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[1] NUR112 | HEALTH ASSESSMENT > Physical Examination > Flashcards

Physical Examination Flashcards

1
Q

A complete health assessment generally conducted from head to toe.

A

PHYSICAL EXAMINATION

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2
Q

PHYSICAL EXAMINATION presents __________ through the usage of appropriate equipment where the source of data is still the patient

A

Objective Data

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3
Q

● Performed in organized manner
● Those that can alter sounds should be performed last

A

BASIC TECHNIQUES

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4
Q

Must be done in a sequential manner in all parts of the body except the abdomen

A

PPA / IPalPerA

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5
Q

BASIC TECHNIQUES
1. __________
2. __________
3. __________
4. __________

A

(1) Inspection
(2) Palpation
(3) Percussion
(4) Auscultation

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6
Q

Techniques used for the abdomen specifically

A

IAPerPal

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7
Q

IAPerPal
1. __________
2. __________
3. __________
4. __________

A

(1) Inspection
(2) Auscultation
(3) Percussion
(4) Palpation

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8
Q

For evaluating the skin, head, and neck; eyes, ears, nose, mouth, and throat; back; posterior thorax and lungs; anterior thorax and lungs; breast; axillae; heart; peripheral vasculature; musculoskeletal; neurological.

A

Sitting Position

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9
Q

For evaluating the head, neck, chest, breasts, axillae, abdomen, heart, lungs and all extremities.

A

Supine Position / Horizontal Recumbent

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10
Q

For evaluating the head, neck, chest, axillae, lungs, heart, extremities, breasts and peripheral pulses; female genitalia.

A

Dorsal Recumbent Position

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11
Q

For rectal and vaginal area assessment

A

Sim’s Position

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12
Q

For assessment of posture, balance and gait; and male genitalia

A

Standing Position

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13
Q

For hip, joint and back assessment

A

Prone Position

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14
Q

For examining rectum and prostate

A

Knee-Chest Position

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15
Q

For examining female genitalia, reproductive tracts, and the rectum
★ Common position when giving birth

A

Lithotomy Position

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16
Q

For evaluating the skin, head and neck; eyes, ears, nose, mouth and throat; thorax and lungs; heart and peripheral vascular; musculoskeletal; neurological.
★ Patient is sat up in a 60-90 degree position; Legs may be bent or straight.
★ Suggested for feeding and feeding tube insertion, for taking upright X-rays at the bedside, and for dependent draining following abdominal or pulmonary surgery.

A

High Fowler’s Position

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17
Q

For evaluating the skin, head and neck; eyes, ears, nose, mouth and throat; thorax and lungs; heart and peripheral vascular; musculoskeletal; neurological.

★ Head and torso are elevated at 30-45 degrees.
★ Utilized on patients who require a certain level of elevation for comfort, to aid in digestion or
drainage, or both.

A

Semi-Fowler’s Position

18
Q

For evaluating skin, thorax and lungs

A

Side Lying Position / Lateral

19
Q

● The skill of observing the patient in a deliberate systematic manner.
● Begins the moment the nurse meets the patient and continues until the end of the patient-nurse interaction.

A
  1. INSPECTION
20
Q

o Survey of the patient’s appearance and a comparison of the right and left sides of the patient’s body.

o Inspects for colors, size, shape, contour, symmetry, movement, or drainage.

A
  1. INSPECTION
21
Q

● The act of touching a patient in a therapeutic manner to elicit specific information
● Assess patient through the sense of touch
● There are three types: direct or immediate, indirect, and blunt.

A
  1. PALPATION
22
Q
  • Superficial, delicate, and gentle palpation with 1 cm depth
  • Reveal information on skin texture and moisture; overt, large, or superficial masses; fluid, muscle guarding and superficial tenderness; for pulses and temperature
A

Light

23
Q
  • Depress the skin surface 1 to 2 cm and use a circular motion to feel for easily palpable organs and masses.
A

Moderate

24
Q
  • Depress the skin surface 1 to 2 cm and use a circular motion to feel for easily palpable organs and masses.
A

Moderate

25
Q
  • Most often used for abdominal, male, and female reproductive assessments
  • Use with great caution
  • Variations in the technique include single-handed and bimanual palpation.
A

Deep

26
Q

A type of deep palpation where the use of two hands placing one on each side of the body part is being palpated

A

Bimanual

27
Q

The vibratory tremors felt through the chest; can be vocal, when the patient speaks, or tussive, during coughing.

A

Fremitus

28
Q

● Technique of striking one object against another to cause vibrations that produce sound.
● These sounds or vibrations enable the examiner to assess underlying structures

A

PERCUSSION

29
Q

● How to perform percussion:
- The Stationary Hand / (1) __________
- The Striking Hand / (2) __________

A

(1) Pleximeter
(2) Plexor

30
Q

Tapping the body with the fingertips of the dominant hand

A

Direct or Immediate

31
Q
  • Most commonly used
  • Requires the use of plexor and pleximeter
A

Indirect

32
Q
  • Place the palm of nondominant hand flat against the surface and strike it with the closed fist of the dominant hand
A

Blunt

33
Q

CHARACTERISTICS OF SOUNDS:
• (1) __________: Softness or loudness
• (2) __________: Number of vibrations per second
• (3) __________: Length of time
• (4) __________: Recognizable overtones

A

(1) Intensity of amplitude
(2) Pitch or frequency
(3) Duration
(4) Quality

34
Q
  • Loud, high-pitched, drum-like tone
  • Sound of stomach
A

Tympany

35
Q
  • Loud, low-pitched, hollow tone
  • Sound of normal lung
A

Resonance

36
Q
  • Abnormally loud, low tone of longer duration than resonance
  • Detection of Emphysema (lung disease; damage to alveoli)
A

Hyperresonance

37
Q
  • High-pitched tone, soft and short
A

Dullness

38
Q
  • High-pitched tone, very soft and shorter than dullness
A

Flatness

39
Q

● Skill of listening to sounds produced by the body.
● Requires a quiet environment for many sounds are extremely soft

A

AUSCULTATION

40
Q

TYPES OF AUSCULTATION:
1. __________
2. __________

A

(1) Direct or Immediate
(2) Indirect or Mediate

[1] NUR112 | HEALTH ASSESSMENT (11 decks)

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