Clinicals Chapter 5 Test.txt

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Clinicals Chapter 5 Test.txt
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Delta Clinicals
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  1. Audiometer:
    An instrument used to measure hearing.
  2. Ausculation:
    The process of listening to the sounds produced within the body to detect signs of disease.
  3. Bariatrics:
    The branch of medicine that deals with the treatment and control of obesity and diseases associated with obesity.
  4. Body Mechanics:
    Utilization of the correct muscles to maintain proper balance, posture, and body alignment to accomplish a task safely and efficiently without undue strain on any muscle or joint.
  5. Clinical Diagnosis:
    A tentative diagnosis of a patient's condition obtained through evaluation of the health history and the physical examination, without the benefit of laboratory or diagnostic tests.
  6. Diagnosis:
    The scientific method of determining and identifying a patient's condition.
  7. Differential Diagnosis:
    A determination of which of two or more diseases with similar symptoms is producing a patient's symptoms.
  8. Inspection:
    The process of observing a patient to detect signs of disease.
  9. Mensuration:
    The process of measuring a patient.
  10. Opthalmoscope:
    An instrument for examining the interior of the eye.
  11. Otoscope:
    An instrument for examining the external ear canal and tympanic membrane.
  12. Palpation:
    The process of feeling with the hands to detect signs of disease.
  13. Percussion:
    The process of tapping the body to detect signs of disease.
  14. Percussion Hammer:
    An instrument with a rubber head, used for testing reflexes.
  15. Prognosis:
    The probable course and outcome of a patient's condition and the patient's prospects for recovery.
  16. Speculum:
    An instrument for opening a body orifice or cavity for viewing.
  17. Symptom:
    Any change in the body or its functioning that indicates a disease might be present.
  18. Patient examination gown:
    gown made of disposable paper or cloth that provides patient modesty, comfort, and warmth.
  19. Drape:
    A length of disposable paper or cloth to cover a patient or parts of a patient to provide comfort and warmth and reduce exposure.
  20. Sphygmomanometer:
    Instrument used to measure blood pressure.
  21. Stethoscope:
    Instrument used to auscultate body sounds, such as blood pressure and lung and bowel sounds.
  22. Thermometer:
    Instrument used to measure body temperature.
  23. Upright balance scale:
    Device used to measure weight and height.
  24. Otoscope:
    Lighted instrument with lens, used to examine external ear canal and tympanic membrane.
  25. Tuning fork:
    Small metal instrument consisting of stem and two prongs, used to test hearing acuity.
  26. Ophthalmoscope:
    Lighted instrument with lens, used for examining interior of eye.
  27. Tongue depressor:
    Flat wooden blade used to depress patient's tongue during examination of mouth and pharynx.
  28. Antiseptic wipe:
    Disposable pad saturated with antiseptic, such as alcohol, that is used to cleanse skin.
  29. Tape measure:
    Flexible device calibrated in inches on one side and centimeters on the other side, used to measure patient.
  30. Percussion Hammer:
    Instrument with rubber head, used for testing neurologic reflexes.
  31. Speculum:
    Instrument for opening body orifice or cavity for viewing.
  32. Disposable gloves:
    Gloves, usually latex, that are worn only once to provide protection from bloodborne pathogens and other potentially infectious materials.
  33. Lubricant:
    Agent that is applied to physician's gloved hand or to speculum that reduces friction between parts to make insertion easier.
  34. Specimen Container:
    Container in which body specimen is placed for transport to laboratory.
  35. Tissues:
    Used for wiping body secretions.
  36. Cotton-tipped applicator:
    Small piece of cotton wrapped around the end of a slender wooden stick, used for collection of specimen from the body.
  37. Overhead examination light:
    Light mounted on flexible movable stand to focus light on area for good visibility.
  38. Basin:
    Container in which used instruments are deposited.
  39. Biohazard container:
    Specially made container used for receiving items that contain infectious waste.
  40. Waste Receptacle:
    Container for used disposable articles that do not contain infectious waste.
  41. What are the 4 Assessment techniques:
    1. Inspection

    2. Palpation

    3. Percussion

    4. Auscultation
  42. How many pounds are subtracted for height and weight?
    None, you would chart that the patient was wearing shoes.
  43. A complete patient examination consists of:
    Health History

    Physical examination (PE)

    Laboratory and diagnostic tests
  44. The results of the patients physical examination are used to:
    Determine patient's sate of health.

    Arrive at a diagnosis and prescribe treatment.

