Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

HAP > 4. Assessment Techniques; General Survey; Vital Signs; Pain > Flashcards

4. Assessment Techniques; General Survey; Vital Signs; Pain Flashcards

(42 cards)

Start Studying
1
Q

what is the order of assessment?

A
  • inspection
  • palpation
  • percussion
  • auscultation
  • *not for abdominal assessment**
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are some characteristics/qualities that can be assessed via palpation?

A
  • texture
  • temperature
  • moisture
  • organ location/size
  • swelling
  • vibration/pulsation
  • crepitation
  • abnormal lumps/masses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

fingers and thumbs are used to ______ during an assessment?

A

grasp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

back of the hand is called?

A

dorsa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what kinds of information can percussion provide?

A
  • Mapping out location and size of an organ
  • Signaling density of a structure (air, fluid, solid)
  • Detecting abnormal masses
  • Detecting tenderness
  • Eliciting deep tendon reflexes (percussion hammer)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are you listening for when performing indirect percussion?

A
  • amplitude
  • pitch
  • quality
  • duration
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

define auscultation

A

to listen to body sounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the general survey?

A
  • aids in the formation of global impression of the person

- includes physical appearance, body structure, mobility, and behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

physical appearance: overall appearance

normal: ?
abnormal: ?

A

Normal: appears stated age, facial features, movements and body are symmetrical

Abnormal: appears older than stated age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

physical appearance: hygiene, dress

normal: ?
abnormal: ?

A

Normal: well-groomed; clean clothing

Abnormal: appears disheveled, malodorous, ill-fitting clothes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

physical appearance: sexual development

normal: ?
abnormal: ?

A

Normal: appropriate for age and gender

Abnormal: delayed or early puberty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

physical appearance: skin color

normal: ?
abnormal: ?

A

Normal: even tone, normal for ethnicity, no lesions

Abnormal: discoloration (pallor, cyanosis, jaundice, etc.) or lesions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

physical appearance: facial features

normal: ?
abnormal: ?

A

Normal: symmetric, no distress

Abnormal: drooping, grimacing, mask-like

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

body structure: stature

normal: ?
abnormal: ?

A

Normal: height in normal range for age, gender, genetic heritage

Abnormal: gigantism, dwarfism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

body structure: nutrition

normal: ?
abnormal: ?

A

Normal: weight in normal range for height and build, even body fat distribution

Abnormal: cachexia, anorexia nervosa, cushing syndrome, obesity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

body structure: symmetry

normal: ?
abnormal: ?

A

Normal: equal bilaterally, relative proportion

Abnormal: atrophy, hypertrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

body structure: posture

normal: ?
abnormal: ?

Study These Flashcards
A

Normal: erect

Abnormal: lordosis, kyphosis, scoliosis, slumped

18
Q

body structure: position

normal: ?
abnormal: ?

Study These Flashcards
A

Normal: comfortable, relaxed

Abnormal: tripod position, fetal position

19
Q

body structure: body build

normal: ?
abnormal: ?

Study These Flashcards
A

Normal: arm span equal to height and crown to pubis equal to pubis to sole, no obvious deformities

Abnormal: Marfan syndrome, missing extremities or digits, shortened limbs, webbed digits

20
Q

mobility: gait
normal: ?
abnormal: ?

Study These Flashcards
A

Normal: shoulder-width base, proper arm swing, smooth/even/balanced

Abnormal: wide base, shuffling, dragging, limping

21
Q

mobility: ROM
normal: ?
abnormal: ?

Study These Flashcards
A

Normal: smooth and coordinated, no involuntary movements

Abnormal: limited, stiff, uncoordinated, jerky, paralysis, tics, tremors

22
Q

emotional/mental status: behavior

normal: ?
abnormal: ?

Study These Flashcards
A

Abnormal: agitation, confusion, lethargy

23
Q

what are the assessment techniques for vital signs?

Study These Flashcards
A

inspection, palpation, and auscultation

24
Q

what are considered vital signs?

Study These Flashcards
A
  • temperature
  • pulse
  • respirations
  • blood pressure
  • O2 saturation
  • pain
25
what are some important measurements to take during the assessment?
height, weight, BMI, waist circumference,
26
what is the normal oral temperature range?
35. 8 C - 37.3 C | 96. 4 F - 99.1 F
27
what is the normal rectal temperature?
0.5 C (1 F) higher than oral temp
28
what is normal axillary temperature?
0.5 C (1 F) lower than oral temp
29
what assessment technique is used to take someone's pulse?
palpation of the radial pulse
30
pulse: what is normal rate? how long do you count?
60 - 100 bpm - regular: count for 30 seconds - irregular: count for 1 min.
31
respirations: what is normal rate? how long do you count?
12 - 20 respirations/min - regular: count for 30 seconds and * 2 - irregular: count for 1 min
32
what is systolic BP?
maximum pressure during left ventricular contraction; or systole
33
what is diastolic BP?
resting pressure or pressure that blood exerts constantly between each contraction; diastole
34
what is normal BP?
<120/80 mmHg | sky/dirt ->working heart/resting heart
35
what is proper positioning when measuring BP?
- arm at heart level | - legs uncrossed
36
blood pressure varies on...
age, weight, exercise, emotions, stress, etc.
37
what is a korotkoff sound?
what you are listening for with the stethoscope while doing blood pressure
38
phase 1 of BP measurement: | key points
- first sound heard is the systolic blood pressure
39
phase 2 of BP measurement: | key points
- soft swooshing sound due to turbulent blood flow through partially occluded artery - the sound heard throughout the majority of time between systolic and diastolic pressures
40
phase 3 of BP measurement: | key points
- crisp, high-pitch knocking sound | - may occur as brachial artery opens more but still closes shortly before diastole
41
phase 4 of BP measurement: | key points
- abrupt muffling of sound | - typically occurs ~10mm Hg above diastolic BP
42
phase 5 of BP measurement: | key points
- last audible sound is the diastolic BP

HAP (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions