• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/454

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

454 Cards in this Set

  • Front
  • Back
Assessment
First step of the nursing process. Activities required in the first step are data collection, data validation, data sorting, and data documentation; the purpose is to gather information for health problem identification.
Back channeling
Active listening techniques that indicate that the nurse has heard what the client says.
Closed-ended question
Question that limits the client's answers to one or two words; used to clarify previous information or provide additional information.
Database
Information about a client's level of health, health practices, past illnesses, present illnesses, and physical examination combined to serve as the basis for the plan of care.
Functional health patterns
Method for organizing assessment data based on the level of client function in specific areas (e.g., mobility).
Inference
Taking one proposition as a given and guessing that another proposition follows.
Interview
Type of communication with a client that is initiated for a specific purpose and focused on a specific content area.
Norm
Measure of a phenomenon generally accepted as the ideal standard performance against which other measures of the phenomenon may be measured.
Nurse-client relationship
Association between the nurse and the client; involves a mutual concern for the well-being of the client.
Nursing health history
Data collected about a client's present level of wellness, changes in the client's life patterns, sociocultural role, and mental and emotional reactions to an illness.
Nursing process
Systematic problem-solving method by which nurses individualize care for each client. The five steps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation.
Objective data
Data relating to a client's health problem that are obtained through observation or diagnostic measurements.
Open-ended questions
Inquiries aimed at obtaining a full client response and discussion between the client and the nurse.
Physical examination
Scrutiny of all body parts through the use of inspection, palpation, percussion, and auscultation.
Problem-seeking interview
An interview technique that uses probing questions to encourage the client or caregiver to provide information from and about the client to more fully describe and identify the client's specific problems.
Review of systems
Systematic method for collecting data on all body systems.
Standard
Measure or guide that serves as a basis for comparison when evaluating similar phenomena or substances.
Subjective data
Data relating to a client's health problem that are given in the client's own words.
Acne
Inflammatory papulopustular skin eruption, usually occurring on the face, neck, shoulders, and upper back.
Acromegaly
Chronic metabolic condition caused by overproduction of growth hormone and characterized by gradual, marked enlargement and elongation of bones of the face, jaw, and extremities.
activities of daily living (ADLs)
Activities usually performed in the course of a normal day in the client's life, such as eating, dressing, bathing, brushing the teeth, and grooming.
activity tolerance
Type and amount of exercise or work that a person is able to perform.
adventitious sounds
Abnormal lung sounds heard with auscultation.
Aerobic
Of or pertaining to the presence of air or oxygen; requiring oxygen for the maintenance of life.
Afebrile
Without fever.
Afterload
Resistance to ventricular ejection.
air pollution
Contamination of the environmental atmosphere with substances known as pollutants, which are not normally found in the air.
Allen's test
Test for the patency of the radial artery. The client's hand is formed into a fist while the nurse compresses the ulnar artery. Compression of the ulnar artery is continued while the fist is opened. If blood perfusion through the radial artery is adequate, the hand should flush and resume normal pinkish coloration.
Alopecia
Partial or complete loss of hair; baldness.
Ambularm
Safety device that alerts health care personnel that a client is attempting to get up. Provides an alternative to restraints.
amino acids
Building blocks that construct proteins; the end products of protein digestion.
Anabolism
Constructive metabolism characterized by conversion of simple substances into more complex compounds of living matter.
Anaerobic
Absence of oxygen.
Aneurysm
Localized dilation of the wall of a blood vessel, usually caused by arteriosclerosis, hypertension, or a congenital weakness in the vessel wall.
angina pectoris
Episodic chest pain caused most often by myocardial anoxia as a result of artherosclerosis of the coronary arteries. Pain radiates down the inner aspect of the left arm and is often accompanied by feeling of suffocation and impending death.
Anorexia
Condition in which ill or debilitated clients have poor appetites.
anorexia nervosa
Disease characterized by a prolonged refusal to eat, resulting in emaciation, amenorrhea, emotional disturbance concerning body image, and an abnormal fear of becoming obese.
antagonistic muscles
Group of muscles that work together to bring about movement at a joint.
anthropometric measurements
Measures of height, weight, and skinfold thickness to evaluate muscle atrophy.
antibodies
Immunoglobulins essential to the immune system that are produced by lymphoid tissue in response to bacteria, viruses, or other antigens.
antigen
Substance (usually a protein) that causes the formation of an antibody and that reacts specifically with that antibody.
antigravity muscles
Muscles involved with joint stabilization. These muscles continually oppose the effect of gravity on the body and permit a person to maintain an upright or sitting posture.
Antipyretic
Of or pertaining to a substance or procedure that reduces fever.
Anuria
Cessation of urine production.
Aphasia
Neurological disorder influencing the production and understanding of language.
apical impulse
Point at which the apex of the heart touches the anterior chest wall; best site for auscultation of heart sounds; also called the point of maximal impulse (PMI).
apocrine gland
One of the large, deep exocrine glands located in the axillary, anal, genital, and mammary areas of the body; secretes sweat that has a strong odor.
arcus senilis
Thin white ring along the margin of the iris.
artificial immunity
Immunity that follows the receipt of a vaccine, such as occurs with a tetanus or polio vaccine.
Asepsis
Absence of germs or microorganisms.
Asystole
A life-threatening cardiac condition characterized by the absence of electrical and mechanical activity in the heart.
Atelectasis
Collapse of alveoli, preventing the normal respiratory exchange of oxygen and carbon dioxide.
Atherosclerosis
Common arterial disorder characterized by yellowish plaques of cholesterol, lipids, and cellular debris in the inner layers of the walls of the large- and medium-sized arteries.
Atrophy
Wasting or diminution of size or physiological activity of a part of the body caused by disease or other influences.
Aura
Sensation, as of light or warmth, that may proceed an attack of migraine or epileptic seizure.
auscultatory gap
Disappearance of sound when obtaining a blood pressure: typically occurs between the first and second Korotkoff sounds.
Bactericidal
Destructive to bacteria.
Bacteriostasis
State in which the development or reproduction of bacteria is suspended.
