Shared Flashcard Set

Details

Physical Assessment
Expected Response
25
Nursing
Undergraduate 1
09/25/2010

Additional Nursing Flashcards

 


 

Cards

Term
Skin Color
Definition
pink with a slight tan
Term
Skin Temperature
Definition
comfortably warm and uniform
Term
Skin Moisture
Definition
comfortably dry and uniform
Term
Skin Texture
Definition
uniformly soft and smooth
Term
Skin Turgor
Definition
springs back promptly
Term
Skin Lesions
Definition
piercings, scattered freckles throughout, tattoos, stretch marks (striae)
-must describe at least 2 characteristics
Term
Hair Distribution
Definition
evenly distributed and thick
Term
Shape/contour of Nails
Definition
curved, nail angle appx. 160 degrees, no clubbing
Term
Nail Consistency
Definition
firm, smooth, adhered to nail bed
Term
Teeth
Definition
present, white, smooth
Term
Gums
Definition
pink, moist, firm and smooth, no bleeding
Term
Tongue
Definition
lateral margins=smooth
dorsal=rough
ventral=glistening, smooth and w/veins
Term
Palates
Definition
pink anterior w/ridges, posterior smooth
Term
Eyelids
Definition
no: crusting, inflammation, edema
upper eyelid overlaps top portion of iris bilaterally
Term
Conjunctivae
Definition
clear transparent showing pink color and moist bilaterally
Term
Pupils
Definition
round and constrict briskly bilaterally
constriction with close objects, dilation with distant objects and symmetrical convergence bilaterally
Term
Cerumen
Definition
present, yellow and moist bilaterally
Term
Tympanic membrane
Definition
translucent, pearly grey bilaterally
Term
Ease of breathing
Definition
effortless, quiet, automatic
Term
Chest Expansion, position assumed
Definition
equal bilaterally, sitting in relaxed position with arms in lap
Term
Breath Sounds
Definition
clear to ascultation bilaterally
even, regular, non-labored
Term
Sensation
Definition
no numbness or tingling bilaterally
full sensation bilaterally
Term
Posterior Tibial Pulses and Dorsalis Pedis Pulses
Definition
present, moderately strong bilaterally
Term
Abdomen contour
Definition
flat with no distension, symmetrical
midline, inverted umbilicus
Term
ROM
Definition
Active, full range of motion with no limitations. No pain. Done with ease.
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