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18 Cards in this Set
- Front
- Back
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What are the four methods of assessment? |
Inspection palpation percussion auscultation |
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What surfaces/body parts are used to perform palpation? |
-Fingertips: for tactile discrimination, for skin texture, swelling, pulsation and lumps -fingers and thumb: grasping to detect the position shape and consistency of an organ or mass -Dorsa of hands/fingers: temperature detection -base of the fingers/ulnar surface of hand; vibration |
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How do you perform percussion? |
Tapping the skin with short sharp strokes to assess underlying structures |
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What can percussion strokes yield and what do they depict |
Percussion strokes yield A palpable vibration and characteristic sound that depicts the location, size and density of underlying organs |
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Percussion maps the ________and _________of an organ by percussion note changes between the borders of an organ and its neighbors |
Location and size |
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Percussion signals the ________by characteristic note |
Density (air, fluid or solid) |
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Percussion can detect abnormal masses if __________centimeters deep |
<5 cm .....deeper masses will make no change in percussion |
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If a structure is inflamed during percussion, the patient will experience __________ |
Pain |
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To detect deep tendon reflexes the nurse practitioner should use a ____________ |
Percussion hammer |
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Describe the roles of the stationary and striking hand during percussion |
Stationary hand – use middle finger. Place distal portion and distal interphalangeal joint firmly against the skin. Not on sternum or ribs because bones sound dull. Lift the rest of the hand off the skin. Use the middle finger of the dominant hand as the striking finger. |
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Describe the method and importance of having a relaxed wrist during percussion |
Bounce middle finger off stationary one. Aim for just behind the nail bed. Hit the portion of the finger that is pushing hardest into the skin surface. Flex the striking finger so it's tip NOT the finger pad makes contact. Hit at a right angle to the stationary finger. Percuss twice, quickly lift finger. Use stronger percussion stroke for obese or muscular patients. |
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Organs with more air will make a _________sound |
Louder |
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Tissues that are dense will make a ________ sound. |
Softer |
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During percussion a hollow quality, loud = |
Lung |
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During percussion a really loud booming sound is |
A child's line or a grown-up with emphysema |
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During percussion sounds with a loud and long duration indicate |
Air-filled viscous such as the stomach or intestines |
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During percussion a soft and short sound indicates |
A dense organ such as the liver or spleen |
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During percussion a dull, short sound indicates |
No air such as bones and tumor |