Bacteriuria
Presence of bacteria in the urine.
basal cell carcinoma
Malignant epithelial cell tumor that begins as a papule and enlarges peripherally, developing a central crater that erodes, crusts, and bleeds. Metastasis is rare. Primary cause is excessive exposure to the sun or to x-rays.
basal metabolic rate (BMR)
Amount of energy used in a unit of time by a fasting, resting subject to maintain vital functions.
bed rest
Placement of the client in bed for therapeutic reasons for a prescribed period.
bioelectrical impedance analysis
Method of measuring the fat composition of the body, as compared with other tissues, by its resistance to electricity.
Biopsy
Removal of a small piece of living tissue from an organ or other part of the body for microscopic examination.
Bioterrorism
The use of biological agents to create fear and threat.
blood pressure (BP)
Pressure exerted by the circulating volume of blood on the walls of the arteries, veins, and chambers of the heart. The pressure in the aorta and the large arteries of a healthy young adult is approximately 120 mm Hg during systole and 70 mm Hg during diastole.
body alignment
The individual's center of gravity is stable, and body strain is minimized.
body mass index (BMI)
Measurement of weight, corrected for height, which serves as an alternative to traditional height-weight relationships.
body mechanics
Coordinated efforts of the musculoskeletal and nervous systems to maintain proper balance, posture, and body alignment.
Bolus
Round mass of chewed food ready to be swallowed.
Borborygmi
Audible abdominal sound produced by hyperactive intestinal peristalsis.
bowel training
Program of exercises through which the client gains control of bowel reflexes by setting up a daily routine, attempting to defecate at the same time each day, and using measures that promote defecation.
Bradycardia
Slower than normal heart rate; heart contracts fewer than 60 times per minute.
broad-spectrum antibiotics
Antibiotics that are effective against a wide range of infectious microorganisms.
Bronchophony
Increase in intensity and clarity of the vocal resonance that may result from an increase in the lung tissue density, such as in the consolidation of pneumonia.
Bronchoscopy
Visual examination of the tracheal and bronchial tree using a flexible fiberoptic bronchoscope.
Bruit
Abnormal sound or murmur heard while auscultating an organ, gland, or artery.
buccal glands
Found in the mucosa lining of cheeks and mouth, they secrete saliva to maintain the hygiene and comfort of oral tissues.
bulimia nervosa
Insatiable craving for fond, often resulting in episodes of continuous eating that are followed by purging, depression, and self-deprivation.
Calorie
Amount of heat required to raise 1 g of water 1° C at atmospheric pressure; a kilocalorie or large calorie, which is used to represent energy values of food, is 1000 times as large as the small calorie, the unit used in physics to describe energy exchange in the body.
Carbohydrate
Dietary classification of food such as sugars, starches, cellulose, and gum.
carbon monoxide (CO)
Colorless, odorless, poisonous gas produced by the combustion of carbon or organic fuels.(39)
cardiac catheterization
Diagnostic procedure in which a catheter is introduced into a large vein, usually of an arm or leg, and threaded through the circulatory system to the heart.(39)
cardiac index (CI)
Adequacy of the cardiac output of an individual.(31, 39)
cardiac output
Volume of blood expelled by the ventricles of the heart; equal to the amount of blood ejected at each beat (the stroke output) multiplied by the number of beats in the period of time used in the computation.(39)
cardiopulmonary rehabilitation
Process of actively assisting the cardiopulmonary client to achieve and maintain an optimal level of health through controlled physical exercise, nutritional counseling, relaxation and stress management techniques, prescribed medication, oxygen therapy, and adherence to the rehabilitation program.(39)
cardiopulmonary resuscitation (CPR)
Basic emergency procedures for life support consisting of artificial respiration and manual external cardiac massage.(32, 38)
Caries
Abnormal condition of a tooth, characterized by decay.(33)
Carriers
Animals or persons who harbor and spread a disease-causing organism but who do not become ill.(36, 46)
Cartilage
Nonvascular, supporting connective tissue located mainly in the joints and in the thorax, trachea, larynx, nose, and ear.(36, 46)
cartilaginous joint
Slightly moveable, highly elastic cartilage that unites bony surfaces.(43)
catabolism
Complex metabolic process in which energy is liberated for use in work, energy, storage, or heat production by oxidation of carbohydrates, lipids, and proteins; carbon dioxide and water, as well as energy, are produced.(45)
cathartic
Drug that acts to promote bowel evacuation.(44)
catheterization
Introduction of a catheter into a body cavity or organ to inject or remove fluid.(40, 45)
cations
Positively charged electrolytes.(31)
center of gravity
Midpoint or center of the weight of a body or object.(32, 38)
cerumen
A yellow, waxy substance produced by sweat glands in the external ear canal. This is normal.(32)
chancre
Small open ulcer that drains serous material; found on genitalia, associated with syphilis.(32)
cherry angiomas
Ruby red papules of the skin.(39, 46)
chest physiotherapy (CPT)
Group of therapies used to mobilize pulmonary secretions.(39)
chest tube
Catheter inserted through the thorax into the chest cavity for removing air or fluid; used after chest or heart surgery or pneumothorax.(32)
cholecystitis
Inflammation of the gallbladder; may be acute or chronic.(43, 45)
chyme
Viscous, semifluid contents of the stomach present during digestion of a meal that eventually pass into the intestines.(32)
cirrhosis
Chronic degenerative disease of the liver.(32)
clubbing
Bulging of the tissues at the nail base due to insufficient oxygenation at the periphery resulting from conditions such as chronic emphysema and congenital heart disease.(45)
colitis
Inflammatory condition of the large intestine.(33)
colonizing
Referring to the establishment of a mass of microorganisms, often nonpathogenic, in or on the body.(45)
colostomy
Surgical formation of an opening of the colon onto the surface of the abdomen through which fecal matter is emptied.(33)
communicable disease
Any disease that can be transmitted from one person or animal to another by direct or indirect contact or by vectors.(33)
Celsius
Denotes a temperature scale in which 0° is the freezing point of water and 100° is the boiling point of water at sea level.(36)
Complement
Inactive protein compound found in blood serum that is activated when an antigen and an antibody bind together. After a complement is activated, a rapid sequence of catalytic activity changes the shape of antigenic cells.(43)
