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NP1 Physical Assessment Terms and Values
basic phys assessment terms and value ranges
18
Nursing
Undergraduate 1
09/01/2012

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Term
Sitting Position
Definition
best for lung and upper body part examination
Term
Supine Position
Definition
face up, palms down; best for pulse
Term
Dorsal Recumbent Position
Definition
face up, arms above head, knees bent with feet flat; best for abdominal assessment
Term
Sims' Position
Definition
on one side, with top knee flexed and top shoulder pulled over; best for examining rectal area
Term
Prone Position
Definition
face down, with head to the side and arms under head; best for assessment of hips, skin, buttocks
Term
Lateral Recumbent Position
Definition
on side (specify left or right); best for detecting murmurs
Term
Edema Assessment Scale
Definition
Depth of Pitting:

1+ = 2-mm depth pitting
2+ = 4-mm depth pitting
3+ = 6-mm depth
4+ = 8-mm depth
Term
Signs of Skin Cancer (ABCD)
Definition
A= Asymmetry; uneven shape
B = Irregular Borders; edges are blurred, notched, ragged
C = Color; blue, black, brown variegated and areas of pink, white, gray, blue or red
D = Diameter; greater than size of pencil eraser
Term
Normal Breath Sounds
Definition
Vesicular: soft, low-pitched; best heard over lung periphery; smaller airways
Bronchovesicular: medium blowing sounds; best heard posteriorly between scapulae and anteriorly over bronchioles lateral to sternum at 1st and 2nd intercostals; large airways
Bronchial: loud and high-pitched; heard only over trachea; air moving through trachea
Term
Normal Breath Sounds
Definition
Vesicular: soft, low-pitched; best heard over lung periphery; smaller airways
Bronchovesicular: medium blowing sounds; best heard posteriorly between scapulae and anteriorly over bronchioles lateral to sternum at 1st and 2nd intercostals; large airways
Bronchial: loud and high-pitched; heard only over trachea; air moving through trachea
Term
Crackles
Definition
adventitious breath sounds; fine crackles are high-pitched, short, interrupted; disruptive passage of air through small airways
Term
Rhonchi
Definition
loud, low-pitched, coarse rumbling sounds; muscular spasm, fluid, or mucus in larger airways; turbulence
Term
Wheezes
Definition
high-pitched, continuous, musical sounds; high-velocity airflow through severely narrowed or obstructed airway
Term
Pleural friction rub
Definition
adventitious breath sound; dry, rubbing, grating quality; inflamed pleura, parietal pleura rubbing against visceral pleura
Term
Cardiac Assessment Anatomical Sites
Definition
Aortic valve: right sternal border, 2nd intercostal space
Pulmonic Valve: left sternal border, 2nd or 3rd intercostal space
Tricuspid valve: left sternal border, 4th intercostal space
Mitral valve: left sternal border, 5th intercostal space
Term
Reflex Grade
Definition
0 = no response
1+ = sluggish or diminished
2+ = active or expected response
3+ = more brisk than expected, slightly hyperactive
4+ = brisk and hyperactive
Term
Glasgow Coma Scale Normal core
Definition
15 is normal
Term
Muscle Strength, Normal Scale
Definition
On grade scale: 5
on % normal: 100
Lovett Scale: N (normal)
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