Techniques in Physical Assessment

Question 1

what are the techniques in physical examination?

Answer 1

IPPA
o Inspection
o Palpation
o Percussion
o Auscultation

Question 2

for abdomen:

Answer 2

IAPERPAL
Inspection, Auscultation, Percussion, Palpation

Question 3

● 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.

Answer 3

inspection

Question 4

● The act of touching a patient in a therapeutic manner to elicit specific information
● Assess patient through the sense of touch

Answer 4

Palpation

Question 5

.

Answer 5

direct or immediate
indirect
blunt

Question 6

this type of palpation is:

• 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

Answer 6

Light

Question 7

this type of palpation is present when you depress the skin surface 1 to 2 cm and use a circular motion to feel for easily palpable organs and masses.

Answer 7

moderate

Question 8

this type of palpation is:

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

Answer 8

deep

Question 9

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

Answer 9

Bimanual

Question 10

Technique of striking one object against another to cause vibrations that produce sound.

Answer 10

Percussion

Question 11

stationary hand

Answer 11

pleximeter

Question 12

striking hand

Answer 12

plexor

Question 13

3 types of percussion

Answer 13

direct/intermediate
indirect
blunt

Question 14

Tapping the body with the fingertips of the dominant hand

Answer 14

direct/immediate

Question 15

• Most commonly used
• Requires the use of plexor and pleximeter

Answer 15

Indirect

Question 16

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

Answer 16

blunt

Question 17

Softness or loudness

Answer 17

Intensity of amplitude

Question 18

Number of vibrations per second

Answer 18

Pitch or frequency

Question 19

Length of time

Answer 19

Duration

Question 20

Recognizable overtones

Answer 20

Quality

Question 21

• loud, high-pitched, drum-like tone
• Stomach

Answer 21

Tympany

Question 22

• Loud, low-pitched, hollow tone
• Normal lung

Answer 22

Resonance

Question 23

• Abnormally loud, low tone of longer duration than resonance
• emphysema

Answer 23

Hyperresonance

Question 24

• High-pitched tone, soft and short

Answer 24

Dullness

Question 25

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

Answer 25

Flatness

Question 26

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

Answer 26

Auscultation

Question 27

2 types of auscultation:

Answer 27

1. Direct or Immediate
2. Indirect or Mediate