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Health Assess Ch.8
Assessment Tachniques and the Clinical Setting
Question | Answer |
---|---|
What are the 4 pieces of Physical Assessment? | Inspection, Palpation, Percussion, and Auscultation |
Inspection | Concentrated watching; begins as soon as the patient walk in; compare right and left side |
Palpation | Applies sense of touch to assess: texture, temp., moisture, swelling, vibration, etc. |
What are fingertips good for? | Best for fine tactile, such as texture, swelling, pulsation and lumps |
What are the grasping action of the fingers and thumb good for? | To detect the position, shape and consistency of an organ |
What is the dorsa of hands and fingers good for? | Best for determining temperature b/c skin is thinner than on palms |
What are the base of fingers good for? | Best for vibration |
Percussion | Tapping the person's skin with short, sharp strokes to assess underlying structures |
Direct percussion | The striking hand directly contacts the body wall; sound and tenderness |
Indirect percussion | The strinking hand contacts the stationary hand fixed on the person's skin; vibration |
Auscultation | Listening to sounds using a stethoscope; Assess heart, lungs, and abdomen(bowel) |
Diaphragm of Stethocope | Flat; Best used for high-pitched sounds- breath, bowel, and normal heart sounds |
Bell of Stethocope | Deep, hollow cuplike shape; Best for soft-pitched sounds- heart murmurs |
The examination room should be: | Warm, comfortable, quiet, private, well lit, no interruptions and have equipment ready |
What is an otoscope used for? | The ear |
What is an opthalmoscope used for? | The eye |
Nosocomial infection | An infection acquired during hospitalization |
Standard Precautions | Intended for use with all patients regardless of their risk or presumed infection status |
Standard Precautions apply to: | Blood; Bodily fluids, secretions, & excretions except sweat; nonintact skin; mucous membrane |
Transmission-Based Precautions | Intended for use with patients w/ documented transmissible infections |
Three Types of Transmission-Based Precautions | Airborne, Droplet, and Contact |
General Approach to the Clinical Setting | Consider your emotional state and that of the person being examined; Be confident |
During and Ending of Examination | Always inform the patient what you are doing, and summarize your findings at the end |