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1 NCM 101 LEC > Health Assessment > Flashcards

Health Assessment Flashcards

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1
Q

A physical examination is conducted in a _____ and _____ manner

A

Efficient, systemic

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2
Q

During physical examination, _____ the client in undressing and gowning

A

Assist

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3
Q

Empty the _____ before physical examination

A

Bladder

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4
Q

In which areas should be started when conducting a physical examination with children

A

Least invasive

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5
Q

During physical examination, environment should be well _____ and equipment should be _____

A

Lighted, organized

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6
Q

During physical examination, the temperature of the room should be _____

A

Warm

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7
Q

During physical examination, provide _____ and consider the patient’s _____

A

Privacy, gender

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8
Q

During physical examination, areas that are being examined should be _____

A

Exposed

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9
Q

During physical examination, areas that are not being examined should be _____

A

Covered

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10
Q

Method of examination wherein you use your vision, smell, and hearing to assess the patient

A

Inspection

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11
Q

During inspection, _____ must be sufficient

A

Lighting

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12
Q

Method of examination wherein you are required to touch the patient

A

Palpation

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13
Q

Before palpation, make sure your fingernails are _____ and your hands are _____ and _____

A

Short, clean, warm

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14
Q

Wear _____ when palpating mucous membranes or areas in contact with body fluids

A

Gloves

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15
Q

Palpate _____ areas last

A

Tender

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16
Q

The ability to differentiate information through the sense of touch

A

Tactile discrimination

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17
Q

Type of palpation used to feel for surface abnormalities e.g. texture, tenderness, temperature, moisture, elasticity, pulsation, masses

A

Light palpation

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18
Q

During light palpation, you will extend your _____ hand’s fingers parallel to the skin surface and press _____ while moving your hand in a _____

A

Dominant, gently, circle

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19
Q

During light palpation, skin is slightly _____

A

Depressed

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20
Q

During light palpation, the skin is depressed by _____ inch to _____ inch with your _____, using the _____ touch possible

A

0.25, 0.5, finger pads, lightest

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21
Q

Type of palpation used to feel internal organs and masses for size, shape, tenderness, symmetry, mobility

A

Deep palpation

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22
Q

During deep palpation, the skin is depressed by _____ inch/es to _____ inch/es with _____ and _____ pressure

A

1.5, 2, firm, deep

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23
Q

T/F: During deep palpation, it is okay to exert firmer pressure if needed

A

True

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24
Q

There is _____ if pain is felt when hand is placed over the abdomen and light pressure is exerted

A

Tenderness

25
Q

There is _____ pain is felt when hand is placed over the abdomen and firm pressure is exerted

A

Direct tenderness

26
Q

There is _____ pain is felt when hand hand is removed after exerting pressure on the abdomen

A

Rebound tenderness

27
Q

T/F: During deep palpation, avoid using both hands

A

False

28
Q

During deep palpation, the _____ hand is used to palpate

A

Dominant

29
Q

During bimanual deep palpation, place the fingers of the _____ hand on the dorsal surface of the _____ of the middle three fingers of the _____ hand

A

Nondominant, distal interphalangeal joint, dominant

30
Q

During bimanual deep palpation, the _____ hand applies pressure

A

Dominant or top

31
Q

Deep palpation should be used with _____

A

Caution

32
Q

During palpation, use the _____ to check for skin temperature

A

Dorsum of the hand and fingers

33
Q

During palpation, use the _____ to check for vibration

A

Palmar surface of the hand

34
Q

Start with _____ palpation followed by _____ palpation

A

Superficial, deep

35
Q

Be _____ to patient’s discomfort

A

Sensitive

36
Q

Method of examination wherein the surface of the body is struck to elicit sound that can be heard or vibrations that can be felt

A

Percussion

37
Q

Percussion involves tapping your fingers or hands _____ and _____ against parts of the patient’s body to help you locate an organ’s _____, _____, and _____, and to determine if an organ is solid or filled with fluid or gas

A

Borders, shape, position

38
Q

Type of percussion wherein the examiner strikes the area to be percussed directly

A

Direct percussion

39
Q

Direct percussion involves striking an area to be percussed directly with the _____ of _____

A

Pads of 2-4 fingers or middle finger

40
Q

During direct percussion, ask the patient which areas are _____ and watch his face for signs of _____

A

Painful, discomfort

41
Q

Type of percussion that is commonly used to assess adult’s sinuses

A

Direct percussion

42
Q

Type of percussion that is used to elicit sound that gives clues to the makeup of an underlying tissue

A

Indirect percussion

43
Q

During indirect percussion, press the distal part of the middle finger of your _____ hand firmly on the patient’s skin, and keep the rest of your hands _____ the body surface

_____ the wrist of your _____ hand.

Using the _____ finger of your _____ hand, tap _____ and _____ over the point where your other middle finger touches the patient’s skin

_____ to the sounds produced

A

Nondominant, off

Flex, nondominant

Middle, dominant, quickly, directly

Listen

44
Q

The middle finger of the nondominant hand that is placed firmly on the patient’s skin during indirect percussion

A

Pleximeter

45
Q

The middle finger of the dominant hand that is used to strike the pleximeter during indirect percussion

A

Plexor

46
Q

Where do you aim when striking the pleximeter?

A

At the distal interphalangeal joints

47
Q

Method of examination wherein you listen at various areas such as the lungs, heart, and bowel sounds

A

Auscultation

48
Q

During auscultation, a _____ is used to listen at various areas such as the lungs, heart, and bowel sounds

A

Stethoscope

49
Q

[Study stethoscope parts]

A

[Study stethoscope parts]

50
Q

Provide a _____ environment during auscultation

A

Quiet

51
Q

Make sure that the area to be auscultated is _____

A

Exposed

52
Q

Before auscultation, warm the stethoscope’s _____ in your _____

A

Head, hands

53
Q

During auscultation, _____ to help focus your attention

A

Close your eyes

54
Q

To listen for high pitched sounds such as _____ and _____ heart sounds, use the _____ of the stethoscope during auscultation

A

Diaphragm, first, second

55
Q

To listen for low pitched sounds such as _____ and _____ heart sounds, use the _____ of the stethoscope during auscultation

A

Bell, third, fourth

56
Q

During auscultation, hold the diaphragm _____ against the patient’s skin, using _____ pressure to leave a slight ring on the skin afterward

A

Firmly, enough

57
Q

During auscultation, hold the bell _____ against the patient’s skin, just hard enough to form a _____

Holding the bell too _____ may obliterate low pitched sounds

A

Lightly, seal

Firmly

58
Q

T/F: Palpate abdomen when patient inhales

A

False

59
Q

T/F: Palpate the location of the pain last

A

True

1 NCM 101 LEC (8 decks)

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