complementary proteins
Pairs of incomplete proteins that, when combined, supply the total amount of protein provided by complete protein sources.(38)
complete bed bath
Bath given to clients who are totally dependent and require total hygiene care.(46)
concentric tension
Increased muscle contraction resulting in muscle shortening with movement resulting.(31)
conduction
Transfer of heat from one object to another with direct contact.(32)
conjunctivitis
Highly contagious eye infection; the crusty drainage that collects on eyelid margins can easily spread from one eye to the other.(45)
constipation
Condition characterized by difficulty in passing stool or an infrequent passage of hard stool.(31)
convection
Transfer of heat away by air movement.(31)
core temperature
Temperature of deep body tissues and organs.(45)
Crohn's disease
Disease involving inflammation of the small intestine.(36)
crutch gait
Gait assumed by a person on crutches by alternately bearing weight on one or both legs and on the crutches.(38)
cuticle
Fold of skin that hides the root of the nail.(32, 39)
cyanosis
Bluish discoloration of the skin and mucous membranes caused by deoxygenated hemoglobin in the blood or a structural defect in hemoglobin.(44)
cystitis
Inflammation of the urinary bladder characterized by pain, urgency, and frequency of urination.(32)
cystocele
Portion of the vaginal wall and bladder that has prolapsed or fallen into the anterior vaginal orifice.(33)
Cytolysis
Rupturing of a cell wall, usually occurring after water or ions have entered the cell.(43)
daily values
Set of dietary standards for eight nutrients and food categories.(45)
defecation
Passage of feces from the digestive tract through the rectum.(32)
dermatitis
Inflammation of skin characterized by itching, redness, and skin lesions.(38, 47)
dermis
Layer of skin just below the epidermis that contains blood and lymphatic vessels, nerves and nerve endings, glands, and hair follicles.(31)
diaphoresis
Secretion of sweat, especially profuse secretion associated with an elevated body temperature, physical exertion, or emotional stress.(39)
diaphragmatic breathing
Respiration in which the abdomen moves out while the diaphragm descends on inspiration.(45)
diarrhea
Increase in the number of stools and the passage of liquid, unformed feces.(31)
diastolic pressure
Minimum level of blood pressure measured between contractions of the heart.(43)
dietary reference intakes (DRIs)
Format presenting a range of acceptable intake in place of absolute values.(33)
disinfection
Process of killing pathogenic organisms.(32)
distention
Swelling of a body cavity; may be caused by fluid, gas, or a mass.(46)
disuse osteoporosis
A decline is bone density that is associated with impaired mobility or immobilization of an extremity because of fracture, paralysis, or bone or joint inflammation.(44)
Diuresis
Increased formation and excretion of urine.(45)
Diverticula
Pouchlike herniations through the muscular wall of a tubular organ; may be present in the stomach, small intestine, or the colon (most common).(43)
Dysphagia
Difficulty swallowing.(39)
Dyspnea
Shortness of breath or difficulty in breathing that may be caused by certain heart or lung conditions or strenuous exercise.(31, 32, 39)
Dysrhythmia
Heartbeat that deviates from the normal pattern.(44)
Dysuria
Painful urination resulting from bacterial infection of the bladder and obstructive conditions of the urethra.(46)
eccentric tension
Tension that helps control the speed and direction of movement.(38)
eccrine
Two types of sweat glands; eccrine glands are present throughout the dermal layer of the skin and promote cooling by evaporation of their secretions.(39)
echocardiography
Diagnostic procedure that uses ultrasonic waves for studying the structure and motion of the heart.(32)
ectropion
Eversion of the eyelid that exposes the conjunctival membrane and part of the eyeball.(32)
eczema
Superficial dermatitis of unknown cause.(32, 33, 40, 47)
Edema
Abnormal accumulation of fluid in interstitial spaces of tissues.(38)
Edentulous
Toothless.(38, )
Effleurage
Long, slow, gliding strokes of massage.(45)
Effluent
A liquid, solid, or gaseous discharge from the ostomy. Usually composed of fecal material.(39)
electrocardiogram (ECG)
Graphic record of the electrical activity of the myocardium.(46)
embolus
A foreign object, a quantity of air or gas, a bit of tissue or tumor, or a piece of thrombus that circulates in the bloodstream until it becomes lodged in a vessel.(33)
endogenous infection
Infection produced within a cell or organism.(45)
endoscopy
Visualization of the interior of body organs and cavities with an endoscope.(45)
enema
Procedure involving introduction of a solution into the rectum for cleansing or therapeutic purposes.(43)
enteral nutrition (EN)
Provision of nutrients through the gastrointestinal tract when the client cannot ingest, chew, or swallow food but can digest and absorb nutrients.(45)
enterostomal therapist
Nurse that is specially trained in the treatment of clients with ostomies.(32)
entropion
Condition in which the eyelid turns inward toward the eye.(38)
enucleation
Removal of an eyeball as a result o f tumor growth, severe infection, or eye trauma.(23, 37)
Environment
Physical circumstances in which a person works or lives; can increase the likelihood that certain illnesses will occur (e.g. some kinds of cancer and other diseases are mo re likely to develop when industrial workers are exposed to certain chemicals or when people live near toxic waste disposal sites).(43)
Enzymes
Proteins produced by living cells that catalyze chemical reactions in organic matter.(33)
Epidemiology
Study of the occurrence, distribution, and causes of disease.(38, 47)
Epidermis
Superficial avascular layers of the skin made up of an outer, dead, cornified portion of cells and a deeper, living, cellular portion.(32)
Erythema
Redness or inflammation of the skin or mucous membranes that is a result of dilation and congestion of superficial capillaries; sunburn is an example.(44)
Erythropoietin
Glycoprotein hormone synthesized mainly in the kidneys and released into the bloodstream in response to anoxia.(43)
essential amino acids
Amino acids that the body cannot synthesize but must have provided by the diet.(31)
eupnea
Normal respiration that is quiet, effortless, and rhythmic.(31)
evaporation
Transfer of heat energy when a liquid is changed to gas.(32, 45)
excoriation
Injury to the skin's surface caused by abrasion.(36, 46)
exercise
Performance of any physical activity for the purpose of conditioning the body, improving health, maintaining fitness, or as a therapeutic measure.(39)
exercise stress test
Evaluation of the client's cardiopulmonary endurance during physical activity. An ECG and an analysis of respiratory function are usually performed during the test.(33)
exogenous infection
