what are four basic techniques of physical assessment? - ANSWER--Inspection
-auscultation
-palpation
-percussion
inspection can be used in? - ANSWER-any physical focal assessment
bell and diaphragm on stethoscope are used in? - ANSWER-Bell: low pitch sound (ex: bruit,
murmurs, Erbs point)
diaphragm: high pitch sound (ex: lungs)
three types of percussion are? - ANSWER--direct (assess nasal congestion or sinus)
-indirect: (assess the lungs tissue)
-blunt percussion: (lung percussion used to assess pt w/ kidney injury when there's a hematoma
noted @ CVA)
___________used to assess pulse when they cannot be palpated? - ANSWER-doppler
used to measure height? - ANSWER-stature meter
used to assess fungal infection of skin? - ANSWER-woodlamp
used to measure joint flexion and extension? - ANSWER-goniometer
used to detect air, blood, fluid, or mass in the body cavity? - ANSWER-transilluminator
tool used to measure subcutaneous tissue? - ANSWER-skin fold caliper
_________ contains nerves, blood vessels, hair follicles. - ANSWER-dermis
best place to assess for jaundice: (SATA)
A. lips
B. oral mucosa
, C. stomach
D. sclera
E. conjunctiva
F. soles of the feet
G. palms of hands - ANSWER-A,B,D,E,F,G
Non healing wound on the hand for several months is an indication of ___? - ANSWER-skin
cancer or malignancy
Pt. refuses assessment or exam what do you do as a nurse? - ANSWER--document what was
done & what was refused by pt.
when assessing for edema what area do you press? - ANSWER-bony prominence with 3 fingers
A. grade 0=_________edema
B. grade +1=_________edema
C. grade +2=_________edema
D. grade +3=_________edema
E. grade +4=_________edema - ANSWER-A. NO EDEMA
B. 2MM
C. 4MM
D. 6MM
E. 8MM
what are the 5 main location of pulses? - ANSWER-popliteal, brachial, radial, ulnar, femoral
angular lesion is_____?
give example - ANSWER-1 circle configuration
ex: ringworm
target lesion - ANSWER-concentric circle of colors inside a lesion w/ dot aka bulls eye
ex: erythema
group lesion consist of? - ANSWER-appears in clusters or together
ex: purpura lesion