Exam 2 - Chapter 26 (Health Assessment)

Question 1

Types of HEalth Assessnments

Answer 1

Comprehensive
Ongoing Partial
Focused
Emergency

Question 2

What is a Comprehensive Health Assessment?

Answer 2

This is broad and includes a complete health history and physical assessment

Question 3

What is a Focused HEalth Assessment

Answer 3

Is conducted to assess a specific problem

Question 4

What is a Emergency Health Assessment

Answer 4

It is a type of rapid focused assessment conducted when addressing a life-threatening or unstable situation

Question 5

What is Ongoing Partial Health Assessment

Answer 5

It is one that is conducted at regular intervals during care of the patient

Question 6

Considerations when performing health assessment

Answer 6

Lifespan Considerations
Cultural Considerations and Sensitivity
Patient Preparation
Environmental Preparations

Question 7

Factors to Assess During a Health History

Answer 7

Biographical Data
Reason for Seeking Health Care
History of Present Illness
Past Health History
Family History
Functional Health

Question 8

Preparing for Physical Assessment (1)

Answer 8

Agree on a time for the assessment

Question 9

Preparing for Physical Assessment (2)

Answer 9

Make sure patient is as free of pain as possible and empty bladder

Question 10

Preparing for Physical Assessment (3)

Answer 10

Explain the procedure answers questions directly and honestly

Question 11

Preparing for Physical Assessment (4)

Answer 11

Provide a gown and drape for the patient

Question 12

Preparing for Physical Assessment (5)

Answer 12

Gather the supplies and instruments needed

Question 13

Preparing for Physical Assessment (6)

Answer 13

Provide a curtain or screen if the area is open to others

Question 14

Techniques used during a Physical Assessment

Answer 14

Inspection
Palpation
Percussion
Auscultation

Question 15

Inspection

Answer 15

Assessing Size, Color, Shape, Position, And Symmetry

Question 16

Palpation

Answer 16

Assesssing Temperature, Turgor, Texture, Moisture, Vibrations, And Shape

Question 17

Percussion

Answer 17

Assessing Location, Shape, Size, And density of tissuese

Question 18

Auscultation

Answer 18

Assessing the four characteristics of sound, that is, pitch, loudness, quality, and duration

Question 19

Characteristics of MAsses Determined by Palpation

Answer 19

Shape
Size
Consisstency
Surface
Mobility
Tenderness
Pulsating

Question 20

Erythema

Answer 20

Redness of the skin, caused by dilation of superficial blood vessels

Question 21

Cyanosis

Answer 21

Blueish or grayish discoloration of the skin in response to inadequate oxygenation

Question 22

Jaundice

Answer 22

A yellow color of the skin resulting form elevated amounts of bilirubin in the blood

Question 23

Pallor

Answer 23

Paleness of the skin

Question 24

Ecchymosis

Answer 24

Collection of blood in the cubcutaneous tissues

Question 25

Petechiae

Answer 25

Small hemorrhagic spots caused by capillary bleeding.

Question 26

Diaphoresis

Answer 26

Exccessive amount of perspiration, such as when the entire skin is mosit

Question 27

Bronchial Breath Sounds

Answer 27

Heard over the larynx and trachea and are high-outched, harsh blowing sounds with sound of expiration being longer than inspiration

Question 28

Bronchovesicular Breath Sounds

Answer 28

Heard over the mainstem bronchus and are moderate blowing sounds

Question 29

Vesicular Breath Sounds

Answer 29

Soft-Low pitched whispering sounds heard over most of lung fields

Question 30

Adventitious Breaht Sounds

Answer 30

Not normally heard in the lungs and result from air movement through moisture

Question 31

Assessling Level of Awareness

Answer 31

Time, Place, Person, Situation

Question 32

Sound Heard: Pitch

Answer 32

Ranging from high to low

Question 33

Sound Heard: Loudness

Answer 33

Ranging from soft to load

Question 34

Sound Heard: Quality

Answer 34

For example, gurgling or swishing

Question 35

Sound Heard: Duration

Answer 35

Short medium or long

Question 36

Common Thorax and Lung Variations in Older Adults

Answer 36

Increased Anteroposterior Chest Diameter Increase in the dorsal spinal curve (kyphosis) Decrease thoracic expansion Uce of accesory muscles to exhale

Question 37

Where is the best sound heard in the abdominal quadrants?

Answer 37

Left Lower Quadrant

Question 38

Common Abdominal Variations in Older Adults

Answer 38

Decreased bowel sounds Decreased abdominal tone Fat accumulation on the abdomen and hips

Question 39

Common Cardiovascular and Peripheral Vascular Variations in Older Adults

Answer 39

``` Difficult-To-Palpate Distal Arteries Dilated Proximal Arteries More prominent and toruous blood vessels Increased BP Widening Pulse Pressure ```