Infection originating outside an organ or part.(32)
exophthalmos
Abnormal protrusion of one or both eyeballs.(32)
exostosis
Abnormal benign growth on the surface of a bone.(33, 47)
exudates
Fluid, cells, or other substances that have been slowly discharged from cells or blood vessels through small pores or breaks in cell membranes.(31)
Fahrenheit
Scale for the measurement of temperature in which the boiling point of water is 212° and the freezing point is 32° at sea level.(43)
fat-soluble vitamins
Organic compounds essential for normal physiological and metabolic functioning; classified on the basis of their fat solubility.(43)
fatty acids
Nutrients composed of chains of carbon atoms and hydrogen atoms with an acid group on one end of the chain and a methyl group at the other.(31)
febrile
Pertaining to or characterized by an elevated body temperature.(45)
fecal occult blood test
A common laboratory test that measures microscopic amounts of blood in feces.(31)
fever
Elevation of the hypothalamic set point so that body temperature is regulated at a higher level.(31)
fever of unknown origin (FUO)
Refers to a fever whose cause cannot be determined.(43, 45)
fiber
Nutrient that contains cellulose, pectin, hemicellulose, and lignin; sources are mainly fruits and vegetables.(45)
fiberoptic endoscope
Optical instrument with a lens viewer, a long flexible tube, and a light source at the end. It allows for viewing of structures at the tip of the tube and for the insertion of special instruments for biopsy.(32)
fibrocystic breast disease
Condition characterized by lumpy, sore breasts and sometimes nipple discharge. Symptoms are more apparent before the menstrual period.(36, 46)
fibrous joint
Tough layer of fibrous connective tissue that binds bones firmly together.(46)
flat bones
Bones providing for structural contours of the skeleton.(45)
flatulence
Condition characterized by the accumulation of gas within the lumen of the intestines.(37)
Food and Drug Administration (FDA)
Federal agency responsible for the enforcement of federal regulations regarding the manufacture and distribution of food, drugs, and cosmetics to ensure protection against the sale of impure or dangerous substances.(37)
food poisoning
Toxic processes resulting from the ingestion of a food contaminated by toxic substances or by bacteria containing toxins.(36)
foot board
Board placed perpendicular to the mattress and parallel to and touching the plantar surface of the client's foot to maintain dorsiflexion of the feet.(46)
footdrop
Abnormal neuromuscular condition of the lower leg and foot characterized by an inability to dorsiflex or evert the foot.(46)
fracture
Breakage of bone caused by violence to the body; disruption of bone tissue continuity.(36, 46, 47)
friction
Effect of rubbing or the resistance that a moving body meets from the surface on which it moves; a force that occurs in a direction to oppose movement.(31)
frostbite
Traumatic effect of extreme cold on the skin and subcutaneous tissues; first manifested by distinct pallor.(36, 46)
gait
Manner or style of walking, including rhythm, cadence, and speed.(46)
gait belt
Leather belt that encircles the waist and has handles attached for the nurse to hold.(45)
gastroscopy
Diagnostic procedure that allows visualization of the esophagus, stomach, and duodenum; also called endoscopy.(38)
Gingivitis
Inflammatory condition in which the gums are red, swollen, and bleeding.(43)
Gluconeogenesis
Formation of glucose or glycogen from substances that are not carbohydrates, such as proteins or lipids.(43)
Glycogenesis
Anabolism of glucose into glycogen for storage.(43)
Glycogenolysis
Catabolism of glycogen into glucose, carbon dioxide, and water.(32)
Goniometer
Device that measures the precise degree of motion in a particular joint and is used mainly in clients who have a suspected reduction in joint movement. The instrument has two flexible arms with a 180-degree protractor in the center.(33, 47)
granulation tissue
Soft, pink, fleshy projections of tissue that form during the healing process in a wound that is not healing by primary intention.(38)
halitosis
Offensive breath resulting from poor oral hygiene, dental or oral infection, ingestion of certain foods, or systemic disease.(33)
hand hygiene
CDC-recommended approaches for cleansing of the hands involving the use of an instant alcohol hand antiseptic before and after providing client care, hand washing with soap and water when hands are visibly soiled, or performing a surgical scrub.(33)
hand washing
Vigorous, brief rubbing together of all surfaces of hands lathered in soap, followed by rinsing under a stream of water.(31)
heat exhaustion
Abnormal condition characterized by weakness, vertigo, nausea, muscle cramps, and loss of consciousness; caused by depletion of body fluid and electrolytes resulting from exposure to intense heat or the inability to acclimatize to heat.(31)
Heatstroke
Severe and sometimes fatal condition resulting from the failure of the temperature-regulating capacity of the body; caused by prolonged exposure to the sun or high temperatures.(39)
Hematemesis
Vomiting of blood; indicates upper gastrointestinal bleeding.(31)
Hematocrit
Measure of the packed cell volume of red cells, expressed as a percentage of the total blood volume.(44)
Hematuria
Abnormal presence of blood in the urine.(36, 46)
Hemiparesis
Muscular weakness of one half of the body.(36, 46)
Hemiplegia
Paralysis of one side of the body.(39)
Hemoptysis
Coughing of blood from the respiratory tract.(32, 45)
Hemorrhoid
Permanent dilation and engorgement of a vein within the lining of the rectum.(39)
Hemothorax
Accumulation of blood and fluid in the pleural cavity between the parietal and visceral pleurae.(32)
Hepatitis
Inflammatory condition of the liver.(32)
Hernia
Protrusion of abdominal organs through the muscle wall.(32)
Hirsutism
Excessive body hair in a masculine distribution caused by heredity, hormonal dysfunction, or medication.(39)
Humidification
Process of adding water to gas.(32)
Hydrocephalus
Abnormal accumulation of cerebrospinal fluid in the ventricles of the brain.(31)
Hyperthermia
Situation in which body temperature exceeds the set point; fever.(32)
Hypertonicity
Increased muscle tone.(39)
Hyperventilation
Respiratory rate in excess of that required to maintain normal carbon dioxide levels in the body tissues.(43)
Hypervitaminosis
Condition caused by excessive intake of a vitamin; less likely to occur with water-soluble vitamins.(46)
hypostatic pneumonia
Inflammation of the lung from stasis or pooling of secretion.(31)
hypotension
Abnormal lowering of blood pressure in which pressure is inadequate for normal perfusion and oxygenation of tissues.(31)
hypothalamus
Portion of the diencephalon of the brain that activates, controls, and integrates the peripheral autonomic nervous system, the endocrine processes, and many bodily functions such as body temperature, sleep, and appetite.(31, 37)
