Shared Flashcard Set

Details

UNIT 1: Health Assessment (Assessment Techniques)
Assessment Techniques
10
Nursing
Undergraduate 3
09/21/2010

Additional Nursing Flashcards

 


 

Cards

Term
Explain the purpose of the assessment to the pt
Definition

 

¡Wash hands
¡Consider client’s culture
¡Organization
¡Include teaching
¡Non- threatening in approach
¡Consider environment
Term
First part of assessment is always...
Definition

INSPECTION

 

-look for symmetry

Term
Auscultation
Definition

-always do second on the abdomenal exam; after inspection!

 

Term

Steth Sounds

(Bell and Diaphragm)

Definition

Bell (low pitched sounds)

Diaphragm (high pitched sounds)

Term

Percussion

(Resonance)

Definition

-medium-loud,

low pitch,

 clear & hallow,

 moderate duration,

ex. over normal lung tissue

Term

Percussion Sounds

(hyperresonance)

Definition

-louder,

-lower pitched,

-booming,

-longer,

-ex. normal over child's lungs; abnormal in adult, over lung w/ increased amount of air (i.e. emphysema)

Term

Percussion Sounds

(tymany)

Definition

-loud

-high

-musical and drumlike

-sustained longest

-ex. over air-filled viscus, e.g., the stomach, the intestines

Term

Percussion Sounds

(dull)

 

Definition

-soft

-high pitched

-muffled thud

-short

-ex. relatively dense organ, as liver or spleen

 

Term

Percussion sounds

(flat)

Definition

-very soft

-high pitched

-a dead stop of sound, absolute dullness

-very short

-ex. when no air is present, over thigh miscles, bone or over tumor

Supporting users have an ad free experience!