208 Concept: Communication: topics assessment techniques Flashcards

1
Q

Concentrated watching, careful scrutiny

A

Inspection

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2
Q

Apply sense of touch to confirm points noted during inspection.

A

Palpation

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3
Q

Tapping to assess underlying body structure.

A

Percussion

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4
Q

Selective listening to body sounds.

A

Ascultation

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5
Q

Use of both hands to delimit an organ.

A

Bi-manual palpation.

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6
Q

True or false: You can auscultate over a gown.

A

False.

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7
Q

What order to you follow when using the assessment techniques? Are there any exceptions?

A

Inspection
Palpation (light to deep)
Percussion
Auscultation

Yes, this changes for an abdominal assessment to inspection, auscultation, percussion, palpation.

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8
Q

The primary piece of equipment used for auscultation is a(n):

A

stethoscope

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9
Q

The diaphragm of a stethoscope is used to assess:

a) bowel sounds
b) normal heart sounds
c) breath sounds
d) all of the above

A

(d)

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10
Q

The bell end of a stethoscope is used to:

a) recheck sounds heard with the diaphragm
b) assess sound in an infant or small child only
c) assess heart murmurs
d) assess lung sounds

A

c) assess heart murmurs

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11
Q

Inspection begins:

a) with a general body survey
b) after palpation is complete
c) after informed consent is obtained
d) with the skin

A

a) with a general body survey

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12
Q

Skin palpation is used to assess:

a) skin temperature
b) core body temperature
c) degree of fever

A

a) skin temperature

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13
Q

Skin texture is best assessed by the:

a) back of the hands
b) palms
c) fingertips

A

c) fingertips

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14
Q

Vibrations are best detected by using the
:a) fingertips
b) base of the fingers
c) palms

A

b) base of fingers

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15
Q

Deep palpation of the abdomen should be:

a) slow and continuous
b) intermittent
c) brief and with both hands
d) performed only if the person is sedated

A

b) intermittent

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16
Q

Normal percussive note heard over a child’s lung field:

a) resonant
b) hyper-resonant
c) flat
d) dull

A

b) hyper resonant

17
Q

The sound expected when percussing the intestine:

a) musical kettledrum
b) booming bass drum
c) muffled thudding
d) hollow reed like

A

a) musical kettledrum

18
Q

What are considerations in toddlers for physical assessment?

A

In a parent’s lap with a security item such as a teddy bear.

19
Q

What are considerations for older adults for physical assessment?

A

On the examination table; slow the pace of the exam.

20
Q

What are considerations for adolescents for physical assessment?

A

On the examination table; examine without a parent

21
Q

What are considerations for school aged children for physical assessment?

A

On the examination table; demonstrate equipment

22
Q

What are considerations for 6 month old for physical assessment?

A

In parent’s lap 1-2 hours after eating

23
Q

What are considerations for a pre-schooler for physical assessment?

A

Parent present; use games in the examination

24
Q

When is the standard head-to-toe sequence implemented for children?

A

School-aged children.The standard head-to-toe sequence is implemented with the school-age child. Although the preschool-age child is usually cooperative, it is still best to examine the thorax, abdomen, extremities, and genitalia first, followed by the head, eye, ear, nose, and throat. The standard head-to-toe sequence is implemented with the school-age child. In the infant, the least distressing steps are performed first, followed by the invasive steps of the examination (eye, ear, nose, and throat). The toddler still has the least distressing steps performed first followed by the invasive steps of the examination (eye, ear, nose, and throat).

25
Q

How should you hold a stethoscope against skin?

A

Hold the diaphragm firmly against the person’s skin strongly enough to leave a slight ring when it is removed.To use of the diaphragm end-piece of the stethoscope, hold the diaphragm firmly against the person’s skin strongly enough to leave a slight ring when it is removed. The diaphragm, not the bell, is best for high-pitched sounds, such as breath, bowel, and normal heart sounds. The bell of the stethoscope is held lightly against the patient’s skin, just enough that it forms a perfect seal. The flat edge of the stethoscope is called the diaphragm and is best for auscultating high-pitched, not low-pitched, sounds.

26
Q

What part of the hands is best used for fine tactile discrimination?

A

Fingertips. The fingertips are best used for fine tactile discrimination, such as for skin texture, swelling, pulsation, and determining presence of lumps. The dorsa (backs) of hands and fingers are best used for determining temperature because the dorsal skin is thinner than on the palms. The base of the fingers (metacarpophalangeal joints) or ulnar surface of the hand is best used to assess for vibration. A grasping action of the fingers and thumb is best used to detect the position, shape, and consistency of an organ or mass.

27
Q

Loudness or softness of sound.

A

amplitude (or intensity)

28
Q

Number of vibrations per second.

A

pitch (or frequency)

29
Q

A subjective difference in a sound’s distinctive overtones

A

quality (timber)

30
Q

the length of time a note lingers

A

duration

31
Q

What side of the stethoscope would you use to hear high-pitch sounds (breath, bowel, and normal heart sounds)

A

diaphragm

32
Q

What side of the stethoscope is best for low-pitched sounds such as extra heart sounds or murmurs.

A

bell endpiece