hypothermia
Abnormal lowering of body temperature below 95° F (35° C),usually caused by prolonged exposure to cold.(32)
hypotonicity
Low muscle tone.(39)
hypoventilation
Reduction in the volume of air that enters the lung for gas exchange; oxygen exchange insufficient to meet metabolic demands of the body.(39, 40)
hypovolemia
Decreased circulatory blood volume resulting from extracellular fluid losses.(31)
hypoxemia
Abnormal deficiency of oxygen in arterial blood.(39)
hypoxia
Inadequate cellular oxygenation that may result from a deficiency in the delivery or use of oxygen at the cellular level.(33)
iatrogenic infections
Infections caused by a treatment or diagnostic procedure.(43)
ideal body weight (IBW)
Estimate of what a person should weigh.(45)
Ileostomy
Surgical formation of an opening of the ileum onto the surface of the abdomen through which fecal matter is emptied.(36, 46)
Immobility
Inability to move about freely; caused by any condition in which movement is impaired or therapeutically restricted.(33)
immune responses
Defense functions of the body that produce antibodies to destroy invading antigens and malignancies.(37)
immunization
Process by which resistance to an infectious disease is produced or augmented. Immunity is acquired after the oral administration or injection of an antigen, which causes production of an antibody within the body.(33)
immunocompromised
Abnormal condition of the immune system in which cellular or humoral immunity is inadequate.(33)
immunoglobulins
Humoral antibodies produced by the body and present in serum and external secretions; formed in response to specific antigens.(45)
impaction
Presence of large or hard fecal mass in the rectum or colon.(46)
impaired physical mobility
State in which the individual experiences or is at risk of experiencing a limitation of physical movement.(39)
incentive spirometry
Method of encouraging voluntary deep breathing by providing visual feedback to clients of the inspiratory volume they have achieved.(45)
incontinence
Inability to control urination.(32)
indurated
Hardened tissue, particularly skin, due to edema, inflammation, or infiltration by a tumor.(33)
inflammatory response
Protective vascular and cellular reaction that neutralizes pathogens and repairs body cells.(18, 46)
instrumental activities of daily living (IADLs)
Activities that are required for an individual to be independent in society beyond eating, grooming, transferring, and toileting; these activities include writing a check, buying groceries, and preparing food.(32)
integument
Skin and its appendages: hair, nails, and sweat and sebaceous glands.(33)
interferon
Protein that interferes with the ability of viruses to multiply and protects body cells from simultaneous infection with other viruses .(33)
invasive
Referring to procedures that involve puncture, incision, or insertion of a foreign object, such as a needle or catheter, into the body.(46)
irregular bones
Bones of the vertebral column and some bones of the skull.(36, 46)
isometric contraction
Increased muscle tension without muscle shortening.(36, 46)
isotonic contraction
Increased muscle tension resulting in muscle contraction and muscle shortening.(32)
jaundice
Yellow discoloration of the skin, mucous membranes, and sclera, caused by greater than normal amounts of bilirubin in the blood.(36, 46)
joint
Connection between bones; classified according to structure and degree of mobility.(46)
joint contracture
Abnormal and usually permanent condition of a joint, characterized by flexion and fixation and caused by disuse, atrophy, and shortening of muscle fibers.(43)
ketone
Organic chemical compound characterized by having in its structure a carbonyl, or keto, group, =CO, attached to two alkyl groups.(44)
Ketonuria
Presence in the urine of excessive amounts of ketone bodies (products of fat metabolism), such as occurs in diabetes mellitus.(32)
Kyphosis
Exaggeration of the posterior curvature of the thoracic spine.(45)
lactose intolerance
Gastric disorder in which some foods, such as milk and milk products, are difficult or impossible to digest.(37)
land pollution
Contamination of soil by improper disposal of radioactive or bioactive waste products.(45)
laxative
Drug that acts to promote bowel evacuation.(33)
leukocytosis
Abnormal increase in the number of circulating white blood cells.(32)
leukoplakia
Thick, raised, pearly-white patch of precancerous tissue found on the lips, buccal mucosa, penis, or vulva.(46)
Leverage
Inducing or compelling force.(36, 46)
Ligament
White, shiny, flexible band of fibrous tissues binding joints together and connecting various bones and cartilage.(43)
Lipid
Any of the free fatty acid fractions in the blood.(43)
lipid emulsions
Soybean- or safflower-oil-based solutions that are isotonic and that may be infused with amino acid and dextrose solution through a central or peripheral line.(33)
localized
With regard to infections, a type of infection in which the infectious process is limited to a particular area, such as a wound infection.(46)
long bones
Bones that contribute to the height of a person, to the length of an extremity such as the arm, or to the length of a portion of an extremity such as the hand.(32)
lordosis
Increased lumbar curvature.(38)
lunula
Whitish area at the base of the nail bed.(33)
lymphokine
A product of cell-mediated immunity; these cells attract macrophages and stimulate them to attack antigens.(43)
macromineral
Minerals classified as having a daily requirement of 100 mg or more.(43)
malabsorption
Set of symptoms resulting from disorders in the intestinal absorption of nutrients; characterized by anorexia, weight loss, bloating of the abdomen, and muscle cramps.(31, 49)
malignant hyperthermia
Autosomal dominant trait characterized by often fatal hyperthermia in affected people exposed to certain anesthetic agents.(45)
masticate
To chew or tear food with the teeth while it becomes mixed with saliva.(38)
mastication
Chewing, tearing, or grinding food with the teeth while it becomes mixed with saliva.(44)
meatus
Opening through any part of the body (e.g., the urethral meatus).(33)
medical asepsis
Procedures used to reduce and prevent the spread of microorganisms; also known as clean technique.(43)
medical nutrition therapy (MNT)
Use of specific nutritional therapies to treat an illness, injury, or condition.(32)
melanoma
Group of malignant neoplasms, primarily of the skin, that are composed of melanocytes; common in fair-skinned people having light-colored eyes and in persons who have had a sunburn; any black or brown spot having an irregular border, pigment appearing to radiate beyond that border, or a red, black, and blue coloration observable on close examination.(43)
metabolism
