Chapter 3—Techniques Flashcards

1
Q

position best for respiratory distress

A

Fowler’s

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2
Q

position best for checking peripheral pulse

some pts sleep

A

supine

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3
Q

position good for assessing hip joints, back

some surgical procedures

complications may occur with cardiac/respiratory disorders

A

prone

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4
Q

position used for procedures

low BP, postural drainage

promotes venous return

insertion of central catheter on chest

A

Trendelenburg’s

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5
Q

position for lower abdominal surgeries

A

reverse Trendelenburg’s

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6
Q

position providing comfort for patient

top leg flexed to prevent adduction & rotation of hip

A

lateral

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7
Q

position good for any insertion into anus

A

Sims’

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8
Q

position good for respiratory issues

allows for easier breathing

fluid drainage in surgery

thoracocentesis

A

orthopneic

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9
Q

position for gyn exam

A

lithotomy

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10
Q

position for rectal exam

A

knee-chest

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11
Q

position for exam of head, neck, chest, extremities

not ideal to assess abdomen

A

dorsal recumbent

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12
Q

position for colorectal surgery

A

jackknife

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13
Q

position for general surgical procedures

A

kidney position

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14
Q
A

Fowler’s

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15
Q
A

supine

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16
Q
A

prone

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17
Q
A

Trendelenburg’s

18
Q
A

reverse Trendelenburg’s

19
Q
A

lateral

20
Q
A

sims

21
Q
A

orthopneic

22
Q
A

lithotomy

23
Q
A

jackknife

24
Q
A

kidney

25
Q

4 assessment techniques in order

A

inspection

palpation

percussion

auscultation

26
Q

exception to assessment order

A

abdominal

inspection

auscultation

palpation

percussion

27
Q

3 surfaces for palpation & purposes

A

Finger pads - fine discrimination

Ulnar surface - vibrations, thrills, fremitus

Dorsal surface - temperature

28
Q

light, moderate, deep depth of palpation

A

light - 1 cm to 1/4 inch

moderate - 1-2 cm

deep - 2-4 cm

29
Q

looking for these variables when palpating

A

Tenderness, texture, temperature, size, shape, moisture, mobility, consistency

30
Q

percussion

A

tapping & listening

31
Q

resonance

A

over part air, part solid

loud, low, long length, hollow

ex normal lung

32
Q

hyperresonance

A

over mostly air

very loud, low, long length, booming

ex lung c emphysema

33
Q

tympany

A

over air

loud, high, moderate length, drumlike

ex puffed out cheek, gastric bubble

34
Q

dullness

A

over more solid tissue

medium volume, medium pitch, moderate length, thudlike

ex liver, diaphragm, pleural effusion

35
Q

flatness

A

over very dense tissue

soft, high, short length, flat

ex muscle, bone, sternum, thigh

36
Q

______ is larger side of stethoscope used for higher sounds

_____ is smaller side used for lower sounds

A

diaphragm

bell

37
Q

when should you not p/p abdomen?

A

AAA (abdominal aortic aneurysm)

Wilms’ tumor

appendicitis

organ transplant

38
Q

direct percussion

A

tap directly on skin

39
Q

indirect percussion

A

use nondominant hand as barrier - tap your own hand on pt’s skin

40
Q

blunt percussion

A

strike ulnar surface of fist against your nondominant hand, held flat against pt’s skin