Fundamentals Nursing PHYSICAL ASSESSMENT Exam Questions With 100% Correct Answers.
Fundamentals Nursing PHYSICAL ASSESSMENT Exam Questions With 100% Correct Answers. Health assessment - answercomprehensive assessment of the physical, mental, spiritual, socioeconomic, and cultural status of a individual, group, or communtiy nursing assessments focus on.... - answerthe clients functional abilities and physical responses to illness and other stressors what are the purposes of a physical assessment? - answerto obtain base line data, to identify collaborative problems, to figure out nursing diagnosis and wellness diagnosis, to monitor the status of identified problem, and to screen for health problems where would you do a comphrehensive assessment? - answerannual physical, outpatient appointment, inpatient setting, admission onto unit. what is a focused physical assessment? - answerpertains to a particular topic, body part, or functional ability rather than an overall health status. gets added to database of the comprhensive assessment. what is a specific system assessment? - answerlimited to one body system examples of focused and specific system assessments are? - answer-assessing for bowel sounds -listening to breath sounds, counting respiration, obtaining pulse ox to assess respiratory status what is an ongoing assessment? - answerperformed as needed, after the initial database is completed, and idealing after EVERY interaction with a patient what is an head to toe approach? - answerstarts at the head and neck and progresses down the body what is a body systems approach? - answerexamines each system in a predetermined order (musculoskeletal, cardiovascular, neurological) before approaching a patient ___________ yourself with the situation - answerfamiliarize when to avoid doing an assessment? - answerwhen the client is... -hungry -tired -anxious -unwilling to cooperate with assessment inspection is.... - answeruse of sight to gather data palpation is.... - answerthe use of touch to gather data used to assess temperature, skin texture, moisture, anatomical landmarks (edema, masses, areas of tenderness) percussion is... - answertapping your fingers on the skin using short strokes useful when assess lung sounds and abdominal issues supine means... - answerlying flat on the back with arms and legs fully extended dorsal recumbent means... - answersupine with knees flexed lithotomy means.... - answerdorsal recumbent position at the end of the table with feet in stirrups, legs flexed, and widely open sims position means.... - answerflexion of the hip and knees in a side lying position prone means... - answerlying on the stomach (a small pillow under abdomen makes this more comfortable) lateral recumbent means.... - answerlying on the side in a straight line knee chest means... - answeron hands and knees with head down and butt elevated ausculation means... - answerthe use of hearing to gather data direct auscultation means... - answerlistening without using an instrument example: hearing wheezing without the use of a stethoscope indirect auscultation means... - answerlistening with the help of an instrument example: listening to lung sounds olfaction means... - answerthe use of the sense of smell to gather data if a clients breath has a fruity or acetone smell, what does that mean? - answerketoacidosis! which may accompany diabetes! assess the urine for ketones. when assessing older adults, remember
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