Aggregate of all chemical processes that take place in living organisms, resulting in growth, generation of energy, elimination of wastes, and other functions concerned with the distribution of nutrients in the blood after digestion.(32)
metastasize
To spread.(33)
Microorganisms
Any microscopic entity capable of carrying on living processes, such as bacteria, viruses, and fungi.(44)
Micturition
Urination; act of passing or expelling urine voluntarily through the urethra.(43)
Minerals
Inorganic elements essential to the body because of their role as catalysts in biochemical reactions.(36, 46)
Mobility
Person's ability to move about freely.(43)
monosaturated (fatty acids)
Fatty acids that have one carbon bond.(32)
murmur
Low-pitched fluttering or humming sound, such as a heart murmur.(46)
muscle atrophy
Loss of muscle tissue.(36, 46)
muscle tone
Normal state of balanced muscle tension.(39)
myocardial infarction
Necrosis of a portion of cardiac muscle caused by obstruction in a coronary artery.(39)
myocardial ischemia
Cardiac condition that results when the supply of blood to the myocardium from the coronary arteries is insufficient to meet the oxygen demands of the organ.(39)
nasal cannula
Device for delivering oxygen by way of two small tubes that are inserted into the nares.(33)
natural immunity
Inherited resistance to infection (e.g., humans are resistant to the distemper virus that affects dogs and cats).(39)
nebulization
Process of adding moisture to inspired air by the addition of water droplets.(33)
necrotic
Of or pertaining to the death of tissue in response to disease or injury.(46)
negative nitrogen balance
Condition occurring when the body excretes more nitrogen than it takes in.(44)
nephron
Structural and functional unit of the kidney that contains a renal glomerulus and tubule.(44)
nephrostomy
Surgical procedure in which an incision is made on the flank of the client so that a catheter can be inserted into the kidney pelvis for the purpose of drainage.(38)
neuropathy
Abnormal condition characterized by inflammation and degeneration of peripheral nerves that alter sensory or motor function.(42, 46)
neurotransmitter
Chemical that transfers an electrical impulse from the nerve fiber to the muscle fiber.(43)
nitrogen balance
Relationship between the nitrogen taken into the body, usually as food, and the nitrogen excreted from the body in urine and feces. Most of the body's nitrogen is incorporated into protein.(41, 44)
nocturia
Urination at night; can be a symptom of renal disease or may occur in persons who drink excessive amounts of fluids before bedtime.(37)
noise pollution
Noise level in an environment at the level that it becomes uncomfortable to the inhabitants.(43)
nonessential amino acids
Any of 11 amino acids that are not essential to the diet because the body can synthesize their molecules from other amino acids.(31)
nonshivering thermogenesis
Condition that occurs primarily in neonates; because neonates cannot shiver, a limited amount of vascular brown tissue, present at birth, is metabolized for heat production.(33)
normal flora
Microorganisms that live on or within a body to compete with disease-producing microorganisms and provide a natural immunity against certain infections.(39)
normal sinus rhythm (NSR)
Wave pattern on an electrocardiogram that indicates normal conduction of an electrical impulse through the myocardium.(43)
nutrient density
Proportion of essential nutrients to the number of calories of a specific food.(43)
nutrients
Foods that contain elements necessary for body function, including water, carbohydrates, proteins, fats, vitamins, and minerals.(32)
nystagmus
Involuntary rhythmic movements of the eyes; the oscillations may be horizontal, vertical, rotary, or mixed.(32)
occlusion
Blockage in a canal, vessel, or passage of the body.(44)
ophthalmologist
Medical doctor whose practice is limited to diseases, conditions, and trauma to the eyes. An ophthalmologist also prescribes corrective lenses for clients whose visual acuity is impaired.(32)
ophthalmoscope
Instrument used to illuminate the structures of the eye for the examination of the fundus, which includes the retina, choroid, optic nerve disc, macula, fovea centralis, and retinal vessels.(38)
optometrist
Medical doctor whose practice is limited to primary eye care.(39)
orthopnea
Abnormal respiratory symptom in which a person must sit or stand to breathe deeply or comfortably.(31, 46)
orthostatic hypotension
Drop in systolic blood pressure of 15 mm Hg or more when a person rises from a recumbent position to a sitting or standing position.(32, 46)
osteoporosis
Disorder characterized by abnormal rarefaction of bone, occurring most frequently in postmenopausal women, in sedentary or immobilized individuals, and in clients on long-term steroid therapy.(32)
otoscope
Instrument with a special ear speculum used to examine the deeper structures of the external and middle ear.(32)
ototoxicity
Referring to the characteristic of any drug or substance that has a harmful effect on the eighth cranial nerve or the organs of hearing and balance.(32)
pancreatitis
Inflammation of the pancreas.(32)
Papanicolaou (Pap) smear
Painless screening test for cervical cancer; specimens of squamous and columnar cells of the cervix are taken.(32, 45, 49)
paralytic ileus
Usually temporary paralysis of intestinal wall that may occur after abdominal surgery or peritoneal injury and that causes cessation of peristalsis; leads to abdominal distention and symptoms of obstruction.(43)
parenteral nutrition (PN)
Administration of nutrition into the vascular system.(38)
partial bed bath
Bath in which body parts that might cause the client discomfort if left unbathed (i.e., face, hands, axillary areas, back, and perineum) are washed while the client remains in bed.(33)
passive immunity
Form of acquired immunity resulting from antibodies that are transmitted naturally through the placenta to the fetus, through the colostrum to an infant, or artificially by injection or antiserum for treatment or prophylaxis.(33, 37)
pathogen
Any microorganism capable of producing disease.(33)
pathogenicity
Ability of a pathogenic agent to produce disease.(46)
pathological fractures
Fractures resulting from weakened bone tissue; frequently caused by osteoporosis or neoplasms.(39)
peak expiratory flow rate (PEFR)
Maximal flow rate, measured in liters, that can be generated during a forced expiratory maneuver.(44)
pelvic floor exercises (Kegel exercises)
Exercises that improve the strength of pelvic floor muscles and consist of repetitive contractions of muscle groups.(31)
perfusion
Passage of a fluid, such as blood, through a specific organ or an area of the body.(38)
perineal care
Cleansing procedure prescribed for the genital and anal areas as part of the daily bath or after various obstetrical and gynecological procedures.(32, 43, 45)
peristalsis
