Physical Assessment Flashcards

1
Q

What are the four basic techniques for physical assessment?

A
  1. Inspection
  2. Auscultation
  3. Palpation
  4. Percussion
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2
Q

List some types of percussion sounds

A
  1. Muted
  2. Thud
  3. Empty
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3
Q

Two most used descriptive terms of percussive assessment

A
  1. Dull

2. Tympanic

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4
Q

List the 3 areas which auscultation are used

A
  1. Abdomen
  2. Heart
  3. Lungs
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5
Q

What are two common approaches in performing a physical assessment?

A
  1. Head-to-toe

2. Body systems

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6
Q

What does the nurse start the assessment with first?

A

Mental status assessment

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7
Q

What two broad things are we checking for in the patient during mental check?

A

Alert and oriented

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8
Q

What 3 things are we looking for in eye assessment?

A

Pupil size, visual accuity, occular movement

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9
Q

What is the name of the chart used to assess far vision?

A

Snellen eye chart

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10
Q

How far back to stand to use Snellen eye chart?

A

20 ft

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11
Q

Which chart is used to assess near vision?

A

Jaeger chart

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12
Q

What is accommodation when talking about eye assessment?

A

Ability to constrict when looking at near object/ dilate when looking at far object

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13
Q

From which number to wich number does the pupil gauge go to?

A

1mm to 7mm

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14
Q

What does PERRLA stand for

A

Pupils Equally round and react to light and accommodation

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15
Q

Medical term for earwax

A

Cerumen

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16
Q

Ear canal Straightening techniques for adults and children

A

Adults- Pull up and away

Children- Pull down and away

17
Q

Names of the two test for auditory check

A

Rinne and Webber test

18
Q

Medical term for earwax

A

Cerumen

19
Q

Ear canal Straightening techniques for adults and children

A

Adults- Pull up and away

Children- Pull down and away

20
Q

Names of the two test for auditory check

A

Rinne and Webber test

21
Q

To determine the extent of edema, where should nurse place thumb over?

A

Into tissue over bone

22
Q

How many levels of Edema are there?

A

5

23
Q

What is the most severe level of edema called?

A

Brawny edema

24
Q

Normal bowel sounds resemble what kind of sounds?

A

clicks or gurgles

25
Q

Normal range of frequency of bowel sounds per minute

A

5-34 times

26
Q

Abdominal girth is checked how where?

A

largest circumference

27
Q

What are the characteristics for palpated mass?

A

Consistency, size, mobility, tenderness, shape

28
Q

What are the 3 criteria for A&O 3x

A

Who, Where, When