NURS 190: Physical Assessment Chapter 3 QUIZ With Complete Solution 2024

NURS 190: Physical Assessment Chapter 3 QUIZ With Complete Solution 2023 Updated 4 basic physical assessment techniques correct answers inspection palpation percussion auscultation How to do a physical assessment on the abdomen? And why? correct answers inspection auscultation percussion palpation - so that we DO NOT allow for hyperactive bowel sounds before auscultating What are the sensitive areas of the hand? correct answers • The finger pads are used for discrimination of underlying structures and functions such as pulses, superficial lymph nodes, or crepitus. • Vibrations (vibrations) are best perceived by the exami ner when using the base of the fingers (metacarpophalangeal joints). • The ulnar surface of the hand, including the finger, is most sensitive to vibrations such as fremitus. • The palmar aspect of the fingers is used to determine position, consistency, t exture, size of structures, pain, and tenderness. • The dorsal surface of the fingers is most sensitive to temperature. • The dominant hand is always more sensitive than the non -dominant hand. What is light palpation used for? correct answers Light pal pation is used with the pads of the fingers to help assess the skin surface, pulses, textures, tenderness (1cm) What is deep palpation? correct answers Used to palpate abdomen and internal organs (2-4cm) What is contraindicated for deep palpation? corre ct answers Dissecting aneurysms, peritonitis, ectopic pregnancy What is percussion? correct answers tapping the person's skin with short, sharp strokes to assess underlying structures What is direct percussion? correct answers Technique of tapping the body with the fingertips of the dominant hand. What is direct percussion used to assess for? correct answers Adult sinuses NURS 190 PHYSICAL ASSESSMENT CHAPTER 3 QUIZ QUESTIONS AND ANSWERS What is blunt percussion? correct answers Non dominant hand is flat and dominant hand hits over non dominant with a fist What is blunt percussion used for? correct answers Assess for pain and tenderness in gallbladder, liver, and kidneys What is indirect percussion? correct answers It's the technique most commonly used (sounds are clearer & more easily interpreted). A ham mer or tapping finger is used What is a tympany sound? correct answers loud, high pitched Where would you hear a tympanic sound? correct answers stomach or intestines What is a resonance sound? correct answers loud, low pitched, hollow Where would y ou hear a resonance sound? correct answers lungs What is a hyperresonance sound? correct answers loud, low pitched Where would you hear a hyper resonance sound? correct answers air is trapped in lungs, common among the elderly What is a dullness soun d? correct answers soft, high -pitched Where would you hear a dullness sound? correct answers solid body organs - liver or stool -filled colon What is a flatness sound? correct answers soft, high -pitched Where would you hear a flatness sound? correct an swers solid tissue - muscle and bone What is a goniometer? correct answers measures the degree of joint and flexion and extension What is the skin fold caliper? correct answers measure the thickness of subcutaneous tissue What is a transilluminator? c orrect answers detects blood, fluid, or masses in body cavities What are wood lamps? correct answers detects fungal infections of the skin What is a monofilament? correct answers Assesses neuropathy of diabetic patients What are the parts of the stethoscope? correct answers Binaurals (earpieces) felxible tubing end piece (bell and diaphragm) Bell vs. Diaphragm correct answers Bell is for low pitch sounds (murmurs) Diaphragm is used for high pitch sounds (heart and l ung sounds)