Coordinated, rhythmic, serial contractions of smooth muscle that force food through the digestive tract.(32)
peritonitis
Inflammation of the peritoneum produced by bacteria or irritating substances introduced into the abdominal cavity by a penetrating wound or perforation of an organ in the gastrointestinal (GI) tract or the reproductive tract.(32)
PERRLA
Acronym for pupils equal, round, reactive to light, accommodative; the acronym is recorded in the physical examination if eye and pupil assessments are normal.(32)
Oliguria
Diminished capacity to form and pass urine.(38)
Petechiae
Tiny purple or red spots that appear on the skin as minute hemorrhages within dermal layers.(33)
Phagocytosis
Process by which certain cells, such as macrophages, engulf and dispose of microorganisms.(32, 40)
Phlebitis
Inflammation of a vein.(32)
Pigmentation
Organic coloring material, such as melanin, that gives color to the skin.(39)
Pneumothorax
Collection of air or gas in the pleural space.(32)
point of maximal impulse (PMI)
Anatomical point along the fourth to fifth intercostal space at the midclavicular line where the heartbeat can most easily be palpated through the chest wall.(37)
poison
Any substance that impairs health or destroys life when ingested, inhaled, or absorbed by the body in relatively small amounts.(37)
pollutant
Harmful chemical or waste material discharged into the water or atmosphere.(32, 45)
polyps
Small tumorlike growths that projects from a mucous membrane surface.(43)
polyunsaturated (fatty acids)
Fatty acids that have two or more carbon double bonds.(44)
polyuria
Excretion of an abnormally large volume of urine.(39)
postural drainage
Use of positioning along with percussion and vibration to drain secretions from specific segments of the lungs and bronchi into the trachea.(31)
postural hypotension
Abnormally low blood pressure occurring when an individual assumes the standing posture; also called orthostatic hypotension.(36, 46)
posture
Position of the body in relation to the surrounding space.(39)
preload
Volume of blood in the ventricles at the end of diastole, immediately before ventricular contraction.(46, 47)
pressure ulcer
Inflammation, sore, or ulcer in the skin over a bony prominence.(36)
Proteinuria
Presence in the urine of abnormally large quantities of protein, usually albumin. Persistent proteinuria is usually a sign of renal disease, renal complications of another disease, hypertension, or heart failure.(32)
ptosis
Abnormal condition of one or both upper eyelids in which the eyelid droops; caused by weakness of the levator muscle or paralysis of the third cranial nerve.(39)
pulmonary function tests
Procedures for determining the capacity of the lungs to exchange oxygen and carbon dioxide efficiently.(32)
pulse deficit
Condition that exists when the radial pulse is less than the ventricular rate as auscultated at the apex or seen on an electrocardiogram; indicates a lack of peripheral perfusion for some of the heart contractions.(31)
pulse pressure
Difference between the systolic and diastolic pressures, normally 30 to 40 mm Hg.(39)
pursed-lip breathing
Deep inspiration through the nose and mouth, not using pursed lips, followed by prolonged expiration through pursed lips.(33, 47)
purulent
Producing or containing pus.(44)
Proprioception
Sensation achieved through stimuli from within the body regarding spatial position and muscular activity.(44)
Pyelonephritis
Infection that spreads in the kidneys and causes flank pain, tenderness, low-grade fever, and chills.(31)
Pyrexia
Abnormal elevation of the temperature of the body above 37° C (98.6° F) because of disease; fever.(31)
Pyrogen
Any substance that causes a rise in body temperature (e.g., bacterial toxins).(31)
radial pulse
Pulse of the radial artery palpated at the wrist over the radius. The radial pulse is the one most often taken.(31)
radiation
Method of temperature regulation used by the body to lower body temperature.(36, 46)
range of motion (ROM)
Range of movement of a joint, from maximum extension to maximum flexion, as measured in degrees of a circle.(32)
rectocele
Bulging of the posterior vaginal wall caused by prolapse of the rectum.(44)
reflex bladder
Condition usually resulting from spinal cord trauma in which the micturition reflex pathway may remain intact, thereby allowing urination to occur reflexively.(37)
relative humidity
Amount of moisture in the air as compared with the maximum amount that the air could contain at the same temperature.(44)
renal calculus
Calcium stone in the renal pelvis.(44)
renal replacement therapies
Treatments designed to carry out kidney function. Currently two methods of renal replacement exist: dialysis (peritoneal and hemodialysis) and organ transplantation.(40, 44)
renin
Proteolytic enzyme produced by and stored in the juxtaglomerular apparatus that surrounds each arteriole as it enters a glomerulus. The enzyme affects the blood pressure by catalyzing the change of angiotensinogen to angiotensin, a strong repressor.(44)
residual urine
Volume of urine remaining in the bladder after a normal voiding; the bladder normally is almost completely empty after micturition.(44)
rest
Feeling of mental relaxation and freedom from anxiety; physical calm.(43)
resting energy expenditure (REE)
Measurement that accounts for BMR plus energy to digest meals and perform mild activity.(37)
restraint
Device to aid in the immobilization of a client or a client's extremity.(43)
saccharide
Within carbohydrates, a classification of sugars.(33, 47)
sanguineous
Fluid containing red blood cells.(43)
saturated (fatty acids)
Fatty acids in which each carbon in the chain has an attached hydrogen atom.(32)
scoliosis
Lateral spinal curvature.(37)
seizure
Brief, temporary malfunctions of nerve cells in the brain may result in seizure activity. A generalized tonic-clonic seizure is characterized by loss of consciousness, tonicity (rigidity), and clonicity (jerking).(37)
seizure precautions
Measures that protect the client from injury during a seizure.(32)
senile keratosis
Slowly developing, localized thickening of the outer layers of the skin as a result of chronic, excessive exposure to the sun; commonly develops in older adults.(33, 47)
serous
A clear (like plasma) fluid that forms an exudate at the site of an inflammation.(31)
shivering
Process used by the body to raise body temperature.(46)
short bones
Bone clusters that when combined with ligaments and cartilage permit movement of the extremities.(43)
simple carbohydrates
Monosaccharides and disaccharides, found primarily in sugars.(44)
specific gravity
Measurement of the degree of concentration of a liquid.(31)
sphygmomanometer
Device for measuring the arterial blood pressure that consists of an arm or leg cuff with an air bladder connected to a tube, a bulb for pumping air into the bladder, and a gauge for indicating the amount of air pressure being exerted against the artery.(37)