    Observe any change in patient's illness after treatment has been instituted.
  45. Final Diagnosis:
    Scientific method of determining and identifying a patient's condition through evaluation of the health history, PE, Lab test, and diagnostic procedures.
  46. Chronic Illness:
    Characterized by symptoms that persist for more than 3 months.
  47. Guidelines for preparing the examining room:
    1. Should be free from clutter and well lit.

    2. Check daily for ample supplies; restock as needed.

    3. Empty waste receptacles frequently.

    4. Replace biohazard containers as necessary.

    5. Room should be well ventilated.

    6. Maintain room temperature.

    7. Clean and disinfect daily.

    8. Remove dust and dirt from furniture and towel dispensers.

    9. Change examining table paper after each patient; restock gowns and drapes as needed.

    10. Patient's privacy should be ensured.

    11. Clean and prepare items the physician will be using for examination.

    12. Check equipment and instruments frequently for proper working condition.

    13. Have equipment and supplies ready for examination.

    14. Know how to operate and care for equipment.
  48. Guidelines for measuring Weight and Height:
    Weight

    1. Locate the scale to provide privacy for the patient.

    2. Balance the scale before measuring weight.

    3. Assist the patient on and off the scale.

    4. Obtain an accurate weight.

    5. Interpret the calibration markings accurately.

    6. Determine the patients weight correctly.


    Height

    1. Provide for the patients safety.

    2. Determine the calibration markings accurately.

    3. Read the measurement correctly.

    4. Record the height measurement correctly.
  49. Scale markings are divided into:
    pounds and 1/4 pounds
  50. Record height measurement in:
    feet and inches
  51. Positions:
    Sitting

    Supine

    Prone

    Dorsal Recumbent

    Lithotomy

    Sims

    Knee-chest

    Fowler's
  52. Sitting Position:
    Pt sitting upright. Used to examine the head, neck, chest, upper extremities, and to measure vital signs.
  53. Supine Position:
    Position patient on the back with the legs together. Used to examine the head, chest, abdomen, extremities.
  54. Prone Position:
    Position the patient on the tummy with legs together and head turned to one side. Used to examine the back and to assess extension of the hip joint.
  55. Dorsal Recumbent:
    Position the patient on their back, ask the pt to bend the knees and pace each foot at the edge of the examining table. Used to perform vaginal and rectal examinations, to insert a urinary catheter;, and the examine the head, neck, chest, and extremities.
  56. Lithotomy:
    Position patient on their back, and ask the patient to slide the buttocks to the edge of the table and to rotate the thighs outward with feet in stirrups. Used for vaginal, pelvic, and rectal examinations.
  57. Sims Position:
    Position the patient on their tummy with the right leg flexed sharply, and the left leg is flexed slightly. Used to examine the vagina and the rectum, to measure rectal temperatures, to perform a flexible sigmoidoscopy, and to administer an enema.
  58. Knee-Chest:
    Position patient on tummy )support with pillows) with the buttocks elevated and the head is turned to one side. Used to examine the rectum, perform a proctoscopic examination.
  59. Fowler's Position:
    Position patient on back with legs together and the head is elevated.
  60. Position used depends on type of examination being performed:
    More than one position may be used to examine the same body part.

    Explain position to patient and assist them into it.

    Take patient's endurance and degree of wellness into consideration.

    Do not keep patient in uncomfortable positions longer than necessary.

    Let the patient rest before getting off the examining table.

    Assist patient off table to prevent falls.
  61. Draping provides modesty, comfort, and warmth:
    only part being examined should be exposed.
  62. The extent of assessment during PE depends on:
    The purpose of the examination.

    Patient's condition.
  63. A complete PE is a:
    thorough assessment of all body systems from head to toe.
  64. During inspection you observe the patient for:
    • Color
    • speech
    • deformities
    • skin conditions
    • body contour and symmetry
    • orientation to the surroundings
    • body movements
    • anxiety level
  65. Palpation is used to determine:
    placement and size of organs

    presence of lumps

    pain

    swelling

    tenderness
  66. Examples of Palpation are:
    Breast examination

    Measuring radial pulse.
  67. Two types of Palpation:
    1. Light: to determine areas of tenderness

    2. Deep: to examine condition of organs
  68. Percussion is used to determine:
    size of organs

    density of organs

    location of organs
  69. Auscultation is used to:
    Listen to heart, lungs, and bowel sounds.

    Measure blood pressure.

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