Chapter 8 Flashcards
To examine a toddler, the nurse should:
allow the child to sit on the parent’s lap.
Deep palpation is used to:
identify abdominal contents.
Amplitude is:
the intensity (soft or loud) of sound
The dorsa of the hands are used to determine
temperature.
Fine tactile discrimination is best achieved with the
fingertips.
A funduscopic examination is an examination of the:
internal structures of the eye.
Which of the following is considered when preparing to examine an older adult?
Base the pace of the examination on the patient’s needs and abilities.
When performing percussion, the examiner:
strikes the stationary finger at the distal interphalangeal joint.
At the end of the examination, the examiner should:
review the findings with the patient.
The examiner should use handwashing instead of an alcohol-based hand rub
if the patient has an infection with Clostridium difficile
Amplitude
(or intensity) how loud or soft sound is
Duration
the length of time a note lingers
opthalmoscope
an instrument that illuminates the internal eye structures, enabling the examiner to look through the pupil at the funds (backgroud) of the eye
otoscope
an instrument that illuminates the ear canal, enabling the examiner to look at the ear canal and tympanic membrane
pitch
(or frequency) the number of vibrations (or cycles) per second of a note
quality
(or timbre) a subjective difference in a sound as a result of the sounds distinctive overtones
During the assessment which part of the hand is best for detecting vibration
ulnar surface
when performing indirect percussion the stationary finger is struck
at the distal interphalangeal joint
the best description of the pitch of a sound wave obtained by percussion is
the overtones of the note
the bell of the stethoscope is used
to hold firmly against the skin
The ophthalmoscope has 5 apertures. Which aperture is used to assess the eyes of a patient with undilated pupils
small
at the conclusion of the patient exam the examiner should
summarize findings to the patient
the sequence of an examination changes from beginning with the thorax to that of head to toe when the patient is in what age category
the infant
when inspecting the ear canal of a patient the examiner chooses which speculum for the otoscope
the narrowest for a child
for a health assessment which assessment technique will you use first
palpation
to assess a patients abdomen by palpation how should the nurse proceed
start with light palpation to detect surface characteristics and to accustom the patient to being touched