Physiological Assessment Flashcards

1
Q

What is a physical assessment?

A
  • evaluation or appraisal of condition

- process of making an evaluation

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2
Q

During the initial interview what types of information are you collecting?

A
  • subjective data
  • identifying health strengths and problems
  • bridge to the physical exam
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3
Q

Name 4 physical assessment techniques

A
  • inspection
  • palpation
  • percussion
  • auscultation
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4
Q

During the inspection what are some of the things you might be examining for.

A
  • age
  • body shape
  • posture
  • anxiety
  • things that seem odd or out of place
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5
Q

What 3 senses are being used in the inspection phase of assessment to detect normal characteristics or significant physical signs of body parts and function?

A
  • smell
  • vision
  • hearing
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6
Q

What 3 techniques are needed to conduct an efficient inspection?

A
  • good lighting
  • adequate exposure
  • occasional use of instruments
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7
Q

What is palpation?

A

use of hands to touch body parts to make sensitive measurements of specific areas

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8
Q

When is palpation used?

A

with or after visual inspection

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9
Q

What types of things would you be palpating for in an assessment?

A
  • temperature
  • vibrations
  • feeling organs
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10
Q

What is percussion?

A

striking the body’s surface with a finger to produce a vibration that travels through the body tissues

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11
Q

What does percussion evaluate?

A
  • size
  • borders
  • consistency of body organs
  • fluid in body cavities
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12
Q

What are the 3 types of sounds you will hear when using percussion?

A
  • dull sound
  • flat sound
  • resonance sound
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13
Q

What is auscultation?

A

listening with a stethoscope to sounds produced by the body

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14
Q

What does auscultation do?

A

detects variations from normal

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15
Q

What are some things you are observing when palpating?

A
  • texuture
  • moisture
  • temperature
  • organ location and size
  • swelling
  • vibration or pulsation
  • presence of lumps or masses
  • presence of tenderness or pain
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16
Q

What are some things to consider when palpating?

A
  • warm hands
  • light (1.25 cm) to deep >1.25 cm
  • appropriate for area (ie. fingertips, light grasping of fingers and thumb, dorsum of hand, palm of hand)
17
Q

What should you do with your stethascope prior to use?

A

warm

18
Q

What is the best environment for auscultating?

A

quiet environment

19
Q

What is the general order of assessment?

A

inspection
palpation
percussion
auscultation

20
Q

In an abdominal examination what is the general order of assessment?

A

inspection
auscultation
percussion
palpation

21
Q

What are two factors for sound to transmit more readily through a stethoscope?

A
  • earpieces fit snuggly

- earpieces slope towards your nose

22
Q

What are some things to remember when conducting palpation to a patient in terms of making the patient more comfortable?

A
  • warm hands
  • privacy
  • relaxed position
  • use a calm and gentle approach and provide explanation
23
Q

When you first step into a patients room to conduct an assessment what should you first do?

A

introduce yourself and explain the procedure and purpose of each part of the exam

24
Q

How should you proceed with assessment?

A

follow a planned order of examination for each body system. You can incorporate specific history questions related to each body part.

25
Q

What are you assessing for in an exam?

A

structure and function of each body part and organ

26
Q

What should you do if you identify an abnormality?

A

assess for further data on the extent of the abnormality and the person’s responses to the abnormality.

27
Q

What can you integrate with the physical assessment?

A

teaching

28
Q

At the end of the exam what should you allow time for?

A

questions