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Patient Assessment (Exam 3) > Physical Assessment Techniques (Ch. 6) > Flashcards

Physical Assessment Techniques (Ch. 6) Flashcards

(48 cards)

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1
Q

What are the 4 techniques for assessment?

A
  • inspection
  • palpation
  • auscultation
  • percussion
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2
Q

T or F: you should watch for emotional and mental status at the beginning of the encounter

A

False. You should watch through the history and physical assessment

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3
Q

What 3 elements does inspection depend on?

A
  • good lighting
  • adequate time
  • curiosity for looking beyond the obvious
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4
Q

T of F: the pads of your fingers are more sensitive than the tips

A

True

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5
Q

Which area of your hand is better for sensing vibrations?

A

The palm

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6
Q

Which area of your hand is better for evaluating temperature?

A

The back of the hand

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7
Q

How deep is light palpation?

A

1cm

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8
Q

How deep is deep palpation?

A

4cm

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9
Q

How deep does percussion produce sound waves?

A

4-6cm deep

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10
Q

Where should your fingers lie when percussing the chest?

A

Between the ribs, and parallel to them

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11
Q

Where should the earpieces of your stethoscope point when in use?

A

Anteriorly

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12
Q

T of F: In the abdomen, you should auscultation first, then palpate

A

True

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13
Q

What are the 4 main vital signs?

A
  • Heart Rate
  • Blood Pressure
  • Respiration
  • Temperature
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14
Q

Another word for circulatory

A

Hemodynamic

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15
Q

What are the 9 places you can find a pulse?

A
  • temporal
  • carotid
  • brachial
  • radial
  • ulnar
  • femoral
  • popliteal
  • dorsalis pedis
  • posterior tibial
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16
Q

What is the formula for BP?

A

Cardiac Output x Systemic Vascular Resistance = Blood Pressure

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17
Q

How long should you wait to take BP if you r patient has recently been smoking, exercising or eating?

A

5-10 minutes

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18
Q

When is a tilt test considered positive?

A
  • When pulse rate increases by 10-20BPM

- When systolic BP decreases by 10-20mmHg

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19
Q

When is a rectal thermometer preferred?

A
  • when the pt. is 6y/o or younger

- when a patient has an altered L.O.C.

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20
Q

Which is the least accurate place to measure temperature?

21
Q

How long is ideal stethoscope tubing?

Study These Flashcards
A

30-40cm (short tubing)

22
Q

True or False: aneroid sphygmomanometers are more accurate than mercury sphygmomanometers

Study These Flashcards
A

False. Mercury Sphyaofijasiofj’s (fuck the spelling) are more accurate

23
Q

T or F: Glass thermometers break easily and cannot record temps below 36*C

24
Q

What is Broselow Tape?

Study These Flashcards
A

A measuring tape for infants that provides important information regarding airway equipment and medication doses based on your patients length

25
What is the major disadvantage of the cardiac monitor?
It cannot tell you if the heart is pumping efficiently, effectively, or at all
26
Where does jaundice first present?
In the sclera of the eye
27
What kind of skin would you most likely find eczema or psoriasis?
Thick skin
28
What does poor turgor result from?
Dehydration
29
What does a mass that pulsates in all directions suggest?
An aneurysm
30
How far away should a pt. be from a visual acuity wall chart?
6m
31
How far away should you hold a visual acuity card from a pt.?
35cm from face
32
In the score 20/20, what does the first and second number mean?
- First number = distance away from chart | - Second number = distance a normal eye can read the line
33
What is proptosis?
A protruding eye
34
What is ptosis?
A drooping eye
35
What percentage of people have Anisocoria? (unequal pupils)
20%
36
T or F: Nystagmus is defined as a fine jerking of the eyes
True
37
What colour should the tympanic membrane be?
A pearly, translucent grey
38
If erosion of the nasal septum occurs, what drug is suspected to cause this?
Cocaine
39
What is epistaxis
A nose bleed
40
What part of the tongue are malignancies more likely to occur on?
The bottom and sides of the tongue
41
What are 3 chest wall abnormalities?
- Funnel chest - Pigeon chest - Barrel chest
42
What are 2 signs of chronic lung disease?
- Calloused elbows from tripodding | - Finger clubbing
43
Where should you listen to the heart sounds "lub" vs. "dub"
- "Lub" is sound 1 and can be heard at the apex of the heart | - "Dub" is sound 2 and can be heard at the base of the heart
44
What is normal venous pressure?
1-2cm
45
What are two examples of late signs of intra abdominal bleeding?
- Cullen's sign | - Grey-Turner sign
46
T of F: The lower the edema, the more severe the problem
False. The higher the edema, the more severe the problem
47
What are 4 ways to test memory and attention?
- Digit span - Serial events - Spelling backwards - Memory
48
What is the Romberg test?
Ask your patient to stand with feet together and her eyes open. Have her close eyes for 20-30seconds. Observe ability to remain upright with final swaying and no support

Patient Assessment (Exam 3) (4 decks)

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