Signs and Symptoms
What the nurse sees, hears, measures, and feels is considered what type of data
Objective
Disease develops slowly and persists over a long period
Chronic
Use of the fingertips to tap the body's surface to produce vibration and sound
Percussion
Capillary refill time should be
Less than 3 seconds
Discoloration of an area of the skin or mucous membrane caused by the extravasation of blood into subcutaneous tissues as a result of trauma to the underlying blood vessels or by fragility of the vessels walls
Ecchymosis
Itching is referred to as
Pruritus
Means partial or complete disappearance of clinical and subjective characteristics of the disease has occurred.
Remission
What sound would be heard of the a dense organ such as the liver
Dullness
When performing an assessment the nurse notes that the client is unable to lie flat to breathe, the nurse assists the client in a sitting position and the client can breathe more easily. This should be documented as
Orthopnea
The OPQRSTUV system is used during the interview of the patient to assess history of the illness. What does the Q and R stand for?
Quality or Quantity, Region and Radiation
Laboratory findings would be what type of data
Objective
Stroke is what type of disease of the brain
Organic
A sudden change in the client's condtion would necessitate what type of assessment?
Focused
Unnatural paleness to the skin
Skin pallor
What is the normal rate of bowel sounds?
4-32 per minute
Nausea, Vertigo, Diplopia, and Anxiety are all examples of
Subjective data
Body develops immunoglobulins(antibodies) against its own tissues or body substances in this type of disease
Autoimmune disease
Tenting of the skin during a skin turgor assessment could be the result of what condition?
Redness or inflammation of the skin or mucous membranes
Erythema
The initial assessment is done by whom?
RN
A condition of debility, loss of strength and energy, and depleted vitality
Asthenia
Risk factors for Disease include:
Genetic and Physiologic
Age
Environment
Which is missing?
Lifestyle
The lubb sound is caused by the closing of what?
AV valves
Which test should be performed to check the client's balance
Romberg
What is best position to place a client who is needing a rectal assessment?
Knee-chest