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HA- CH 5
Health Assessment
| Question | Answer |
|---|---|
| refers to a visual exam of body, including body movement and posture | inspection |
| involves the use of the nurses hands tp feel texture, size, shape, consistency, and location | palpation |
| part of hands most sensitive to vibrations | ulnar surface of hands |
| part of hand that best detects position, texture, size, etc | palmar surface of hands (fingers and fingerpads) |
| the act of listening sounds within the body | auscultation |
| involves the striking of a finger or hand directly against a pt body | percusion |
| a loud, high-pitched sound heard over abdomen | tympany |
| is heard over normal lung tissue | resonance |
| is heard in overinflated lungs | hyperresonance |
| is heard over the liver | dullness |
| is heard over bones and muscles | flatness |
| what is the percussion tones of the lungs? | tone- resonant.....intensity- loud......pitch- low....duration- long.......quality- hollow |
| what is the percussion tones of the bones and muscles? | tone- flat....intensity-soft...pitch-high...duration-short...quality-extremely dull |
| what is the percussion tones of the viscera and liver borders? | tone-dull...intensity-medium...pitch-med high...duration-medium...quality-thudlike |
| what is the percussion tones of the stomach and gas bubbles in intestines? | tone-tympanic...intensity-loud...pitch-high...duration-medium...quality-drumlike |
| what is the percussion tones of the air trapped in lung? | tone-hyperresonant...intensity-very loud...pitch-very low...duration-longer...quality-booming |
| position used to assess head, neck, back, thorax, lungs, breasts, axillae, heart, vital signs, and upper extemities | sitting |
| position to assess head, neck, anterior thorax and lungs, breasts, axillae, heart, abdomen, extremities, pulses | supine |
| position used to assess head, neck, anterior thorax and lungs, breasts, axillae, heart, abdomen | dorsal recumbent |
| position used to assess female genitalia and gential tract | lithotomy |
| position used to assess rectum and vagina | sims |
| position used to assess musculoskeletal system | prone |
| position used to assess heart | lateral recumbent |
| position used to assess the rectum | knee-chest |