HA #3 Pptx.

Question 1

A type of assessment technique that requires the use of a stethoscope to listen for heart sounds, movement of blood through the cardiovascular system, movement of the bowel, and movement of air through the respiratory tract.

Answer 1

Auscultation

Question 2

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

Answer 2

Inspection

Question 3

What are the Three (3) Types of Percussion

Answer 3

Direct Percussion
Blunt Percussion
Indirect or Mediate Percussion

Question 4

Used to detect tenderness over organs by placing one hand flat on the body surface and using the fist of the other hand to strike the back of the hand flat on the body surface.

Answer 4

Blunt Percussion

Question 5

A _________ is used because these body sounds are not audible to the human ear.

Answer 5

Stethoscope

Question 6

The most commonly used method of Percussion.

Answer 6

Indirect or Mediate Percussion

Question 7

The sounds detected using auscultation are classified according to the intensity (____ __ ____), pitch (____ __ ___), duration (______), and quality (_______, _________, _____) of the sound.

Answer 7

STETHOSCOPE
(loud or soft)
(high or low)
(length)
(musical, crackling, raspy)

Question 8

Is the direct tapping of a body parts with one or two fingertips to elicit possible tenderness.

Answer 8

Direct Percussion

Question 9

This technique is used from the moment that you meet the client and continues throughout the examination.

Answer 9

Inspection

Question 10

Consists of using parts of the hand to touch and feel.

Answer 10

Palpation

Question 11

Palpation consists of using parts of the hand to touch and feel for the following characteristics:

Answer 11

Texture (rough / smooth)
Degree of tenderness
Temperature (warm / cold)
Moisture (dry / wet)
Mobility (fixed / movable / still /vibrating)
Consistency (soft / hard / fluid filled)
Strength of pulses (strong /weak / thready / bounding)
Size (small / medium / large)
Shape (well defined / irregular)

Question 12

Deep tendon reflexes are elicited using the percussion hammer.

Answer 12

Eliciting reflexes

Question 13

Percussion can detect superficial abnormal structures or masses.

Answer 13

Directing abnormal masses

Question 14

Percussion helps determine whether an underlying structure is filled with air or fluid or is solid structure.

Answer 14

Determining density

Question 15

Percussion vibrations penetrate approximately 5cm deep.

Answer 15

Detecting abnormal masses

Question 16

Percussion notes changes between borders of an organ and it’s neighboring organ can elicit information about location, size, and shape

Answer 16

Determining location, size, and shape

Question 17

Deep masses do not produce any change in the normal Percussion vibrations

Answer 17

Detecting abnormal masses

Question 18

Percussion helps detect inflamed underlying structures.

Answer 18

Eliciting pain

Question 19

Involves tapping body parts to produce sound waves.

Answer 19

Percussion

Question 20

If an inflamed area is percussed, the client’s physical response may indicate or the client will report that area feels tender, sore, or painful.

Answer 20

Eliciting pain

Question 21

These sound waves or vibrations enable the examiner to assess underlying structures.

Answer 21

Percussion

Question 22

Percussion has several different assessment used, including the following:

Answer 22

• Eliciting pain
• Determining location, size, and shape
• Determining density
• Detecting abnormal masses
• Eliciting reflexes

Question 23

Three (3) Different Types of Hands (Hand Part)

Answer 23

• Fingerpads
• Ulnar or palmar surface
• Dorsal (back) surface

Question 24

In what hand part is sensitive to temperature?

Answer 24

Dorsal (back) surface

Question 25

In what hand part is sensitive to vibrations, thrills, fremitus?

Answer 25

Ulnar or palmar surface

Question 26

Where is fingerpads sensitive to?

Answer 26

Fine discriminations: pulses, texture, size, consistency, shape, crepitus

Question 27

In what hand part is sensitive to Fine discriminations: pulses, texture, size, consistency, shape, crepitus?

Answer 27

Fingerpads

Question 28

Where ulnar or palmar surface sensitive to?

Answer 28

Vibrations, thrills, fremitus

Question 29

Where dorsal (back) surface sensitive to?

Answer 29

Temperature

Question 30

Use two hands, placing one on each side of the body part being palpated.

Answer 30

Bimanual Palpation

Question 31

Bimanual Palpation

Question 32

Place your dominant hand on the skin surface and your non dominant hand on top of your dominant hand to apply pressure.

Answer 32

Deep Palpation

Question 33

Depress the skin surface 1 to 2 cm (0.5—0.75 in.) with your dominant hand, and us a circular motion to feel for easily palpable body organs and masses.

Answer 33

Moderate Palpation

Question 34

Very little or no depression (<1cm) feel the surface structure using a circular motion.

Answer 34

Light Palpation

Question 35

What are the Four (4) Types of Palpation?

Answer 35

• Light Palpation • Moderate Palpation • Deep Palpation • Bimanual Palpation

Question 36

Use this technique to feel for pulses, tenderness, surface skin texture, temperature, and moisture.

Answer 36

Light Palpation

Question 37

How to perform Light Palpation?

Answer 37

Place your dominant hand lightly on the surface of the structure.

Question 38

Note the ____, ________, and ________ __ ______ you palpate. (Moderate Palpation)

Answer 38

Size, consistency, and mobility of structures

Question 39

This should result in a surface depression between 2.5 and 5 cm (1 and 2 in.).

Answer 39

Deep Palpation

Question 40

Use one hand to apply pressure and the other hand to feel the structure.

Answer 40

Bimanual Palpation

Question 41

This allows you to feel very deep organs or structures that are covered by thick muscle.

Answer 41

Deep Palpation

Question 42

Note the size, shape, consistency, and mobility of the structures you paplate.

Answer 42

Bimanual Palpation

Question 43

Note the ____, _____, ___________, and _______ of the ________ you palpate. (Bimanual Palpation)

Answer 43

Size, shape, consistency, and mobility of the structures