Health Assessment NURS 113 Chapter 9
Terms
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- What four skills are requisite for physical examination? (page162)
- Inspection, palpation, percussion, and auscultation.
- What senses do you use for collection of data during the physical assessment?(page162)
- sight, smell, touch, and hearing (...good thing taste isn't included...)
- What should be used as a "control" while inspecting during the physical assessment? (page162)
- "Learn to use each person as his or her own control and compare the right and left sides of the body."
- What is an otoscope and what is it's function? (page 166)
- "The otoscope funnels light into the ear canal and onto the tympanic membrane."
- What is an ophthalmoscope and what is it's function? (page 167)
- "The ophthalmoscope illuminates the internal eye structures."
- Give four examples of instruments that help enlarge your view during a physical assessment.(page 162)
- Could include any of the following: otoscope, ophthalmoscope, penlight, nasal and vaginal specula.
- What part of your hand is best for determining temperature and why? (page 162)
- "The dorsa (backs) of hands and fingers-best for determining temperature because the skin here is thinner than on the palms."
- What part of your hand is best for fine tactile discrimination? (page 162)
- figertips
- What is the best action to detect the best action to detect the position, shape, and consistency of an organ or mass? (page 162)
- "A grasping action of the fingers and thumb-to detect the position, shape, and consistency of an organ or mass."
- T or F Your palpation technique should be rapid and uncoordinated. (page 162)
- False
- When would bimanual palpation be used? (page 162)
- "Bimanual palpation requires the use of both of your hands to envelop or capture certain body parts or organs-such as the kidneys, uterus, or adnexa."
- Why should you be careful in performing deep palpation? (page 162)
- "Avoid any situation in which deep palpation could cause internal injury or pain."
- ______is tapping the person's skin with short, sharp strokes to assess underlying structures. (page 162)
- Percussion
- What would you use percussion for? (page 162)
- "...depicts the location, size, and density of the underlying organ."
- What are the two methods of percussion? (page 163)
- Direct (sometimes called immediate), and indirect (or mediate)
- Which method of percussion is used more often? (page 163)
- Indirect
- What is amplitude? (page 164)
- (or intensity)The louder the sound, the greater the amplitude.
- What is pitch? (page 164)
- (or frequency) the number of vibrations per second.
- What does timbre mean? (page 164)
- Quality, a subjective difference due to a sound's distinctive overtones.
- ______the length of time the note lingers. (page 164)
- Duration
- T or F A structure with relatively more air (such as the lungs) produces a softer, higher, shorter sound because it does not vibrate as easily. (page 164)
- False
- T or F The "note" you hear depends on the nature of the underlying structure, as well as the thickness of the body wall and your correct technique. (page 164)
- True
- ______is listening to sounds produced by the body such as the heart and blood vessels and the lungs and abdomen. (page 164)
- Auscultation
- T or F A stethoscope magnifies sound but does not block out extraneous room sounds. (page 164)
- False
- T or F The slope of the earpiece (for your stethoscope) should point backwards toward your ear canal. (page 164)
- False
- You will use the ________most often because its flat edge is best for high-pitched sounds-breath, bowel, and normal heart sounds. (page 165)
- Diaphragm
- The _____endpiece has a deep, hollow cuplike shape. It is best for soft, low-pitched sounds such as extra heart sounds or murmurs. (page 165)
- Bell
- T of F You don’t need to eliminate any confusing artifacts while evaluating body sounds since your stethoscope amplifies body sounds for you. (page 165)
- False
- Describe how an examination room should be. (page 165)
- See page 165
- How should the examination table be positioned? (page 165)
- See page 165
- Try to name 15 of the 21 items listed in the book that are usually needed for a screening physical examination. (page 166)
- See page 166 (sorry easier than typing them all out)
- The _______funnels light into the ear canal and onto the tympanic membrane. (page 166)
- Otoscope
- T or F There are only two sizes of disposable sheaths for the instrument in which you look at the tympanic membrane; child and adult. (page 167)
- False
- The _______illuminates the internal eye structures.(page 167)
- Ophthalmoscope
- What could a portable Doppler be used for?(page 167)
- "Doppler sonometer to augment pulse or blood pressure measurement..."
- What is the single most important step to decrease risk of microorganism transmission? (page 168)
- Hand washing
- List the four different circumstances when you should wash your hands. (page 168)
- "(1)before and after physical contact with each patient; (2) after inadvertent contact with blood, body fluids, secretions, and excretions; (3) after contact with any equipment contaminated with body fluids; and (4)after removing gloves
- Explain what having a clean field means. (page 167-168)
- See pages 167-168
- What are the three types of transmission based precautions? (page 168)
- Airbourne, Droplet, and Contact
- T or F It is good to have an anxious patient when examining them since they will be more likely to tell what’s really going on. (page 168)
- False
- What do you begin with when first examining a patient for a general physical. (page 169)
- "Begin by measuring the person's height, weight, blood pressure, temperature, pulse, and respirations."
- ****READ PAGES 169-173******* THIS GIVES TIPS ABOUT A GENERAL APPROACH TO PHYSICAL ASSESSMENT FOR DIFFERENT STAGES OF DEVELOPMENT.
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HOPEFULLY ITS OKAY THAT I HAVE YOU READ THIS MATERIAL....
THANKS
DAVE