Chapter 3—Techniques

Question 1

position best for respiratory distress

Answer 1

Fowler’s

Question 2

position best for checking peripheral pulse

some pts sleep

Answer 2

supine

Question 3

position good for assessing hip joints, back

some surgical procedures

complications may occur with cardiac/respiratory disorders

Answer 3

prone

Question 4

position used for procedures

low BP, postural drainage

promotes venous return

insertion of central catheter on chest

Answer 4

Trendelenburg’s

Question 5

position for lower abdominal surgeries

Answer 5

reverse Trendelenburg’s

Question 6

position providing comfort for patient

top leg flexed to prevent adduction & rotation of hip

Answer 6

lateral

Question 7

position good for any insertion into anus

Answer 7

Sims’

Question 8

position good for respiratory issues

allows for easier breathing

fluid drainage in surgery

thoracocentesis

Answer 8

orthopneic

Question 9

position for gyn exam

Answer 9

lithotomy

Question 10

position for rectal exam

Answer 10

knee-chest

Question 11

position for exam of head, neck, chest, extremities

not ideal to assess abdomen

Answer 11

dorsal recumbent

Question 12

position for colorectal surgery

Answer 12

jackknife

Question 13

position for general surgical procedures

Answer 13

kidney position

Question 14

Answer 14

Fowler’s

Question 15

Answer 15

supine

Question 16

Answer 16

prone

Question 17

Answer 17

Trendelenburg’s

Question 18

Answer 18

reverse Trendelenburg’s

Question 19

Answer 19

lateral

Question 20

Answer 20

sims

Question 21

Answer 21

orthopneic

Question 22

Answer 22

lithotomy

Question 23

Answer 23

jackknife

Question 24

Answer 24

kidney

Question 25

4 assessment techniques in order

Answer 25

inspection palpation percussion auscultation

Question 26

exception to assessment order

Answer 26

abdominal inspection auscultation palpation percussion

Question 27

3 surfaces for palpation & purposes

Answer 27

Finger pads - fine discrimination Ulnar surface - vibrations, thrills, fremitus Dorsal surface - temperature

Question 28

light, moderate, deep depth of palpation

Answer 28

light - 1 cm to 1/4 inch moderate - 1-2 cm deep - 2-4 cm

Question 29

looking for these variables when palpating

Answer 29

Tenderness, texture, temperature, size, shape, moisture, mobility, consistency

Question 30

percussion

Answer 30

tapping & listening

Question 31

resonance

Answer 31

over part air, part solid loud, low, long length, hollow ex normal lung

Question 32

hyperresonance

Answer 32

over mostly air very loud, low, long length, booming ex lung c emphysema

Question 33

tympany

Answer 33

over air loud, high, moderate length, drumlike ex puffed out cheek, gastric bubble

Question 34

dullness

Answer 34

over more solid tissue medium volume, medium pitch, moderate length, thudlike ex liver, diaphragm, pleural effusion

Question 35

flatness

Answer 35

over very dense tissue soft, high, short length, flat ex muscle, bone, sternum, thigh

Question 36

\_\_\_\_\_\_ is larger side of stethoscope used for higher sounds \_\_\_\_\_ is smaller side used for lower sounds

Answer 36

diaphragm bell

Question 37

when should you not p/p abdomen?

Answer 37

AAA (abdominal aortic aneurysm) Wilms’ tumor appendicitis organ transplant

Question 38

direct percussion

Answer 38

tap directly on skin

Question 39

indirect percussion

Answer 39

use nondominant hand as barrier - tap your own hand on pt's skin

Question 40

blunt percussion

Answer 40

strike ulnar surface of fist against your nondominant hand, held flat against pt's skin