Lab 10

Question 1

Pericare with catheter tips

Answer 1

Almost exactly the same

Step 1 - wash around meatus and catheter, then 10 cm of catheter

Never go back and forth, only outward

Question 2

Health assessment is:

Answer 2

Examination through health history and physical examination

Question 3

Health assessments are holistic, this means

Answer 3

They include info about the emotional, intellectual, physical, psychosocial, spiritual, and cultural dimensions

Question 4

Social and cultural considerations

Answer 4

Culture influences a patients behaviour

Assess use of complementary therapies

Avoid stereotyping

Question 5

Purposes of physical examination

Answer 5

To gather baseline data

To supplement, confirm, of refute data

To identify diagnosis

Make clinical judgements

To evaluate outcomes of care

Question 6

What is the best source of information in a physical examination

Answer 6

Always the client

Question 7

Gathering a health history

Answer 7

The collection of health history and physical examination data that required patience and attention to detail

Should be oriented to client, not disease

Question 8

Skills of a physical assessment (in order)

Answer 8

Inspection (including olfaction)

Auscultation (not just use of stethoscope, non
invasive listening)

Palpation
- feeling

Percussion
- tapping to get a sound
- last resort, not used often

Question 9

Inspection

Answer 9

General
- see, hear, smell
- all surfaces must be visible
- compare one side of the body to the other

Question 10

Olfaction

Answer 10

Smell
- alcohol, urine, BO, feces, halitosis, sweetness

Question 11

Auscultation

Answer 11

Listening to sounds
- use of stethoscope (sometimes)
- frequency, loudness, quality, duration

Requires concentration and practice

Question 12

Palpation

Answer 12

Use of hands to touch patient
- assess for tenderness, distension, and masses
- distinguish temps, texture, and movement

Make sure nails are short and hands aren’t cold

Start with light Palpation and end with deeper Palpation

Tender areas palpated last

Question 13

Percussion

Answer 13

Patient is tapped with fingertips to produce vibration

Sound indicated location, size, and density of structures

Question 14

Prep for an examination

Answer 14

Infection control

Environment

Equipment

Physical prep of client

Psychological prep of client

Assessment of age groups

Question 15

Prep for exam - infection control

Answer 15

Hand hygiene before and after
Standard precautions
PPE used as needed

Question 16

Prep for exam - environment

Answer 16

Privacy, good lighting

Question 17

Prep for exam

Answer 17

Must check all equipment for proper functioning

Question 18

Prep for exam - physical prep of client

Answer 18

Clothing, collection of specimens, positioning

Question 19

Prep for exam - psychological prep of client

Answer 19

Explanation of purpose and steps of assessment, check for comfort, calm professional approach

Question 20

Prep for exam - assessment of age groups

Answer 20

Gathering history form parent for children, ask open ended questions, treating people as adults

Question 21

Abdominal assessment steps (4)

Answer 21

Observation
Auscultation
Palpation
Percussion (if needed)

(Look listen feel percuss)

Question 22

Borborygmi

Answer 22

Constant gurgling of the bowels
Hyperactive, indicated increased GI motility

Could be from inflammation, bleeding, anxiety, diarrhea, etc

Question 23

Best time to auscultate the abdomen

Answer 23

Between meals

Question 24

How does a Palpation test come back positive

Answer 24

If the patient feels pain at the release of deep Palpation

Called rebound tenderness

Question 25

Pap test

Answer 25

Used to detect cervical cancer

Question 26

Who should be screened for cervical cancer

Answer 26

Women over 25