Assessment Techniques, Ch. 8

Question 1

What is inspection?

Answer 1

Careful, thorough observation

Question 2

What is the very first step of the assessment process?

Answer 2

Inspection

Question 3

When does the Inspection process begin?

Answer 3

The moment you meet the individual?

Question 4

Why do we compare the patients ride side and left side?

Answer 4

Looking for similarites, differences and symmetry?

Question 5

We always want to use:

Answer 5

Good Lighting

Question 6

What tools will we use?

Answer 6

Penlight, oto, ophthalmoscope

Question 7

What can change sounds?

Answer 7

Listening over clothing

Question 8

Palpation uses the sense of:

Answer 8

Touch

Question 9

What do we assess during palpation?

Answer 9

-texture
-temperature
-moisture
-organ location and size

Question 10

Can we determine the disease state of an organ by palpating?

Answer 10

No

Question 11

What’s the Second step in Assessment?

Answer 11

Palpation

Question 12

What can we detect during palpation?

Answer 12

-Swelling
-Vibration
-pulsation
-rigidity
-crepitation
-lump
-mass
-tenderness/pain

Question 13

What is light palpation used for?

Answer 13

Used to detect surface Characteristics

Question 14

What is deep palpation used for?

Answer 14

Use intermittent pressure to examine abdominal contents

Question 15

What type of palpation do we start with?

Answer 15

Light and then go to deep

Question 16

What do we use fingertips for during palpation?

Answer 16

fine discrimination such as: texture
-swelling
-pulsation
-presence of lumps

Question 17

what do we use grasping action for during palpation?

Answer 17

Finger and thumb can be used to detect, Shape, Size and Consistency of an organ

Question 18

What do we use the base of our fingers for during plapation?

Answer 18

Ulnar surface to detect vibration

Question 19

What do we use the dorsum of our hands for during palpation?

Answer 19

Detect temperature changes

Question 20

Why would we do Bimanual Palpation?

Answer 20

To Compare both sides

Question 21

Why would we use the dorm of hand for temperature?

Answer 21

Thinner skin and more sensitive

Question 22

During palpation we want to ask the patient if there are any tender areas and palpate these areas

Answer 22

Last

Question 23

Why do we want to palpate tender areas last?

Answer 23

This could change vital signs

Question 24

Flow of palpation

Answer 24

-top to bottom
-left to right
-simultaneously
-Compare symmetry

Question 25

What are some common areas of palpation?

Answer 25

-Lymph nodes(neck) Simultaneous -Sinuses(simultaneous) -Abdomen(Clockwise) -Spine(top to bottom) -Pulses(simultaneous right and left or individual) -Uterus(bimanual) -Heart(fingertips over precordium)

Question 26

If there is no vibration in fistula what do we call it?

Question 27

Characteristics assessed by palpation

Answer 27

-texture -temperature -moisture -organ location and size -swelling -vibration -rigidity or spasticity -crepitation -presence of lumps or masses -presence of tenderness or pain

Question 28

What is the 3rd step after palpation?

Answer 28

Percussion

Question 29

Percussion

Answer 29

Tapping the skin with short, sharp strokes that produce vibration to assess underlying structures.