Physical Assessment Flashcards
What are the four basic techniques for physical assessment?
- Inspection
- Auscultation
- Palpation
- Percussion
List some types of percussion sounds
- Muted
- Thud
- Empty
Two most used descriptive terms of percussive assessment
- Dull
2. Tympanic
List the 3 areas which auscultation are used
- Abdomen
- Heart
- Lungs
What are two common approaches in performing a physical assessment?
- Head-to-toe
2. Body systems
What does the nurse start the assessment with first?
Mental status assessment
What two broad things are we checking for in the patient during mental check?
Alert and oriented
What 3 things are we looking for in eye assessment?
Pupil size, visual accuity, occular movement
What is the name of the chart used to assess far vision?
Snellen eye chart
How far back to stand to use Snellen eye chart?
20 ft
Which chart is used to assess near vision?
Jaeger chart
What is accommodation when talking about eye assessment?
Ability to constrict when looking at near object/ dilate when looking at far object
From which number to wich number does the pupil gauge go to?
1mm to 7mm
What does PERRLA stand for
Pupils Equally round and react to light and accommodation
Medical term for earwax
Cerumen
Ear canal Straightening techniques for adults and children
Adults- Pull up and away
Children- Pull down and away
Names of the two test for auditory check
Rinne and Webber test
Medical term for earwax
Cerumen
Ear canal Straightening techniques for adults and children
Adults- Pull up and away
Children- Pull down and away
Names of the two test for auditory check
Rinne and Webber test
To determine the extent of edema, where should nurse place thumb over?
Into tissue over bone
How many levels of Edema are there?
5
What is the most severe level of edema called?
Brawny edema
Normal bowel sounds resemble what kind of sounds?
clicks or gurgles
Normal range of frequency of bowel sounds per minute
5-34 times
Abdominal girth is checked how where?
largest circumference
What are the characteristics for palpated mass?
Consistency, size, mobility, tenderness, shape
What are the 3 criteria for A&O 3x
Who, Where, When
