity. includes barriers ([1st line of defense]physical, mechanical and biochemical) and inflammation [2nd line of defense]. Form the first line of defense at the body's surface and are in place to prevent damage by substances in the environment and thwart infection by pathogenic microorganisms.
Term
Adaptive Immunity
Definition
acquired or specific immunity. is induces in a relatively slower and more specific process and targets particular invading microorganisms for the purpose of eradicating them. Involves 'memory'
Term
inflammatory response
Definition
The second line of defense, a rapid and nonspecific protective response to cellular injury from any cause. It can occur only in vascularized tissue.
Term
Process of inflammation
Definition
(1) vasodilation and increased blood flow (erythema and warmth)
(2) Leakage of plasma proteins (edema)
(3) Leukocyte (neutrophil) recruitment and migration.
Term
Inflammation is mediated by three key plasma protein systems
Definition
the complement system, the clotting system, and the kinin system. The components of all three systems are a series of inactive proteins that are activated sequentially.
Term
Steps of acute inflammatory response
Definition
(1) Cellular Injury/Pathogenic invasion
(2) Mast cell degranulation, the activation of three plasma systems, and the release of subcellular components from the damaged cells occur as a consequence (these systems are independent, so that induction of one can result in the induction of the other two).
(3)steps 1 and 2 results in vasodilation (erythema, warmth), Vascular permeability (edema), Cellular infiltration (pus), Thrombosis (clots), and Stimulation of nerve endings (pain)
Term
platelets
Definition
cytoplasmic fragments formed from megakaryocyte. They circulate in the bloodstream until vascular injury occurs. Activation results in (1) their interaction with components of the coagulation cascade to stop bleeding and (2) degranulation, releasing biochemical mediators such as serotonin, which has vascular effects similar to those of histamine.
Term
lymphocytes
Definition
Various forms participate in the innate immune response (natural killer [NK]cells) and the acquired immune response (B and T cells).
Term
monocytes
Definition
are precursors of macrophages that are found in the tissue.
Term
Phagocytosis
Definition
is a multistep cellular process for the elimination of pathogens and foreign debris. The steps include recognition and attachment, engulfment, formation of a phagosome
Chapter Summary Review 6-3
Copyright © 2017, Elsevier Inc. All rights reserved.
and phagolysosome, and destruction of pathogens or foreign debris. Phagocytic cells engulf microorganisms and enclose them in phagocytic vacuoles (phagolysosomes), within which toxic products (especially metabolites of oxygen) and degradative lysosomal enzymes kill and digest the microorganisms
Term
Platelets
Definition
Involved in hemostasis and blood clotting. Formed elements in the blood that develop when megakaryocytes disintegrate.
Term
leukocytosis
Definition
An abnormally large number of leukocytes in the blood, which can be indicative of an infection.
Term
histamine
Definition
a cytokine released when mast cells and basophils release their granules. An important mediator of allergy. Its effects include smooth muscle, contraction, increased vascular permeability, and increased mucus secretion.
Term
chemotaxis
Definition
The tendency of organisms to move in response to a chemical gradient (towards or away from stimuli).
Term
exudate
Definition
fluids or cells that have leaked from blood vessels and usually associated with inflammation
Term
regeneration
Definition
almost all cells capable of this function. Regeneration of cell
Term
dehiscence
Definition
wound disruption. Occur when a wound is reputed and opens and unable to suture back up.
Term
contracture
Definition
Dysfunctional wound healing and found with burns or injuries to the joint. Does not allow for full mobility.
Term
Kinin system
Definition
works with clotting system. Bradykinin assists with the dilation of blood vessels and works with prostaglandins to decrease pain. Causes smooth muscle cell contraction. Increases cellular vascularity.
Term
complement system
Definition
destroys miccroorganisms directly. Further activates the adaptive immune system.
Term
coagulation system
Definition
forms blood clots. Plug damaged vessels and stops bleeding using platelets, and traps microorganisms from spreading.
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