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42 Cards in this Set

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  • Back
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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.
Think of eyes, ears, mouth and vaginal areas.
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.
HOPEFULLY ITS OKAY THAT I HAVE YOU READ THIS MATERIAL....
THANKS
DAVE