Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
41 Cards in this Set
- Front
- Back
- 3rd side (hint)
|
For all examinations |
Gloves Gowns |
|
|
|
Vital signs examination |
Sphygmomanometer Stethoscope Thermometer Watch Pain rating scale |
|
|
|
Nutritional status examination |
Skinfold caliper Flexible measuring tape Skin markening pen Platform scale |
|
|
|
Skin, hair, and nail examination |
Examination light Penlight Wood's light Mirror Magnifying glass Metric ruler Braden scale Pressure ulcer scale |
|
|
|
Head and neck examination |
Stethoscope Small cup of water |
|
|
|
Eye examination |
Penlight Opthalmoscope Snellen E chart Newspaper opaque card |
|
|
|
Communication to avoid (verbal) |
Biased/leading question Rushing through the interview Reading the question |
|
|
|
Communication to avoid (nonverbal) |
Excessive/insufficient eye contact Distraction and distance Standing |
|
|
|
Communication to avoid (nonverbal) |
Excessive/insufficient eye contact Distraction and distance Standing |
|
|
|
Conditions of examination setting |
Comfortable, warm temperature Private area, free of interruption from others Quite area, free of distractions |
|
|
|
3 areas of basic knowledge |
Types and operation of equipment needed for the particular examination
Preparation of the setting, oneself, and the client for physical assessment
Performance of the 4 assessment techniques: inspection, palpation, percussion, auscultation |
|
|
|
infection control practices (read book) |
Hand hygiene Personal protective equipment Gloves Gowns Mouth, nose, eye protection Respiratory hygiene/cough etiquette Patient placement Patient care equipment and instrument/devices Care of the environment Textiles and laundry Safe injection practices |
|
|
|
4 basic techniques of assessment |
Inspection Palpation Percussion Auscultation |
|
|
|
Client sit upright on the side of the examination table Good for evaluating head, neck, lungs, chest, back, breast, axillae, heart, vital signs and upper extremities |
Sitting position |
|
|
|
Allowance abdominal muscles to relax and provides easy Access to peripheral pulse sites |
Supine position |
|
|
|
Client lies down on the examination table or bed with kness bent, legs separated , and feet flat on table |
Dorsal recumbent |
|
|
|
Client lies in the right or left side with the lower arm placed behind the body and the upper arm flexed at the shoulder and elbow Useful for assessing rectal and vaginal areas |
Sims' position |
|
|
|
To assess posture, balance, and gait Stands still in a normal, comfortable resting posture Allows assessment on male genitals |
Standing position |
|
|
|
Client lies down on the abdomen with the head to the side.
Used to assess hip joint Clients with cardiac and respiratory problems can't tolerate this position |
Prone Position |
|
|
|
Client kneels on the examination table with the weight of the body supported by the chest and knees Useful for assessing the rectum Respiratory and cardiac problems can't tolerate this position |
Knee-chest position |
|
|
|
Client lies in the back with the hips at the edge of the examination table and feet supported by stirrups Used to examine female genitalia, reproductive tracts and rectum |
Lithotomy position |
|
|
|
Noted characteristics while inspecting |
Color Patterns Size Location Consistency Symmetry Movement Behavior Odors Sounds |
CLOMBSSSPC |
|
|
Noted characteristics while palpating |
Texture (rough smooth) Temperature (warm cold) Moisture ( dry wet) Mobility (fixed movable still vibrating) Consistency (soft hard fluid filled) Strength of pulses( strong weak thready bounding) Size (small medium large) Shape (well defined irregular) Degree of tenderness |
TTMMSSSDC |
|
|
3 different part of the hand |
Finger pads-pulses, texture, size, shape, consistency
Ulnar/palmar surface- vibrations, thrills, fremitus
Dorsal surface - temperature |
|
|
|
4 types of palpation |
Light palpation Moderate palpation Deep palpation Bimanual palpation |
|
|
|
Involves tapping body parts to produce soundwaves |
Percussion |
|
|
|
Percussion different assessment uses |
Eliciting reflex Eliciting pain
Determining location, size ,shape
Determining density
Detecting abnormal masses
|
|
|
|
Direct tapping of a body part with 2 or 3 fingertips to elicit possible tenderness |
Direct percussion |
|
|
|
Detect tenderness over organs by placing 1 hand flat on surface and using the fist of the other hand to strike the back of the hand |
Blunt percussion |
|
|
|
Commonly used percussion Produces a sound that varies with the density of underlying structures |
Indirect or mediate percussion |
|
|
|
Type of assessment technique that requires a stethoscope to listen for heart sounds |
Auscultation |
|
|
|
Used for hearing body sounds that are not audible to the human ear |
Stethoscope |
|
|
|
Sequence for abdominal pain |
Inspection Auscultation Percussion Palpation |
|
|
|
For pulses, texture, size, shape, consistency |
Finger pads |
|
|
|
For vibrations, thrills, fremitus |
Ulnar/palmar surface |
|
|
|
For temperature |
Dorsal surface |
|
|
|
Sounds elicited by percussion |
Resonance Hyper-resonance Tympany Dullness Flatness |
|
|
|
Dominant hand lightly on the surface (less than 1cm) |
Light palpation |
|
|
|
Depress the skin surface 1 to 2 cm (0.5 to 0.75inch) |
Moderate palpation |
|
|
|
Dominant hand on skin surface and nondominant hand on top of dominant hand to apply pressure. Surface depression between 2.5-5cm (1-2inchs) Allows to feel very deep organs |
Deep palpation |
|
|
|
3 types of percussion |
Direct percussion Blunt percussion Indirect percussion |
|
