CHAP 3 Flashcards

1
Q

needs to prepare for physical settings:

A

Comfortable room temp
Private area free
Quiet free of distractions
Adequate lighting
Firm table
Tray to hold equipments

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2
Q

This position is good
for evaluating the head, neck, lungs, chest, back, breasts, axillae, heart, vital signs,
and upper extremities.

A

Sitting

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3
Q

permits full expansion
of the lungs and it allows the examiner to assess symmetry of upper body parts.

A

Sitting

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4
Q

alternative for sitting is what

A

client to lie down with head elevated.

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5
Q

position allows the abdominal muscles to relax and provides easy access to peripheral pulse sites.

A

supine position

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6
Q

This position is useful for assessing the rectal and vaginal area

A

sims position

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7
Q

is used primarily to assess the hip joint

A

prone position

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8
Q

Clients with cardiac and respiratory problems cannot tolerate this position.

A

prone position

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9
Q

is used to examine the female
genitalia, reproductive tracts, and the rectum.

A

lithotomy

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10
Q

The 4 physical examination techniques

A

inspection, palpation,
percussion, and auscultation.

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11
Q

involves using the senses of vision, smell, and hearing to observe and
detect any normal or abnormal findings.

A

inspection

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12
Q

This technique is used from the moment
that you meet the client and continues throughout the examination

A

inspection

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13
Q

the client: color, patterns, size, location, consistency, symmetry, movement, behavior, odors, or sounds. is under what type of phys technique?

A

inspection

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14
Q

consists of using parts of the hand to touch and feel for the texture, moisture, temp strength, size

A

Palpation

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15
Q

this palpation is about 1-2 cm

A

light palpation

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16
Q

this palpation is about 4-6 cm

A

deep palpation

17
Q

how can you determine how what palpation should be used

A

structure & thickness of tissue

18
Q

part of hand to feel vibration, thrills and fremitus

A

Ulnar/palm

19
Q

part of hand to check temp

A

dorsal/back

20
Q

part of hand to check pulse, texture, size, consistency shape

A

fingerpads

21
Q

a palpation technique to feel for pulses, tenderness, surface skin texture, temperature, and
moisture

A

Light palpation

22
Q

allows you to feel very deep organs or structures that are covered by thick
muscle.

A

deep palpation

23
Q

Use two hands, placing one on each side of the body part
being palpated

A

bimanual palpation

24
Q

involves tapping body parts to produce sound waves. These sound waves
or vibrations enable the examiner to assess underlying structures.

A

percussion

25
what physical assessment helps determine whether an underlying structure is filled with air or fluid or is a solid structure.
Percussion
26
to assess deep tendon reflexes what technique is used
Percussion
27
3 types of percussion
Direct blunt & indirect
28
direct tapping of a body part with one or two fingertips to elicit possible tenderness
direct percussion
29
is used to detect tenderness over organs (e.g., kidneys) by placing one hand flat on the body surface and using the fist of the other hand to strike the back of the hand flat on the body surface
blunt percussion
30
is the most commonly used method of percussion. The tapping done with this type of percussion produces a sound or tone that varies with the density of underlying structures.
indirect or mediate percussion
31
sounds elicited by percussions
Resonance Hyperresonance Dullness Flatness
32
part air or part solid
resonance
33
mostly air
Hyperresonance
34
heard over air
tympany
35
heard over more solid tissue
Dullness
36
heard over dense tissue
Flatness
37
type of assessment technique that requires the use of a stethoscope to listen for heart sounds, movement of blood through the cardiovascular system,
Auscultation
38
part of stethoscope that detect low pitched sounds
bell
39
part of stethoscope to detect high pitch
diaphragm