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Final Exam Nur 203 #1 (Techniques of Exam and Communication, Vital Signs, Integumentary, HEENT)
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Final Exam Nur 203 #1 (Techniques of Exam and Communication, Vital Signs, Integumentary, HEENT)
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Final Exam Nur 203 #1 (Techniques ofExam and Communication, Vital Signs,
Integumentary, HEENT)
5 Korotkoff sounds - ✅✅ -- 1st -- Systolic BP
- 2nd -- Soft swishing from blood turbulence
- 3rd -- Sharp rhythmic tapping sound
- 4th -- like the 3rd but softer and fading
- 5th -- Diastolic BP Silence
✅✅-- pinched skin takes >30 seconds to flatten
abnormal turgor -
accommodation - ✅✅-- the process by which the eye's lens changes
shape to focus near or far objects on the retina
amblyopia - ✅✅-lazy eye
Amplitude (pulse) - ✅✅-- strength of the pulse
Annular - ✅✅-circular shape to skin lesion
arcus lipoidus - ✅✅-- Opaque white ring about the periphery of the
cornea, seen in aged persons; caused by the deposit of fat granules in
the cornea or by hyaline degeneration.
arcus senilis - ✅✅ -- gray-white arc or circle around the limbus of the
iris that is common with aging
axillary temperature - ✅✅ -- usually 1 degree lower than oral
temperature
- usually take 5-10 minutes, considered less accurate
✅✅-- Indentations that run across the nail
Beau's lines -
blood pressure - ✅✅-- the pressure that is exerted by the blood
against the walls of blood vessels
, bradypnea - ✅✅-slow breathing (rate under 10 breaths)
✅✅
bruit - -- abnormal blowing or swishing sound heard during
auscultation of an artery or organ
buccal - ✅✅-- cheek
Bulla - ✅✅-- SEROUS FLUID filled, greater than 1 cm
Cancer warning signs - ✅✅-Asymmetry
Border Irregularity
Color Variation
Diameter > 6mm
Elevation
Family history
Greater than 50 moles
Healing "Not"
cancerous nodes - ✅✅-- hard, unilateral, nontender, cool, and fixed
canthus - ✅✅-- corner of the eye
capillary refill - ✅✅-- less than 2 seconds
cardinal fields of gaze - ✅✅-- Tests CN III, IV, VI
caries - ✅✅-- cavities
cataract - ✅✅-- clouding of the lens of the eye
cerumen - ✅✅-- ear wax
Classification of Adult BP NORMAL: - ✅✅-- Systolic < 120 and
Diastolic <80
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