Health Assessment Flashcards
A physical examination is conducted in a _____ and _____ manner
Efficient, systemic
During physical examination, _____ the client in undressing and gowning
Assist
Empty the _____ before physical examination
Bladder
In which areas should be started when conducting a physical examination with children
Least invasive
During physical examination, environment should be well _____ and equipment should be _____
Lighted, organized
During physical examination, the temperature of the room should be _____
Warm
During physical examination, provide _____ and consider the patient’s _____
Privacy, gender
During physical examination, areas that are being examined should be _____
Exposed
During physical examination, areas that are not being examined should be _____
Covered
Method of examination wherein you use your vision, smell, and hearing to assess the patient
Inspection
During inspection, _____ must be sufficient
Lighting
Method of examination wherein you are required to touch the patient
Palpation
Before palpation, make sure your fingernails are _____ and your hands are _____ and _____
Short, clean, warm
Wear _____ when palpating mucous membranes or areas in contact with body fluids
Gloves
Palpate _____ areas last
Tender
The ability to differentiate information through the sense of touch
Tactile discrimination
Type of palpation used to feel for surface abnormalities e.g. texture, tenderness, temperature, moisture, elasticity, pulsation, masses
Light palpation
During light palpation, you will extend your _____ hand’s fingers parallel to the skin surface and press _____ while moving your hand in a _____
Dominant, gently, circle
During light palpation, skin is slightly _____
Depressed
During light palpation, the skin is depressed by _____ inch to _____ inch with your _____, using the _____ touch possible
0.25, 0.5, finger pads, lightest
Type of palpation used to feel internal organs and masses for size, shape, tenderness, symmetry, mobility
Deep palpation
During deep palpation, the skin is depressed by _____ inch/es to _____ inch/es with _____ and _____ pressure
1.5, 2, firm, deep
T/F: During deep palpation, it is okay to exert firmer pressure if needed
True
There is _____ if pain is felt when hand is placed over the abdomen and light pressure is exerted
Tenderness
There is _____ pain is felt when hand is placed over the abdomen and firm pressure is exerted
Direct tenderness
There is _____ pain is felt when hand hand is removed after exerting pressure on the abdomen
Rebound tenderness
T/F: During deep palpation, avoid using both hands
False
During deep palpation, the _____ hand is used to palpate
Dominant
During bimanual deep palpation, place the fingers of the _____ hand on the dorsal surface of the _____ of the middle three fingers of the _____ hand
Nondominant, distal interphalangeal joint, dominant
During bimanual deep palpation, the _____ hand applies pressure
Dominant or top
Deep palpation should be used with _____
Caution
During palpation, use the _____ to check for skin temperature
Dorsum of the hand and fingers
During palpation, use the _____ to check for vibration
Palmar surface of the hand
Start with _____ palpation followed by _____ palpation
Superficial, deep
Be _____ to patient’s discomfort
Sensitive
Method of examination wherein the surface of the body is struck to elicit sound that can be heard or vibrations that can be felt
Percussion
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
Borders, shape, position
Type of percussion wherein the examiner strikes the area to be percussed directly
Direct percussion
Direct percussion involves striking an area to be percussed directly with the _____ of _____
Pads of 2-4 fingers or middle finger
During direct percussion, ask the patient which areas are _____ and watch his face for signs of _____
Painful, discomfort
Type of percussion that is commonly used to assess adult’s sinuses
Direct percussion
Type of percussion that is used to elicit sound that gives clues to the makeup of an underlying tissue
Indirect percussion
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
Nondominant, off
Flex, nondominant
Middle, dominant, quickly, directly
Listen
The middle finger of the nondominant hand that is placed firmly on the patient’s skin during indirect percussion
Pleximeter
The middle finger of the dominant hand that is used to strike the pleximeter during indirect percussion
Plexor
Where do you aim when striking the pleximeter?
At the distal interphalangeal joints
Method of examination wherein you listen at various areas such as the lungs, heart, and bowel sounds
Auscultation
During auscultation, a _____ is used to listen at various areas such as the lungs, heart, and bowel sounds
Stethoscope
[Study stethoscope parts]
[Study stethoscope parts]
Provide a _____ environment during auscultation
Quiet
Make sure that the area to be auscultated is _____
Exposed
Before auscultation, warm the stethoscope’s _____ in your _____
Head, hands
During auscultation, _____ to help focus your attention
Close your eyes
To listen for high pitched sounds such as _____ and _____ heart sounds, use the _____ of the stethoscope during auscultation
Diaphragm, first, second
To listen for low pitched sounds such as _____ and _____ heart sounds, use the _____ of the stethoscope during auscultation
Bell, third, fourth
During auscultation, hold the diaphragm _____ against the patient’s skin, using _____ pressure to leave a slight ring on the skin afterward
Firmly, enough
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
Lightly, seal
Firmly
T/F: Palpate abdomen when patient inhales
False
T/F: Palpate the location of the pain last
True
