Rasmussen Health Assessment final Exam with Complete Solutions

Rasmu ssen Health Assessment final Exam with Complete Solutions How to test for visual acuity ✔✔Snellin eye chart (Stand 20 feet away from the chart) how to test for hearing ✔✔Use the Rinne test Do a physical exam Bruit ✔✔abnormal blowing or swishing sound heard during auscultation of an artery or organ How to auscultate lungs ✔✔side to side (zig -zag movement, have pt. take a full breath while you are listening - start C7 to T10 COMPARING ) How to auscultate abdom en ✔✔perform auscultation prior to palpation or percussion. Listen in a clockwise manner starting in the lower right quadrant, listen for 5 minutes in each quadrent normal bowel sounds ✔✔5-30 per minute, high pitched hypoactive bowel sounds ✔✔follow abdo minal surgery or with inflammation of the peritoneum, 5-15 per minute, could be bowel obstruction hyperactive bowel sounds ✔✔loud, high -pitched, rushing, tinkling sounds that signal increased motility (diarrhea, laxative use, gurgling) ABCDEs of melanoma ✔✔asymmetry, border, color, diameter, evolution Skin assessment on dark skinned patient ✔✔Pallor: yellowish brown, ashen gray Erythema: purplish tinge difficult to see Cyanosis: dull and lifeless Jaundice: check for yellowness of palms of hands bronchia l breath sounds ✔✔higher pitch, louder, inspiration and expiration are equal and there is a pause between inspiration and expiration. (heard in the front) bronchovescicular breath sounds ✔✔moderate, high pitched, ( inspiration = to expiration) vesicular breath sounds ✔✔low pitched, soft, expiration, alveoli Crackles (fine) ✔✔discontinuous, high -pitched, short crackling, (popping sounds heard during inspiration that are not cleared by coughing ) Crackles (coarse) ✔✔Loud, low -pitched, bubbling an d gurgling sounds that start in early inspiration and may be present in expiration. (May decrease somewhat by suctioning or coughing but will reappear shortly. Sounds like opening a velcro fastener) Stridor ✔✔strained high -pitched sound (heard on inspirat ion caused by obstruction in the pharynx or larynx) How to assess edema ✔✔1+ Barely detectable impression when finger is presssed into skin. 2+ Slight indentation. 15 seconds to rebound