208 Concept: Communication: topics assessment techniques Flashcards
(32 cards)
Concentrated watching, careful scrutiny
Inspection
Apply sense of touch to confirm points noted during inspection.
Palpation
Tapping to assess underlying body structure.
Percussion
Selective listening to body sounds.
Ascultation
Use of both hands to delimit an organ.
Bi-manual palpation.
True or false: You can auscultate over a gown.
False.
What order to you follow when using the assessment techniques? Are there any exceptions?
Inspection
Palpation (light to deep)
Percussion
Auscultation
Yes, this changes for an abdominal assessment to inspection, auscultation, percussion, palpation.
The primary piece of equipment used for auscultation is a(n):
stethoscope
The diaphragm of a stethoscope is used to assess:
a) bowel sounds
b) normal heart sounds
c) breath sounds
d) all of the above
(d)
The bell end of a stethoscope is used to:
a) recheck sounds heard with the diaphragm
b) assess sound in an infant or small child only
c) assess heart murmurs
d) assess lung sounds
c) assess heart murmurs
Inspection begins:
a) with a general body survey
b) after palpation is complete
c) after informed consent is obtained
d) with the skin
a) with a general body survey
Skin palpation is used to assess:
a) skin temperature
b) core body temperature
c) degree of fever
a) skin temperature
Skin texture is best assessed by the:
a) back of the hands
b) palms
c) fingertips
c) fingertips
Vibrations are best detected by using the
:a) fingertips
b) base of the fingers
c) palms
b) base of fingers
Deep palpation of the abdomen should be:
a) slow and continuous
b) intermittent
c) brief and with both hands
d) performed only if the person is sedated
b) intermittent
Normal percussive note heard over a child’s lung field:
a) resonant
b) hyper-resonant
c) flat
d) dull
b) hyper resonant
The sound expected when percussing the intestine:
a) musical kettledrum
b) booming bass drum
c) muffled thudding
d) hollow reed like
a) musical kettledrum
What are considerations in toddlers for physical assessment?
In a parent’s lap with a security item such as a teddy bear.
What are considerations for older adults for physical assessment?
On the examination table; slow the pace of the exam.
What are considerations for adolescents for physical assessment?
On the examination table; examine without a parent
What are considerations for school aged children for physical assessment?
On the examination table; demonstrate equipment
What are considerations for 6 month old for physical assessment?
In parent’s lap 1-2 hours after eating
What are considerations for a pre-schooler for physical assessment?
Parent present; use games in the examination
When is the standard head-to-toe sequence implemented for children?
School-aged children.The standard head-to-toe sequence is implemented with the school-age child. Although the preschool-age child is usually cooperative, it is still best to examine the thorax, abdomen, extremities, and genitalia first, followed by the head, eye, ear, nose, and throat. The standard head-to-toe sequence is implemented with the school-age child. In the infant, the least distressing steps are performed first, followed by the invasive steps of the examination (eye, ear, nose, and throat). The toddler still has the least distressing steps performed first followed by the invasive steps of the examination (eye, ear, nose, and throat).
