Classic health assessment techniques

Question 1

preparation for physical assessment consist of

Answer 1

• collect
• introduce
• provide
• drape
• uncover
• use

Question 2

Inspection

Answer 2

• intentional
• first technique used for every body system
• uses sight, smell, and hearing

Question 3

what is observed using inspection

Answer 3

• initial overall characteristics

Question 4

what is the first technique used for every body system

Answer 4

inspection

Question 5

considerations for inspection

Answer 5

• proper light
• adequate exposure
• proper language
• proper equipment (as needed)
• symmetrical comparison (when possible)

Question 6

Considerations for palpitation

Answer 6

Patient comfort (communication, warm hands, non-tender to tender)

Question 7

Which parts of the hand are used fro palpitation

Answer 7

• fingertips
• dorsal aspect of the hand
• ulnar edge of the hand

Question 8

what are the characteristic observed through palpitation

Answer 8

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

Question 9

tender areas are palpated ______

Answer 9

LAST

Question 10

how to preform light palpitation

Answer 10

finger pads of the hand are used in a circular motion

Question 11

percussion

Answer 11

sounds produced from within the body as a result of tapping on the bodys surfaces

Question 12

percussion allows nurses to identify

Answer 12

location, size, density of an underlying organ

Question 13

direct percussion

Answer 13

striking hand contacts body wall directly

Question 14

amplitude (percussion)

Answer 14

• intensity
• loudness or softness of a sound

Question 15

pitch (percussion)

Answer 15

• frequency
• number of vibrations per second

Question 16

quality (percussion)

Answer 16

• timbre
• musical nature of sound

Question 17

duration

Answer 17

• lenght of time note lingers

Question 18

diaphragm of the stethoscope hears

Answer 18

high pitch sound

Question 19

bell of stephoscope hears

Answer 19

low pitch sound

Question 20

developmental considerations for infants

Answer 20

• parental presence
• use of distraction
• preform least distressing aspects first

Question 21

developmental considerations for toddlers

Answer 21

• on parents lap
• use of security objects
• enhance autonomy
• demonstrate procedures on parents first

Question 22

developmental considerations for school age children

Answer 22

• desire approval
• sense of modesty
• demonstrate equipment
• intrest in how the body works

Question 23

developmental considerations for preschoolers

Answer 23

• limited body image
• allow play with equipment
• use games
• complement on cooperation

Question 24

developmental considerations for adolescents

Answer 24

• self conscious and introspective
• body image and body comparison
  idealistic and amenable to health teaching
• do not treat as if they are a child

Question 25

developmental considerations for older adults

Answer 25

• seated or supine
• slow pace of examination
• discriminate between sensory loss and confusion