| A | B |
|---|
| Objective Data | Data found during the physical examination |
| Universal Precautions | Designed to prevent transmission of bloodborne pathogens |
| Tongue Depressor | Used during the physical assessment to evaluate the back of the throat |
| Thermometer | Used to assess a patient's temperature |
| Otoscope | Used to evaluate the ear canal |
| Personal History | Describes educational level, family of origin, current household, personal interests, and lifestyle |
| Identifying Data | Name, Date of Birth, Social Security Number |
| Inspection | First step in the assessment process |
| Chief Complaint | What brought the patient to the clinical setting |
| Focused Assessment | Assesses symptoms restricted to a specific body system |
| History of Present Illness | Amplifies the chief complaint; describes how each symtom developed |
| Auscultation | The act of listening to different areas of the body |
| Standard Precautions | Principle that all blood, body fluids, secretions, exretions may contain transmissible infectious agents |
| Percussion | Use of third fingers on each hand to produce a striking sound; used to assess deep organ placement |
| Review of Systems | Information provided by the patient that assesses a specific body system |
| Stethoscope | Used to listen to different areas of the body |
| Palpation | Use of the pad of the fingertips to assess a patient by applying pressure |
| Comprehensive Assessment | Includes all elements of the health history |
| Subjective Data | Information that is provided by the patient |
| Sphygmomanometer | Used to assess blood pressure |
