Key Terms- Chapter 25

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1

activities of daily living

ADLs

the activities of daily living needed for independent living

2

adventitious breath sounds

abnormal breath sound hear over the lungs

3

auscultation

listening for sounds within the body

4

body mass index

BMI

ratio of height to weight

5

bronchial sounds

those heard over the trachea; high in pitch and intensity, with expiration being longer than inspiration

6

bronchovesicular sounds

normal breath sounds heard over the upper anterior chest and intercostal area

7

bruits

unusual sound heard in auscultation

8

comprehensive asessment

health history and complete physical examination, usually conducted when a patient first enters a health care setting;

provides a baseline for comparing later assessment

9

cyanosis

bluish coloring of the skin and mucous membranes

10

diaphoresis

an excessive amount of perspiration, such as when the entire skin is moist

11

ecchymosis

collection of blood in subcutaneous tissues that causes a purplish discoloration

12

edema

accumulation of fluid in extracellular spaces

13

emergency assessment

rapid focused assessment conducted to determine potentially fetal situations

14

erythema

redness of the skin

15

focused assessment

assessment conducted to assess a specific problem;

focuses on pertinent history and body regions

16

health history

a collection of subjective info that provides info about the patients health status

17

inspection

purposeful and systematic observation

18

instrumental activities of daily living

IADLs

the activities of daily living needed for independent living

19

jaundice

yellow appearance of the skin

20

ongoing partial assessment

assessment that is conducted at regular intervals during care of the patient;

concentrates on identified health problems to monitor positive or negative changes and evaluate the effectiveness of interventions

21

pallor

paleness of the skin

22

palpation

method of examining by feeling a part of the body with the fingers or hand

23

percussion

act of striking one object against another for the purpose of producing a sound;

used to assess the location, shape, size, and density of body tissues

24

petechiae

small, purplish hemorrhagic spots on the skin that do not blanch with applies pressiure

25

physical assessment

systematic examination of the patient for objective data to better define the patients condition and to help the nurse in planning care, usually performed in a head to toe format;

a collection of objective data about changes in the patients body systems

26

precordium

anterior surface of the chest wall overlying the heart and its related structures

27

review of systems

physical examination of all body systems in a systematic manner as part of the nursing assessment

28

turgor

tension of the skin determined by its hydration

29

vesicular breath sounds

normal sound of respirations heard on auscultation over peripheral lung areas

30

waist circumference

a numerical measurement of the waist, used to assess an individuals abdominal fat and establish ideal body weight