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Flashcards in Intro to Health Assessment Deck (16)
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1

What are the four techniques used to assess a patient?

1. Inspection- eyes, smell
2. Palpation- hands
3. Percussion- fingers or hands
4. Auscultation- ears

2

What is inspection?

Looking at the patient, listening for natural sounds, and use the sense of smell to detect odors

3

What things should the nurse look for when using inspection?

Look for symmetry of the patient's sides, etc. (look for any abnormalities)

4

What characteristics would a nurse be looking for when she palpates a patient?

1. size
2. shape
3. location
4. mobility
5. position
6. vibrations
7. temperature
8. texture
9. moisture
10. tenderness
11. edema

5

What is fremitus?

Vibration felt by a hand placed on the chest during coughing or speaking (EX: "Say 99 each time I lay my hand down")

6

What are the different sounds that a nurse would hear during percussion?

1. Tympani
2. Resonance
3. Hyperresonance

7

What is a tympani sound in the human body?

loud, high-pitched, drum like tone (air filled stomach)

8

What is a resonance sound in the human body?

loud, low-pitched, hollow tone (air filled lungs= hollow)

9

What is a hypperresonance sound in the human body?

abnormally loud, low tone of longer duration than resonance (Emphysematous lung= hyperinflated)

10

What part of the body makes a flat sound?

bone or muscle

11

What part of the body makes a dull sound?

heart, liver, or spleen

12

What is a nurse looking for when Ausculating

1. intensity
2. pitch
3. duration
4. quality

13

What order should the four techniques be used?

1. inspect
2. palpate
3. percuss
4. auscultate

14

What order should the four techniques be used for the abdomen?

1. inspect
2. auscultate
3. Palpate
4. Percuss

15

Is systolic the top or bottom number of blood pressure, and does it occur when the heart is contracting or resting?

it is the top number and it occurs when the left ventricle contracts

16

Is diastolic the top or bottom number of blood pressure, ad does it occur when the heart is contracting or resting?

It is the bottom number, and it occurs when the heart is resting