Health Assessment Nurs 113 Chapter 9

Front 1

What four skills are requisite for physical examination? (page162)

Back 1

Inspection, palpation, percussion, and auscultation.

Front 2

What senses do you use for collection of data during the physical assessment?(page162)

Back 2

sight, smell, touch, and hearing (...good thing taste isn't included...)

Front 3

What should be used as a "control" while inspecting during the physical assessment? (page162)

Back 3

"Learn to use each person as his or her own control and compare the right and left sides of the body."

Front 4

What is an otoscope and what is it's function? (page 166)

Back 4

"The otoscope funnels light into the ear canal and onto the tympanic membrane."

Front 5

What is an ophthalmoscope and what is it's function? (page 167)

Back 5

"The ophthalmoscope illuminates the internal eye structures."

Front 6

Give four examples of instruments that help enlarge your view during a physical assessment.(page 162)

Back 6

Could include any of the following: otoscope, ophthalmoscope, penlight, nasal and vaginal specula.

Hint 6

Think of eyes, ears, mouth and vaginal areas.

Front 7

What part of your hand is best for determining temperature and why? (page 162)

Back 7

"The dorsa (backs) of hands and fingers-best for determining temperature because the skin here is thinner than on the palms."

Front 8

What part of your hand is best for fine tactile discrimination? (page 162)

Back 8

figertips

Front 9

What is the best action to detect the best action to detect the position, shape, and consistency of an organ or mass? (page 162)

Back 9

"A grasping action of the fingers and thumb-to detect the position, shape, and consistency of an organ or mass."

Front 10

T or F Your palpation technique should be rapid and uncoordinated. (page 162)

Back 10

False

Front 11

When would bimanual palpation be used? (page 162)

Back 11

"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."

Front 12

Why should you be careful in performing deep palpation? (page 162)

Back 12

"Avoid any situation in which deep palpation could cause internal injury or pain."

Front 13

______is tapping the person's skin with short, sharp strokes to assess underlying structures. (page 162)

Back 13

Percussion

Front 14

What would you use percussion for? (page 162)

Back 14

"...depicts the location, size, and density of the underlying organ."

Front 15

What are the two methods of percussion? (page 163)

Back 15

Direct (sometimes called immediate), and indirect (or mediate)

Front 16

Which method of percussion is used more often? (page 163)

Back 16

Indirect

Front 17

What is amplitude? (page 164)

Back 17

(or intensity)The louder the sound, the greater the amplitude.

Front 18

What is pitch? (page 164)

Back 18

(or frequency) the number of vibrations per second.

Front 19

What does timbre mean? (page 164)

Back 19

Quality, a subjective difference due to a sound's distinctive overtones.

Front 20

______the length of time the note lingers. (page 164)

Back 20

Duration

Front 21

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)

Back 21

False

Front 22

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)

Back 22

True

Front 23

______is listening to sounds produced by the body such as the heart and blood vessels and the lungs and abdomen. (page 164)

Back 23

Auscultation

Front 24

T or F A stethoscope magnifies sound but does not block out extraneous room sounds. (page 164)

Back 24

False

Front 25

T or F The slope of the earpiece (for your stethoscope) should point backwards toward your ear canal. (page 164)

Back 25

False

Front 26

You will use the ________most often because its flat edge is best for high-pitched sounds-breath, bowel, and normal heart sounds. (page 165)

Back 26

Diaphragm

Front 27

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)

Back 27

Bell

Front 28

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)

Back 28

False

Front 29

Describe how an examination room should be. (page 165)

Back 29

See page 165

Front 30

How should the examination table be positioned? (page 165)

Back 30

See page 165

Front 31

Try to name 15 of the 21 items listed in the book that are usually needed for a screening physical examination. (page 166)

Back 31

See page 166 (sorry easier than typing them all out)

Front 32

The _______funnels light into the ear canal and onto the tympanic membrane. (page 166)

Back 32

Otoscope

Front 33

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)

Back 33

False

Front 34

The _______illuminates the internal eye structures.(page 167)

Back 34

Ophthalmoscope

Front 35

What could a portable Doppler be used for?(page 167)

Back 35

"Doppler sonometer to augment pulse or blood pressure measurement..."

Front 36

What is the single most important step to decrease risk of microorganism transmission? (page 168)

Back 36

Hand washing

Front 37

List the four different circumstances when you should wash your hands. (page 168)

Back 37

"(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

Front 38

Explain what having a clean field means. (page 167-168)

Back 38

See pages 167-168

Front 39

What are the three types of transmission based precautions? (page 168)

Back 39

Airbourne, Droplet, and Contact

Front 40

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)

Back 40

False

Front 41

What do you begin with when first examining a patient for a general physical. (page 169)

Back 41

"Begin by measuring the person's height, weight, blood pressure, temperature, pulse, and respirations."

Front 42

****READ PAGES 169-173******* THIS GIVES TIPS ABOUT A GENERAL APPROACH TO PHYSICAL ASSESSMENT FOR DIFFERENT STAGES OF DEVELOPMENT.

Back 42

HOPEFULLY ITS OKAY THAT I HAVE YOU READ THIS MATERIAL....
THANKS
DAVE