Using this Diagram identify the common sites used to assess peripheral pulses. What is "A"?
The temporal pulse
Using this Diagram identify the common sites used to assess peripheral pulses. What is "B"?
The Carotoid Pulse
Using this Diagram identify the common sites used to assess peripheral pulses. What is "C"?
The apical pulse
Using this Diagram identify the common sites used to assess peripheral pulses. What is "D"?
The Brachial Pulse
Using this Diagram identify the common sites used to assess peripheral pulses. What is "E"?
The Femoral pulse
Using this Diagram identify the common sites used to assess peripheral pulses. What is "F"?
The popliteal pulse
Using this Diagram identify the common sites used to assess peripheral pulses. What is "G"?
The Dorsalis Pedis pulse
Using this Diagram identify the common sites used to assess peripheral pulses. What is "H"?
The Posterior tibial pulse
Using this Diagram identify the common sites used to assess peripheral pulses. What is "I"?
The Ulnar pulse is side of forearm at wrist.
The Radial pulse is Thumb side od forearm at wrist
Using the diagram below, identify the six anatomical landmarks a nurse would use to assess cardiac pulses.
Paleness, as of the skin
Cyanosis is a physical sign causing bluish discoloration of the skin and mucous membranes. Cyanosis is caused by a lack of oxygen in the blood. Cyanosis is associated with cold temperatures, heart failure, lung diseases, and smothering. It is seen in infants at birth as a result of heart defects, respiratory distress syndrome, or lung and breathing problems.
a small hemorrhagic spot in the skin or a mucous membrane, larger than a petechia, forming a nonelevated, rounded, or irregular blue or purplish patch. (A bruise)
1. The condition or property of being elastic; flexibility.
2. The property of returning to an initial form or state following deformation.
The quality or state of being easily broken or destroyed.
A spotted, pink or red skin eruption that may be accompanied by itching and is caused by disease, contact with an allergen, food ingestion, or drug reaction.
an injury to a surface of the body caused by trauma, such as scratching, abrasion, or a chemical or thermal burn.
1. any cleft or groove, normal or otherwise, especially a deep fold in the cerebral cortex involving its entire thickness
A site of damage to the skin or mucous membrane that is characterized by the formation of pus, death of tissue, and is frequently accompanied by an inflammatory reaction.
the normal resiliency of the skin caused by the outward pressure of the cells and interstitial fluid. Dehydration results in a decreased skin turgor, manifested by lax skin that, when grasped and raised between two fingers, slowly returns to a position level with the adjacent tissue.
what does PERRLA stand for?
abbreviation for pupils equal, round, react to light, accommodation. While performing an assessment of the eyes, one evaluates the size and shape of the pupils, their reaction to light, and their ability to accommodate. If all findings are normal, the abbreviation is noted in the account of the physical examination.
The brownish yellow, waxy secretion of the ceruminous glands of the external auditory meatus; earwax
Tinnitus is hearing ringing, buzzing, or other sounds without an external cause. Patients may experience tinnitus in one or both ears or in the head.
Dryness of the mouth resulting from diminished or arrested salivary secretion.
adjustment, especially of the eye for seeing objects at various distances
A chart for testing visual acuity, usually consisting of letters, numbers, or pictures printed in lines of decreasing size which a patient is asked to read or identify at a fixed distance.
Having no teeth; toothless
An instrument for examining the interior of the ear, especially the eardrum, consisting essentially of a magnifying lens and a light. Also called auriscope
an instrument containing a perforated mirror and lenses used to examine the interior of the eye
The term presbyopia means "old eye" and is a vision condition involving the loss of the eye's ability to focus on close objects.
A swelling in the tissue under the skin, resulting from fluid accumulation, that is measured by the depth of indentation made by finger pressure over a boney prominence
Relating to the bronchial tubes and alveoli.
Adventious Breath sounds
abnormal breath sounds heard when listening to the chest. Adventitious sounds may include crackles or rales, rhonchi or wheezes, or pleural friction rubs. Adventitious sounds do not include sounds produced by muscular activity in the chest wall or noises made by a stethoscope on the chest wall
labored or difficult breathing
is shortness of breath which occurs when lying flat, causing the person to have to sleep propped up in bed or sitting in a chair
Dilatation: the state of being stretched beyond normal dimensions
The act of expanding by pressure from within
Ascites is an abnormal accumulation of fluid in the abdomen.
The side of the body between the pelvis or hip and the last rib; the side.
Stretch marks or striae, as they are called in dermatology, are a form of scarring on the skin with an off-color hue. They are caused by tearing of the dermis, and over time can diminish but not disappear completely.
A sound, especially an abnormal one, heard in auscultation
abnormal shortening of muscle tissue, rendering the muscle highly resistant to passive stretching.
Range of motion
the range, measured in degrees of a circle, through which a joint can be extended and flexed.
1. The act of bending a joint or limb in the body by the action of flexors.
2. The condition of being flexed or bent.
1. the movement by which the two ends of any jointed part are drawn away from each other.
2. the bringing of the members of a limb into or toward a straight condition.
joint movement away from the body along the horizontal plane.
the movement of a limb toward the midline or axis of the body.
upward or backward flexion of a part of the body.
nearest to a point of reference, as to a center or median line or to the point of attachment or origin.
Anatomically located far from a point of reference, such as an origin or a point of attachment
Cranial nerve V (5)
trigeminal nerve. It's function is for facial sensation and mastication
Touch patients face and assess for sharp and dull sensations.
Have patient hold mouth open.
Cranial nerve VII (7)
Facial expressions and sense of taste.
Have patient smile, wrinkle face and puff cheeks.
Ask patients to differentiate between sweet and salty taste
Cranial nerve XII (12)
Hypoglossal nerve. Its functions is for tongue movement.
Have patient stick out tongue and move it side to side.
Digital rectal Exam
Rectal examination or digital rectal examination (DRE) is performed by means of inserting a gloved, lubricated finger into the rectum and palpating (feeling) for lumps.
A screening test, especially for cervical cancer, in which a smear of cells exfoliated or scraped from the cervix or vagina is treated with Papanicolaou stain and examined under a microscope for pathological changes.
An instrument that is used to dilate the opening of a body cavity for medical examination.
blood that is not obvious on examination and is from a nonspecific source, with obscure signs and symptoms. It may be detected by means of a chemical test or by microscopic or spectroscopic examination. Occult blood is often present in the stools of patients with GI lesions
Nur 42 Q2 vocabulary words for assessments
Definitions of vocabulary words for the assessment chapter