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Collecting Pt Data

AB
assessmentdetermination of normal versus abnormal values based on patient results
auscultationlistening to sounds produced by the body as the organs perform their functions
objectiveperceptible to the external senses; results that are measurable
observationusing the sense of sight to determine characteristics of a patient
ophthalmoscopeinstrument used to examine the interior of the eyes
otoscopeinstrument used for inspection of the ears
palpationusing touch (fingers) to determine physical characteristics of tissues or organs
penlightflashlight used to observe size and reaction of the patientÕs pupils
percussiontapping a part of the body with the fingers to determine the size, position, and density of the organs underneath
planhow patient results are used
recorddocumentation of patient results
reflex hammerinstrument used to test patient reflexes
reporttelling the appropriate person information regarding a patientÕs condition
sphygmomanometerinstrument used to measure arterial blood pressure
stethoscopeused to hear and amplify sounds produced by the heart and other organs
subjectiveperceived by the person involved; the patientÕs description of condition
tonometerinstrument used to measure intraocular pressure


Jimmy C. Draughn High School
Valdese, NC

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