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Nursing 202 > Unit 6 - IPPA > Flashcards

Unit 6 - IPPA Flashcards

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1
Q

What does the I stand for in IPPA

A

Inspection

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2
Q

What does the first P stand for in IPPA

A

Palpation

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3
Q

What does the second P stand for in IPPA

A

Percussion

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4
Q

What does the A stand for in IPPA

A

Auscultation

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5
Q

What is “Concentrated Watching”?

A

Inspection

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6
Q

What needs the use of visual, auditory and olfactory senses?

A

Inspection

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7
Q

What detects majority of physical signs?

A

Inspection

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8
Q

What uses your sense of touch?

A

Palpation

- Use light, slow, and gentle movements

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9
Q

What are you looking for during palpation?

A 
Texture, temperature, moisture of skin. 
Lumps & Bumps 
Vibration/Pulsations 
Rigidity, Crepitations
Tenderness or pain
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10
Q

What are you palpating for with the use of your fingertips only?

A

Fine tactile discrimination palpation for skin texture, swelling, pulsation and presence of lumps.

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11
Q

What are you palpating with the use of your fingers and thumbs (grasping) only?

A

Detects position, shape, and consistency of an organ or mass.

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12
Q

Why would you use the dorsa (backs of hands and fingers) for palpation?

A

Determining temperature.

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13
Q

Why would you use the base of your fingers, palmar or ulnar (Palm of hand)?

A

Vibrations

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14
Q

Tapping the person’s skin with short, sharp strokes to assess for underlying structures.

A

Percussion

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15
Q

What is Indirect Percussion?

A

The striking hand contacts the stationary hand which its fixed on the persons skin.

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16
Q

Where do you strike the stationary hand in indirect percussion?

A

Just behind the nail bed or at the distal interphalangeal joint.

17
Q

What is an example of an resonant sound from percussion?

A

Air filled lungs.

Pitch - Low
Amplitude - Medium-loud
Quality - Clear, hollow

18
Q

What is an example of an Hyperresonant sound from percussion?

A

Child’s Lungs

Pitch - Lower
Amplitude - Louder
Quality - Longer

Abnormal finding in adults

19
Q

What is an example of a Tympany sound from percussion?

A

Over air-filled viscus (stomach & intestines)

Pitch - High
Amplitude - Loud
Quality - Musical and drum like

20
Q

What in an example of a Dull sound from percussion?

A

Dense organ such as the spleen or liver.

Pitch - Soft
Amplitude - High
Quality - Muffled thud

21
Q

What is an example of a Flat sound from percussion?

A

When no air is present, over thigh muscle, bone, or tumours.

Pitch - Very soft
Amplitude - High
Quality - An instant stop of sound, absolute dullness.

22
Q

What is a Diaphragm, and what is it used for in auscultation?

A

The larger end on a stethoscope. Used for hearing high-pitched sounds like heart sounds.

Ensure to press firmly to surface

23
Q

What is a bell, and what is it used for in auscultation?

A

Smaller end of a stethoscope. Used for low pitch sounds such as heart murmurs. Press lightly, just enough to seal on the surface.

24
Q

What should you consider in your setting for the assessment?

A

The space
Exam
Equipment
Environment

25
Q

What is the best approach in examining an Infant?

A

Position - Lay baby flat on the table with parent close by

Prep - Best to wait 1 -2 hours after feeding, keep eye contact and make sure hands and room are warm.

Sequence - Least invasive first, if asleep listen to lung, abdomen first. Check the moro (startle) reflex last.

26
Q

What is the best approach in examining a toddler?

A

Position - Sitting up on parents lap with their assistance.

Prep- Engage parent first, then give attention to child. Parent should help undress the child as many not trust you entirely.

Sequence - Collect objective data first while keeping an eye on the child. Lease invasive first; invasive last (eye, ear, throat)

27
Q

What is the best approach to examine a Pre-school aged child?

A

Position - Keep parent close by, may hold child.

Prep- Use short simple sentences, allow them to play with the equipment to make them comfortable. Compliment child for cooperating.

Sequence - Leave eye/ear/throat exam for last

28
Q

What is the best approach in examining a school aged child?

A

Positon - Use bed or table, parent may or not be present

Prep- Table about what you are doing and how the body works. Have the child undress themselves.

Sequence - Head to toe

29
Q

What is the best approach in examining an adolescent?

A

Position - Use bed or table

Prep- Be aware of comments regarding the body

Sequence - Progress from head to toe.

Nursing 202 (6 decks)

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