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
Phys. Assess Ch. 8
| Question | Answer |
|---|---|
| What is subjective data? | individual's own perception of the health state |
| What is objective data? | signs perceved by the examiner through the physical examination |
| What does a physical examination require? | that the examiner develops technical skills and a knowledge base |
| What does a knowledge base enable you to do? | look for data, rather than just look at |
| What will you use during an examination? | your senses |
| What are the skills used for an examination? | inpection, palpation, percussion, and auscultation |
| What is inspection? | concentrated watching |
| When does inspection begin? | the moment you first meet the person |
| What does inpection require? | good lighting, adequate exposure, and occasional use of certain instruments |
| What does palpation usually confirm? | What you noted during inspection |
| What do you assess during palpation? | texture, tempurature, moisture, organ location and size, swelling, vibration, lumps |
| What are your fingertips used for during palpation? | feeling texture, swelling, pulsation, and lumps |
| What is the grasping action of the fingers and thumb used for? | to detect the position and shape of an organ or mass |
| What are the back of the hands used for? | temperature |
| What are the base of the fingers used for? | vibration |
| What kind of palpation do you start with? | light |
| What is bimanual palpation? | palpation using both hands |
| What is percussion? | tapping the persons skin with short, sharp strokes to assess underlying structures |
| What does the sounds and vibrations depict? | location, size, and density of underlying organ |
| What is percussion used for? | location and size of organ, density (air), detecting mass, eliciting pain, eliciting reflex |
| What are the 2 methods of percussion? | Direct and indirect |
| What is direct? | the striking hand directly strikes the body wall |
| What is indirect? | used more often and usually has to use both hands |
| How many times do you strike while doing percussion? | 2 times |
| What is amplitude sound? | loud or soft sound. louder=greater |
| What is pitch sound? | the number of vibrations per second |
| What is quality sound? | a subjective difference due to a sound's distinctive overtones |
| What is duration sound? | the length of time the note lingers |
| What do organs with air sound like? | loud, deep, and longer |
| What do organs with little air sound like? | softer, higher, shorter |
| What is auscultation? | listening to sounds produced by the body such as the heart and blood vessels and lungs and abdomen |
| What is the diaphragm of a stethoscope used for? | breath, bowel and heart because it is best for high pitched sounds |
| What is the bell used for on a stethoscops? | best for soft low pitched sounds, extra sounds |
| What confusing artifacts should you take care of before auscultation? | extra noise, warm room, clean equipment, wet chest hair, don't listen through gown |
| How should the room be during exam? | warm and comfortalbe, quiet, private and well lit |
| What is an otoscope? | funnels light into the ear canal and onto the typanic membrane |
| What is an ophthalmoscope? | illuminate the internal eye structures |
| What are the 5 dif. parts of a ophthalmoscope? | viewing aperture, selector dial on front, mirror window, lens selector dial, and lens indicator |
| What is the large aperture used for? | dilated pupils |
| What is the small for? | undilated pupils |
| What is the red free filter aperture used for? | examine the optic disc for hemorrhage (black) and melanin (gray) |
| What is the grid aperture used for? | to determine fixation pattern and to assess size and location of lesions on the fundus |
| What is the slit aperture used for? | to examine the anterior portion of the eye and to assess elevation or depression of lesions on the fundus |
| What do the black numbers on the ophthalmoscope used for? | positive lens |
| What do the red numbers on the ophthalmoscope used for? | negative lens |
| What is a goniometer used for? | joint range of motion |
| What is a doppler sonometer used for? | to augment pulse or BP measurement |
| What is a fetoscope used for? | auscultation fetal heart tones |
| What is a pelvimeter used for? | measure pelvic width |
| When do you wash your hands? | before and after contact with patients, after inadvertent contact with blood or body fluids and after contact with any equipment that is contaminated and after removing gloves |
| What are standard precautions? | are used to reduce the risk of transmission of organisms from both recognized and unrecognized sources |
| When are standard precautions used? | when there is blood, body fluids, nointact skin or mucous membranes |
| What is transmission based precautions? | used with patients with documents or suspected transmissible infections |
| What are the 3 types? | airborne, droplet, and contact |
| How can anxiety be reduced? | if the examinar is confident and self assured |
| How do you begin an exam? | getting a person's height, weight, BP, temp, pulse and respirations |
| When do you wash your hands? | When you enter the patients room |
| T or F: do you explain each step in the exam and explain how the person can cooperate? | TRUE |
| What do you touch first on a patient? | Their hands |
| What do you concentrate on? | one step at a time |
| T or F: you can write out the exam sequence and refer to it? | TRUE |
| What do you do at the end of the exam? | summarize findings and share necessary info. with the patient |
| What should you do when you leave a hopitalized person? | lower the bed, make comfortable, put things back the way they were |
| Erikson defines the major task of infancy is? | establishing trust |
| Where should an infant be during exam? | on exam table or parent holding |
| When is the best time to listen to a baby? | while sleeping |
| What should you save for last when examing infants? | eye, ear, nose, and throat |
| Where should a toddler be during exam? | parents lap |
| Who should you acknowledgy first when a patient is 1 to 6 years of age? | parents |
| Who undresses a toddler? | parents |
| Where should a 4 or 5 yr old be during an exam? | on the table |
| What can a preschooler do by themselves? | talk and undress |
| What should you not allow when there is none? | choice |
| What should you do when a toddler is corroperating? | compliment them |
| What should you exam last with an adult? | genitalia |
| What should you try to use with an aging person? | touch |
| Do not mistake diminished vision or hearing for? | Confusion |
| What is collecting a mini data base? | collecting a small amount of date with a person is in distress (breathing etc.) |
Created by:
alicia.rennaker
Popular Nursing sets