Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
RNSG 1413
CHAPTER 16 Health Assessment and Physical Exam
| Question | Answer |
|---|---|
| A complete health assessment involves | Nursing history, behavioral assessment, and physical exam |
| Purpose of health exam | To gather information about the patient's health status from the health history |
| What are the five skills involved in a comprehensive physical assessment? | Inspection, palpation, percussion, auscultation and olfaction |
| Inspection | The use of vision to distinguish normal from abnormal findings. |
| Palpation | The use of the hands to touch body parts and make sensitive assessments. |
| Palpate skin for | Temperature, moisture, texture, turgor, tenderness and thickness. |
| Inspect each area for | Size, shape, color, symmetry, position and abnormalities. |
| Percussion | Tapping the body with the fingertips to produce a vibration that travels through body tissues. |
| Auscultation | Listening for sounds produced by the body. |
| Olfaction | Smelling |
| Positions for examination | Sitting, Supine, Dorsal recumbent, Lithotomy, Sims, Prone, Lateral recumbent, Knee-chest |
| Sitting | Provides full expansion of lungs and better visualization of symmetry of upper body part. Used for assessing head, neck and back upper extremities. |
| Supine (back laying) | Most normally relaxed position. It provides easy access to pulse sites. |
| Dorsal recumbent | Position used for abdominal assessment. |
| Dorsal recumbent | Laying on the back with knees bent and feet flat on surface. |
| Crackles | Fine crackling, high-pitched |
| Rhonchi | Loud, low-pitched, rumbling coarse sounds heard either during inspiration or expiration, may be cleared by coughing |
| Wheezes | High-pitched, continuous musical sounds such as a squeak heard continuously during inspiration or expiration, usually louder on expiratation. |
| Pleural friction rub | Dry, grating quality heard during inspiration, does not clear with cough, heard loudest over lower lateral anterior surface. |
| Point of maximal impulse (PMI) | Fifth intercostal space at lef midclavicular. (Apex of heart is found here) |
| Types of assessment | Comprehensive Focused |
| Methods of data collection | Interview, Observation, Physical assessment |
| Components of the health history | Biographical data Current health status Past health history Family history Review of systems Psychosocial profile |
Created by:
pdimple
Popular Nursing sets