status epilepticus
Medical emergency whereby a person has continual seizures without interruption.(32)
stenosis
Abnormal condition characterized by the constriction or narrowing of an opening or passageway in a body structure.(33)
sterile field
Specified area, such as within a tray or on a sterile towel, that is considered free of microorganisms.(44, 45)
stoma
Artificially created opening between a body cavity and the body's surface (e.g., a colostomy) formed from a portion of the colon pulled through the abdominal wall.(32)
stria
Streak or linear scar that results from rapidly developing tension in the skin, commonly seen on the abdomen after pregnancy.(31, 39)
stroke volume
Amount of blood ejected by the ventricle during a ventricular contraction.(33)
suprainfection
Secondary infection usually caused by an opportunistic pathogen.(33)
surgical asepsis
Procedures used to eliminate all microorganisms, including pathogens and spores, from an object or area; also known as sterile technique.(33)
susceptibility
Condition of being vulnerable to a disease or disorder.(32)
syncope
Brief lapse in consciousness caused by transient cerebral hypoxia.(36)
synergistic muscles
Muscles that contract together to accomplish the same movement.(46)
synostotic joint
Joint type that occurs when bones are jointed by bones. No movement is associated with this type of joint, and the bony tissue that forms between the bones provides strength and stability.(36, 46)
synovial joints
True and freely moveable joints in which contiguous bony surfaces are covered by articular cartilage and are connected by ligaments lined with a synovial membrane.(33)
systemic
Of or pertaining to the whole body rather than to a localized area.(31)
systolic pressure
Pressure exerted in the aorta and large arteries of a human during systolic contraction of the left ventricle; indicated during blood pressure measurement as the point when sound can first be heard during deflation of the pressure cuff.(31)
Tachycardia
Rapid heart rate ranging between 100 and 150 beats per minute.(32)
tactile fremitus
Tremulous vibration of the chest wall during breathing that is palpable on physical examination.(36, 46)
tendons
White, glistening, strong, flexible, and inelastic fibrous bands of tissue that connect muscle to bone.(31)
thermoregulation
Internal control of body temperature.(39)
thoracentesis
Surgical perforation of the chest wall and pleural space with a needle for the aspiration of fluid or to obtain a specimen for diagnostic or therapeutic purposes.(32)
thrill
Continuous palpable sensation, like the purring of a cat.(46)
thrombus
Accumulation of platelets, fibrin, clotting factors, and the cellular elements of the blood attached to the interior wall of a vein or artery, sometimes occluding the lumen of the vessel.(31)
tidal volume
Amount of air inhaled and exhaled during normal ventilation.(43)
trace elements
Minerals when less than 100 mg is needed daily; microminerals.(46)
trapeze bar
Metal triangular-shaped bar that can be suspended over a client's bed from an overhanging frame; permits clients to move up and down in bed while in traction or some other encumbrance.(43)
triglycerides
Circulate in the blood and are made up of three fatty acids attached to a glycerol.(46)
trochanter roll
Rolled towel support placed against the hips and upper leg to prevent external rotation of the legs.(32)
turgor
Normal resiliency of the skin caused by the outward pressure of the cells and interstitial fluid.(46)
unossified
Not hardened, soft.(43)
unsaturated (fatty acids)
Fatty acids in which an unequal number of hydrogen atoms are attached and the carbon atoms attach to each other with a double bond.(44)
uremic syndrome
Symptoms characterized by the presence of urinary constituents in the blood and altered regulatory functions causing marked fluid and electrolyte abnormalities, nausea, vomiting, headache, coma, or convulsions.(44)
ureterostomy
Diversion of urine away from a diseased or defective bladder through an artificial opening in the skin.(44)
urinalysis
Routine laboratory testing on a voided urine specimen.(44)
urinary diversion
Surgically created diversion of the ureter to the abdominal wall for the drainage of urine after removal of a diseased bladder.(44)
urinary frequency
Symptom involving increased voiding.(44)
urinary incontinence
Inability to control urination.(44)
urinary retention
Retention of urine in the bladder; condition frequently caused by a temporary loss of muscle function.(46)
urinary stasis
Filling of the renal pelvis before urine enters the ureters.(44)
urosepsis
Condition caused by bacteria in the urine that may lead to the spread of organisms into the bloodstream or kidneys.(45)
Valsalva maneuver
Any forced expiratory effort against a closed airway, as when an individual holds the breath and tightens the muscles in a concerted, strenuous effort to move a heavy object or to change positions in bed.(32)
Varicosities
Superficial veins that become dilated, for example, varicose veins on the lag or esophageal varicosities along the surface of the esophagus(33)
Vector
Carrier, especially one that transmits disease.(43)
Vegetarianism
Consumption of a diet consisting predominantly of plant foods.(31, 39)
Ventilation
Respiratory process by which gases are moved into and out of the lungs.(39)
ventricular fibrillation
A life-threatening rhythm in which there is no ventricular filling and no cardiac output. This dysrhythmia requires immediate intervention.(32)
ventricular gallop
Abnormal low-pitched extra heart sound (S3) heard in early diastole.(39)
ventricular Tachycardia
A life-threatening dysrhythmia because of the decreased cardiac output and the potential to deteriorate into ventricular fibrillation.(11, 38)
vernix caseosa
Grayish-white cheeselike substance consisting of sebaceous gland secretions, lanugo, and epithelial cells that coats the skin of the fetus and newborn.(33)
virulence
The ability to produce disease.(31)
vital signs
Temperature, pulse, respirations, and blood pressure.(43)
vitamins
Organic compounds essential in small quantities for normal physiological and metabolic functioning of the body. With few exceptions, vitamins cannot be synthesized by the body and must be obtained from the diet or dietary supplements.(32)
vocal fremitus
Vibrations created by sound waves that can be palpated externally.(37)
water pollution
Contamination of lakes, rivers, and streams by industrial pollutants.(43)
water-soluble vitamins
Vitamins that cannot be stored in the body and must be provided in the daily food intake, such as vitamin C and B complex.(39)
wheezing
Adventitious lung sound caused by a severely narrowed bronchus.(32)
whispered pectoriloquy
Transmission of a whisper through the pulmonary structures so that it is heard as normal audible speech on auscultation.