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Details

Health Assessments
Chapters 1-9
58
Nursing
Not Applicable
09/16/2009

Additional Nursing Flashcards

 


 

Cards

Term
There are four basic assessment techniques for a physical assessment. They are...
Definition
Inspection, Palpation, Percussion, & Auscultation
Term
The term "inspection" refers to...
Definition
a visual examination of the body, including body movement & posture.
Term

True or False

 

Using the sense of smell is part of inspection?

Definition
True
Term
What assessment technique involves using the hands to feel texture, size, shape, consistency, pulsation, and location of certain body parts of the client and to identify areas that the client reports as painful or tender?
Definition
Palpation
Term
Light palpation presses up to how deep?
Definition
1 cm
Term
Light Palpation assesses what?
Definition
The skin, pulsations, & tenderness
Term
Deep palpation goes up to how deep?
Definition
4 cm
Term
Deep palpation assesses what?
Definition
By using one or two hands, the size and contour of organs can be determined.
Term
Percussion is used to evaluate what four attributes within a client?
Definition
Percussion is used to (1) evaluate the size, borders and the consistency of internal organs, (2) to detect tenderness, (3) to detect tenderness, and (4) to determine the extent of fluid in a body cavity.
Term
There are two types of percussion. They are...?
Definition
Direct Percussion & Indirect Percussion
Term
What kind of percussion involves the striking of a finger or a hand directly against the client's body?
Definition
Direct percussion
Term
What type of percussion involves the use of both hands and is done by different methods depending upon which body system is being assessed?
Definition
Indirect percussion
Term
The five percussion TONES are...?
Definition

Tympany

Resonance

Hyperresonance

Dullness

& Flatness

Term
What is the tone heard from indirect percussion of the lungs?
Definition
Resonant
Term
What is the tone heard from indirect percussion of bone & muscle?
Definition
Flat
Term
What is the tone heard from indirect percussion of the viscera & liver borders?
Definition
Dull
Term
What is the tone heard from indirect percussion of the stomach and gass bubbles in the intestines?
Definition
Tympanic
Term
What is the tone heard from indirect percussion of the kungs in which air is trapped as in emphysema?
Definition
Hyperresonant
Term
What is the act of listening to sounds within the body called?
Definition
Auscultation
Term
What piece of equipment is used most commonly for auscultation?
Definition
Stethoscope
Term
What examination position places the client flat on their abdomen?
Definition
The Prone position
Term
What are the 4 characteristics of sounds heard through auscultation?
Definition

Intensity

Pitch

Duration

Quality

Term
The INTENSITY of a sound is what?
Definition
Intensity is the loudness of a sound.
Term
The intensity of a sound can be described in what three ways?
Definition

Soft

Medium

&

Loud

 

Term
What are the two most common positions of the client during the examination process?
Definition
The sitting and supine positions
Term
How many examination positions are there?
Definition
Eight positions
Term
Sitting Upright is called what examination positon?
Definition
Sitting position
Term
What examination position has the client lying on his/her back with their legs straight & flat upon the table?
Definition
Supine position
Term
What examination position has the client lying on their back with their legs bent at the knees?
Definition
The dorsal recumbent position
Term
What examination position places the client on their back with their ankles held up within stirrups?
Definition
The Lithotomy position
Term
What three examination positions may be difficult for clients with arthritis or joint deformities to assume?
Definition
The Lithotomy, Sims, and the Knee-chest positions
Term
What examination position places the client on their abdomen with one leg flexed to the side at the hip and bent at the knee?
Definition
The Sims Position
Term
The examination position places the client lying on their side?
Definition
The Lateral recumbent position
Term
What examination position places the client on their knees, face down toward the table and their ass in the air?
Definition
the knee-chest position
Term
what areas of the body are easily accessed for examination by the sitting position?
Definition
the head,neck, back, posterior thorax & lungs, anterior thorax & lungs, breasts, axilla, heart, vital signs, and the upper extremities.
Term
What areas of the body are easily accessed by the supine position?
Definition
The head, neck, anterior thorax & lungs, breasts, axilla, heart, abdomen, extremities, and the pulses.
Term
the dorsal recumbent position provides easy access to what areas of the body?
Definition
The head, neck, anterior thorax & lungs, the breasts, axilla, heart, & abdomen.
Term
The lithotomy position provides easy access to what areas of the body?
Definition
The female genitalia and the genital tract.
Term
the Sims position provides easy access to what areas of the body?
Definition
The rectum and the vagina.
Term
The prone position provides access to what areas of the body?
Definition
The musculoskeletal system
Term
The lateral recumbent position provides easy access to what area of the body?
Definition
The heart
Term
The knee-chest position of examination provides easy access to what area of the body?
Definition
the rectum
Term
What is the rationale for the sitting position of examination?
Definition
The sitting position provides for full expansion of the lungs and provides the examiner with a better visualization of the symetry of the upper body parts.
Term
What is the rational of the supine position of examination?
Definition
The supine position is the most normally relaxed position and it provides easy access to all pulse sites.
Term
What is the rational for the Dorsal recumbent position of examination?
Definition
The dorsal recumbent position is used for abdominal assessment as it promotes relaxation of the abdominal muscles.
Term
What is the rationale of the lithotomy position of examination?
Definition
The lithotomy position provides maximal exposure of the genetalia and it fascilitates the insertion of a vaginal speculum.
Term
What is the rational of the Sims position?
Definition
The sims position with its flexion of the hip & knee provides for improved exposure of the rectum.
Term
What is the rationale of the prone position of examination?
Definition
The prone position is used only to access the extension of the hip joint.
Term
What is the rationale of the lateral recumbent position of examination?
Definition
The lateral recumbent position aids in the detection of heart murmurs.
Term
What is the rationale for the knee-chest position of examination?
Definition
The knee-chest position provides for maximal exposure of the rectal area.
Term
The diaphragm of the stethoscope is used to hear what type of sounds?
Definition
High-pitched sounds
Term
What are exampples of high-pitched sounds heard by the diaphragm of the stethoscope?
Definition
breath sounds,bowel sounds, & normal heart sounds
Term
The bell of the stethoscope ismeant for listening to what type of sounds?
Definition
low-pitched sounds
Term
What are examples of low-pitched sounds heard by the bell of the stethoscope?
Definition
extra heart sounds and vascular sounds (bruit)
Term
How should the diaphragm of the stethoscope be held against the skin of the client?
Definition
firmly against the skin
Term
How should the bell of the stethoscope be held against the skin of the cliet.
Definition
lightly,just enough to ensure a complete seal around the bell.
Term
To screen for visual acuity, what is the name of the eye chart that contains 11 lines of letters decreasing in size and 2 horizontal red & green lines of varying length?
Definition
It is the Snellen's Chart.
Term
The Snellen's chart for children and non-english speaking individuals uses what symbol instead of letters?
Definition
The E chart, also known as the table with legs chart.
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