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Essential nursing and medical terminology flashcards covering foundations of assessment, vital signs, cardiovascular, respiratory, gastrointestinal, integumentary, neurological, and musculoskeletal assessments.
Inspection
The observation of a patient’s anatomical structures.
Palpation
Using the hands and fingers to assess body structures for characteristics such as temperature, texture, tenderness, size, and consistency.
Percussion
An advanced physical examination technique where body parts are tapped with fingers to determine their size, location, and if fluid is present.
Auscultation
Listening to sounds, such as heart, lung, and bowel sounds.
Symptom
Subjective data that the patient reports, such as "I feel dizzy."
Sign
Objective data found by the nurse or health care provider when assessing a patient.
Bradycardia
A heart rate of fewer than 60 beats per minute (bpm) in adults.
Tachycardia
A heart rate greater than 100 beats per minute (bpm) in adults.
Bradypnea
Decreased respiratory rate, less than 12 breaths per minute in adults.
Tachypnea
Increased respiratory rate, greater than 20 breaths per minute in adults.
Dyspnea
A feeling of shortness of breath, difficult or uncomfortable breathing.
Apnea
Absence of respirations.
Hypoxia
A reduced level of tissue oxygenation.
Cyanosis
Bluish discoloration of the skin, lips, and nail beds. It is an indication of decreased perfusion and oxygenation.
Perfusion
Blood flow to tissue.
Crackles
Also referred to as "rales"; sound like popping or crackling noises during inspiration. Associated with inflammation and fluid accumulation in the alveoli.
Wheeze
High-pitched, musical breath sounds associated with narrowing of the airways.
Rhonchi
Low-pitched, coarse breath sounds often associated with secretions in larger airways.
Stridor
Harsh, high-pitched sounds heard over the upper airway indicating severe narrowing or obstruction.
Accessory muscles
Muscles other than the diaphragm and intercostal muscles that may be used in breathing.
Capillary refill
The time it takes for color to return after pressure is applied to tissue causing blanching (1-2 seconds).
Murmur
A blowing or whooshing sound heard on auscultation that signifies turbulent blood flow in the heart often caused by a valvular defect.
Hemoptysis
Blood-tinged mucus secretions from the lungs.
Edema
Swelling in tissues caused by fluid retention.
Dysphagia
Difficulty swallowing.
Melena
Dark, tarry-looking stool due to the presence of digested blood.
Hematochezia
Passage of bloody stool.
Hypoactive bowel sounds
Decreased peristaltic activity; may be related to constipation following abdominal surgery or with an ileus (<5 sounds / minute).
Hyperactive bowel sounds
Increased peristaltic activity; may be related to diarrhea, obstruction, or digestion of a meal (>30 sounds / minute).
Dysuria
Painful urination.
Hematuria
Presence of blood in the urine.
Oliguria
Decreased urine output, commonly defined in adults as less than 400mL in 24 hours.
Polyuria
Excessive urine production (>3L/day).
Anuria
Absence or near absence of urine production, typically less than 100mL in 24 hours in adults.
Nocturia
Waking during the night to urinate.
Pallor
A reduced amount of oxyhemoglobin in the skin or mucous membranes.
Lesion
An area of abnormal tissue.
Blanching
To make white or pale by applying pressure.
Nystagmus
Involuntary, shaky eye movements.
Ptosis
Drooping of the eyelid.
Diplopia
Double vision (i.e., seeing two images of a single object).
Syncope
A temporary loss of consciousness usually related to insufficient blood flow to the brain.
Vertigo
A type of dizziness often described by patients as "the room feels as if it is spinning."
Contracture
A fixed or permanent tightening of muscles, tendons, ligaments, or the skin that prevents normal movement of the body part.
Orientation
Awareness of person, place, time, and situation.
Ataxia
Impaired coordination of voluntary muscle movements.
Cognition
Mental processes involved in thinking, memory, learning, understanding, and judgment.