Chapter 6 * Flashcards
Palpation
the skill of assessing the client through the sense od touch to determine specific characteristics of the body.
size, shape, location, mobility of a part, position, vibrations, temperature, texture, moisture, tenderness and edema can be assess during_________.
palpation
what is inspection?
the skill of observing the client in deliberate, systematic manner.
what does the nurse look for while inspecting a client?
Color, size, shape, contour, symmetry, movement or drainage..
what are the four basic or cardinal techniques to obtain subjective data?
inspection, palpation, percussion and auscultation
what are the parts of the hand that is the most responsive to the body structures and functions?
fingertips, finger pads, base of the fingers, palmar surface of the fingers, and the dorsal and ulnar surfaces of the hand
what are the finger pads commonly used for during palpation?
to discriminate the underlying structures and functions such as pulse, superficial lymph nodes or crepitus.
what is fremitus
vibratory tremors felt through the chest wall
how can fremitus be felt?
when using the base of the fingers (metacarpophalangeal)
what are the palmar aspect of the finger used for?
To determine position, consistency, texture, size of structures, pain and tenderness.
The dorsal surface if the fingers is most sensitive to_________________.
temperature
The ulnar surface of the hand including the finger is most sensitive to this type of vibrations?
fremitus
when is light palpation used?
to assess surface characteristics such as skin texture; pulse or tender, inflamed area near the surface of the skin.
how is light palpation assess?
the finger pads of the dominant hand are placed on the surface of the area to be examined. the hand is moved slowly, and the fingers pads at a depth of 1 cm, form circles on the skin.
what is moderate palpation?
the used of moderate pressure to determine depth, size, shape, consistency and mobility of organs as well as any pain, tenderness, or pulsations.
when is Deep palpation used?
to palpate or feel an organ that lies deep within a body cavity such as kidney, liver, or spleen. it is also used when underlying musculature is thick, tense, or rigid such as in obesity or with abnormal guarding.
what is an indicator of pathology while deep palpation?
involuntary guarding or rigidity, especially in the abdomen commonly accompanied with pain.
what is percussion?
“to strike through” strikes through a body part with an object, fingers or reflex hammer to produce sound or sound waves.
what are the 3 techniques of percussion?
direct, blunt, and indirect.
what is direct percussion?
the technique of tapping the body with the fingertips of the dominant hand. is commonly used to examine the thorax of an infant and to assess sinuses of an adult.
what is blunt percussion?
the placement of the palm of the non-dominant hand flat against the body surface and striking the nondominant hand with the dominant hand.
what is indirect percussion?
produces sounds that are clear and easy to interpret.
Define Plexor
an object that strikes the body to produce sound such as a hammer or tapping fingers.
Define Pleximeter
“measure” a device that accepts the tap or blow from a hammer.
what are the five percussion sounds?
Tympany, resonance, hyperresonance, dullness, and flatness.
Define tympany
loud high-pitch characteristic of an organ filled with air” commonly over gastric bubble in the stomach