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42 Cards in this Set
- Front
- Back
- 3rd side (hint)
What four skills are requisite for physical examination? (page162)
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Inspection, palpation, percussion, and auscultation.
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What senses do you use for collection of data during the physical assessment?(page162)
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sight, smell, touch, and hearing (...good thing taste isn't included...)
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What should be used as a "control" while inspecting during the physical assessment? (page162)
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"Learn to use each person as his or her own control and compare the right and left sides of the body."
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What is an otoscope and what is it's function? (page 166)
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"The otoscope funnels light into the ear canal and onto the tympanic membrane."
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What is an ophthalmoscope and what is it's function? (page 167)
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"The ophthalmoscope illuminates the internal eye structures."
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Give four examples of instruments that help enlarge your view during a physical assessment.(page 162)
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Could include any of the following: otoscope, ophthalmoscope, penlight, nasal and vaginal specula.
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Think of eyes, ears, mouth and vaginal areas.
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What part of your hand is best for determining temperature and why? (page 162)
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"The dorsa (backs) of hands and fingers-best for determining temperature because the skin here is thinner than on the palms."
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What part of your hand is best for fine tactile discrimination? (page 162)
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figertips
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What is the best action to detect the best action to detect the position, shape, and consistency of an organ or mass? (page 162)
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"A grasping action of the fingers and thumb-to detect the position, shape, and consistency of an organ or mass."
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T or F Your palpation technique should be rapid and uncoordinated. (page 162)
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False
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When would bimanual palpation be used? (page 162)
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"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."
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Why should you be careful in performing deep palpation? (page 162)
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"Avoid any situation in which deep palpation could cause internal injury or pain."
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______is tapping the person's skin with short, sharp strokes to assess underlying structures. (page 162)
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Percussion
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What would you use percussion for? (page 162)
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"...depicts the location, size, and density of the underlying organ."
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What are the two methods of percussion? (page 163)
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Direct (sometimes called immediate), and indirect (or mediate)
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Which method of percussion is used more often? (page 163)
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Indirect
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What is amplitude? (page 164)
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(or intensity)The louder the sound, the greater the amplitude.
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What is pitch? (page 164)
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(or frequency) the number of vibrations per second.
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What does timbre mean? (page 164)
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Quality, a subjective difference due to a sound's distinctive overtones.
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______the length of time the note lingers. (page 164)
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Duration
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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)
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False
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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)
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True
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______is listening to sounds produced by the body such as the heart and blood vessels and the lungs and abdomen. (page 164)
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Auscultation
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T or F A stethoscope magnifies sound but does not block out extraneous room sounds. (page 164)
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False
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T or F The slope of the earpiece (for your stethoscope) should point backwards toward your ear canal. (page 164)
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False
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You will use the ________most often because its flat edge is best for high-pitched sounds-breath, bowel, and normal heart sounds. (page 165)
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Diaphragm
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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)
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Bell
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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)
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False
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Describe how an examination room should be. (page 165)
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See page 165
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How should the examination table be positioned? (page 165)
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See page 165
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Try to name 15 of the 21 items listed in the book that are usually needed for a screening physical examination. (page 166)
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See page 166 (sorry easier than typing them all out)
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The _______funnels light into the ear canal and onto the tympanic membrane. (page 166)
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Otoscope
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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)
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False
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The _______illuminates the internal eye structures.(page 167)
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Ophthalmoscope
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What could a portable Doppler be used for?(page 167)
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"Doppler sonometer to augment pulse or blood pressure measurement..."
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What is the single most important step to decrease risk of microorganism transmission? (page 168)
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Hand washing
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List the four different circumstances when you should wash your hands. (page 168)
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"(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
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Explain what having a clean field means. (page 167-168)
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See pages 167-168
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What are the three types of transmission based precautions? (page 168)
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Airbourne, Droplet, and Contact
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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)
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False
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What do you begin with when first examining a patient for a general physical. (page 169)
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"Begin by measuring the person's height, weight, blood pressure, temperature, pulse, and respirations."
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****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 |
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