unit 2- physical assessment

  1. name some guidlines to facilitate performing a physical assessment.
    • good lighting
    • providing a quiet an dcomfortable environment temp
    • looking and observing before touching
    • keeping nails shorts and hands and stethescope warm
    • completely exposing the body part to be inspected while draping the client appropriately
    • abstaining through feeling or listening through clothing
    • preparing all necessary equipment and having it readily available
    • using standard percautions when in contact w/ body fluids, wound drainage, and open lesions
    • writing down any values that may be forgotten by end of exam
  2. assessment techniques are done in the order of?
    inspection, palpation, percussion and auscultation
  3. in what order do you perform and assessment on the abdomen?
    inspection, ausculatation, percussion and palpation
  4. what is the dorsal surface of the hand most sensitive to?
    temperature
  5. what is the ulnar surface of the hand most sensitive to?
    vibration
  6. what are the finger tips most sensitive to?
    pulsation, position, texture, size and consistency
  7. what are the fingers and thumbs used for?
    grab an organ or mass
  8. what does or can percussion indicate?
    size, location, tenderness and presence or absence of fluid or air in body organs
  9. what is direct percussion? indirect? fist?
    • direct= examiner produces sounds by striking the clients body to illicit sounds
    • indirect= examiner's hand is placed flatly on the client's body as the striking surface for sound production
    • fist= used to assess for tenderness over kidneys, liver and gallbladder
  10. what is the bell of the stethescope used for?
    low-pitched sounds
  11. which of the following is true regarding inspection?



    C. adequate time should be allowed
  12. identify the location where the following percussion sounds are normally produced in the body.
    tympany
    resonance
    dull
    flat
    • gastric bubbles
    • lungs
    • liver
    • muscles
  13. which assessment technique would be used for the following. pick out of inspection, palpation, percussion, asculation.
    pupil size
    ankle edema
    skin temp
    bowel sounds
    loose teeth
    liver size
    external ear
    kidney tenderness
    • pupil size= inspection
    • ankle edema= inspection, palpation
    • temp= palpation
    • bowel sounds= ausculation
    • loose teeth= inspection, palpation
    • liver size= palpation, percussion
    • external ear= inspection, palpation
    • kidney tenderness= percussion
Author
ski4me18
ID
78508
Card Set
unit 2- physical assessment
Description
unit 2- physical assessment techniques
Updated