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