LP7
When performing inspection during a physical assessment, a nurse should primarily assess:
Size, color, shape, and symmetry
A common skin variation normally found in newborns and children is:
Jaundice
High-pitched, harsh “bowing” sounds heard over the larynx and trachea, with expiration longer than inspiration, are known as:
Bronchial breath sounds
Moderate flowing sounds heard over the main stem bronchus, where inspiration equals expiration, are called:
Bronchovesicular breath sounds
Small hemorrhagic spots caused by capillary bleeding are called:
Petechiae
Swelling of the skin due to fluid retention is medically known as:
Edema
A collection of blood in the subcutaneous tissues causing purplish discoloration is called:
Ecchymosis
A collection of subjective data from a patient regarding their health status is considered a:
Health history
The act of striking one object against another to produce sound, used in physical assessment, is known as:
Percussion
Activities needed for independent living, such as housekeeping, meal preparation, and managing finances, are categorized as:
Instrumental activities of daily living
Self-care activities such as eating, bathing, dressing, and toileting are known as:
Activities of daily living
The act of using the sense of touch to assess skin temperature, texture, or vibrations within the body is:
Palpation
Soft, low-pitched, whispering sounds heard over most lung fields are described as:
Vesicular breath sounds
The ratio of weight to height, often used as an indicator of body fat, is represented by the:
Body mass index
Extra, abnormal sounds not normally heard in the lungs, resulting from air moving through moisture, mucus, or narrowed airways are called:
Adventitious breath sounds
Paleness of the skin, often resulting from a decrease in circulation or hemoglobin, is known as:
Pallor
A yellowish tint of the eyes or skin, often indicating liver issues, is called:
Jaundice
Which of the following is considered objective data in a physical assessment?
Blood pressure reading
A bluish or grayish discoloration of the skin in response to inadequate oxygenation is termed:
Cyanosis
The act of listening with a stethoscope to sounds within the body is:
Auscultation
Which of the following is considered a best practice when documenting health assessment findings?
Documenting specific, measurable objective data
A broad assessment including a complete health history and physical assessment, usually done when a patient first enters healthcare, is a:
Comprehensive health assessment
An excessive amount of perspiration, making the entire skin moist, is referred to as:
Diaphoresis
The fullness or elasticity of the skin, indicating hydration status, is referred to as:
Turgor
Redness of the skin caused by dilation of superficial blood vessels is called:
Erythema