Nursing and Patient Assessment

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A collection of vocabulary flashcards based on key concepts and terms from nursing and patient assessment lecture notes.

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21 Terms

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SBAR

A standardized way to communicate important information: Situation, Background, Assessment, Recommendation.

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Situation

What’s going on right now? The reason for the call.

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Background

What led up to the current situation being presented?

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Assessment

The clinician's evaluation of what is happening with the patient.

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Recommendation

What action is being requested or suggested based on the assessment?

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Dementia

A cognitive disorder with slow, progressive onset and no cure.

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Delirium

A cognitive disorder characterized by sudden onset, often reversible when the cause (like a toxin) is addressed.

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Decorticate Rigidity

Posture where arms are flexed towards the core, indicating damage to the cerebral cortex.

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Decerebrate Rigidity

Posture where arms and legs are extended, indicating more severe brain damage.

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Abdominal Quadrants

The division of the abdomen into four parts: RUQ, LUQ, RLQ, LLQ, each containing specific organs.

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Hyperactive Bowel Sounds

Loud, high-pitched sounds indicating increased motility, often caused by diarrhea or obstruction.

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Hypoactive Bowel Sounds

Slow or absent sounds indicating decreased gut activity, often seen post-surgery or with inflammation.

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Petechiae

Tiny red or purple pinpoint spots from capillary bleeding.

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Purpura

Larger, flat patches of purple discoloration due to bleeding under the skin.

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Xerosis

Abnormal dryness of the skin.

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Pruritus

Itching, which is a common skin symptom.

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Melanin

A natural pigment produced by melanocytes that gives color to skin, hair, and eyes, and protects against UV radiation.

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Clubbing

An abnormal curvature of the nails associated with chronic hypoxia.

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Nystagmus

Involuntary, rapid eye movement.

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Cataracts

Clouding of the lens in the eye leading to blurry vision.

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Ascites

Accumulation of fluid in the abdominal cavity, often seen in liver disease.