Inspection Correct Ans - the process of performing deliberate,
purposeful, observations in a systematic manner
Palpation Correct Ans - using the sense of touch, the hands and
fingers are sensitive tools that can assess skin temperature, turgor, texture,
and moisture, as well as vibrations within the body and shapes or
structures within the body
Percussion Correct Ans - the act of striking one object against
another to produce sound. Using the fingertips, tapping the body to
produce vibrations and sound waves.
Auscultation Correct Ans - the act of listening with a stethoscope to
sounds produced within the body. Performed using either the diaphragm or
bell against the body part being assessed.
Goiter Correct Ans - enlargement of the thyroid
Thyroiditis Correct Ans - inflammation of the thyroid
Weber's Test Correct Ans - Hearing test; Measuring air conduction;
Screening for equal hearing (laterally) by holding tuning fork on the middle
of the midline vertex of pt's head or middle of forehead
Rinne Test Correct Ans - Hearing test; Measuring bone conduction;
Counting the seconds until the pt no longer hears the tuning fork ringing
against the pt's mastoid process, and once they no longer hear it, move to
1-2in from ear canal and ask again when they no longer hear it
normal findings are a 2:1 ratio
(2 for beside the ear canal and 1 the mastoid process)
PERRLA Correct Ans - Pupils are
Equal,
Round,
Reactive to
,Light and
Accommodation
Snellen Chart Correct Ans - Assess visual activity by having pt
stand 20 feet from the eye chart reading to the smallest line possible one
line at a time with one eye covered
***higher the denominator, the worse the vision
Jaundice Correct Ans - Yellowing
Conjunctiva Correct Ans - Pink Eye
Apnea Correct Ans - temporary cessation of breathing, especially
during sleep. "Sleep apnea"
Tachypnea Correct Ans - abnormal rapidly breathing.
Bradypnea Correct Ans - refers to an abnormally slow breathing
rate
Eupnea Correct Ans - normal respiration
Bronchial (tracheal) Breath Sounds Correct Ans - Usually heard in
areas of the trachea and larynx;
Loud, high pitched sound, Expiratory sounds > Inspiratory sounds, Heard
next to manubrium of sternum, If heard in any other location suggestive of
consolidation
Broncho Vesicular Breath Sounds Correct Ans - Usually heard over
major bronchi, between the scapullae, around the sternum;
Intermediate intensity, intermediate pitch, Inspiratory = Expiratory sound
duration, Heard best 1st and 2nd ICS anteriorly, and between scapula
posteriorly, If heard in any other location suggestive of consolidation
Vesicular Breath Sounds Correct Ans - Usually heard over
peripheral lung fields;
Soft, low pitched sound, Inspiratory > Expiratory sounds, Major normal BS,
heard over most of lungs
, Tracheal Breath Sounds Correct Ans - Very loud, high pitched
sound,
Inspiratory = Expiratory sound duration,
Heard over trachea
Crackles (Rales) Breath Sounds Correct Ans - -Discontinuous,
intermittent, nonmusical, brief sounds
-Heard more commonly with inspiration
-Classified as fine or coarse
-Normal at anterior lung bases
-Maximal expiration
-Prolonged recumbency
-Crackles caused by air moving through secretions and collapsed alveoli
-Associated conditions pulmonary edema, early CHF, PNA
Wheeze Breath Sound Correct Ans - -Continuous, high pitched,
musical sound, longer than crackles
-Hissing quality, heard > with expiration, however, can be heard on
inspiration
-Produced when air flows through narrowed airways
-Associated conditions-asthma, COPD
Rhonchi Correct Ans - -Similar to wheezes
-Low pitched, snoring quality, continuous, musical sounds
-Implies obstruction of larger airways by secretions
-Associated condition- acute bronchitis
Stridor Correct Ans - -Inspiratory musical wheeze
-Loudest over trachea
-Suggests obstructed trachea or larynx
-Medical emergency requiring immediate attention
-Associated condition = inhaled foreign body
Atelectasis Correct Ans - collapsed lung; incomplete expansion of
alveoli
COPD Correct Ans - Chronic obstructive pulmonary disease
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