FIRST RLE TOPIC

Question 1

includes information about the client that the nurse directly observes during interaction with him, and information elicited through physical assessment techniques

Answer 1

objective data

Question 2

what are the 4 assessment techniques

Answer 2

inspection
palpation
percussion
auscultation

Question 3

to protect examiner in any part of the examination when the examiner may have contact with blood, body fluids, secretion

Answer 3

gloves and gown

Question 4

equipment when taking vital signs

Answer 4

sphygmomanometer
thermometer
watch with second hand
pain rating scale

Question 5

equipment for eye examination

Answer 5

penlight
snellen chart
ophthalmoscope
cover card
newspaper

Question 6

when to wash hands

Answer 6

before beginning examination
after direct contact w fluids
after physical examination

Question 7

what are the two inspection techniques

Answer 7

IPPA
IAPP

Question 8

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

Answer 8

inspection

Question 9

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

Answer 9

palpation

Question 10

4 types of palpation

Answer 10

light
moderate
deep
bimanual

Question 11

to perform, place dominant hand lightly on the surface of the structure little to no other than depression

Answer 11

light palapation

Question 12

depress surface 1-2 cm with your dominant hand and use a circular motion to feel asel

Answer 12

moderate palpation

Question 13

dominant hand on the skin surface and your non dominant hand on top of dominant

Answer 13

deep palpation

Question 14

use of two hand placing one on each side of the body part

Answer 14

bimanual palpation

Question 15

involves tapping body parts to produce sound wave. these enable the fixator to assess underlying structure.

Answer 15

percussion

Question 16

what are the 3 types of percussion

Answer 16

direct
blunt
indirest or interdiatte

Question 17

type of assessment technique that requires the use of a stethoscope to listen to heart sounds

Answer 17

auscultation

Question 17

what are the different client positioning

Answer 17

sitting
supine
dorsal recumbent
SIMS’
standing
prone
knee-chest
lithotomy

Question 18

client should sit upright on the side of the examination table

Answer 18

sitting position

Question 19

ask the client to lie down with the legs together

Answer 19

supine position

Question 20

client lies down on the examination table or bed with knees bent, legs separated

Answer 20

dorsal recumbent position

Question 21

client lies on his or her right or left side with lower arm placed behind the body

Answer 21

SIMS’ position

Question 22

client stands still i a normal comfortable, resting posture

Answer 22

standing position

Question 23

client lies down on his or her abdomen with the head to the side

Answer 23

prone position

Question 24

client kneels on the examination table with the weight of the body supported by the chest and knees

Answer 24

knee chest position

Question 25

client lies on his or her back with the hips at the edge of the examination table and feet supported by strirrups.

Answer 25

lithotomy position