1. Four techniques Inspection, auscultation, percussion, palpation
of physical as-
sessment
2. inspection visual examination of the body
3. Auscultation Listening with a stethoscope
4. percussion tapping on a surface to determine the difference in the density of the underlying
structure. Use of middle fingertips ( bold) of dominant hand.
5. Palpation an examination technique in which the examiner's hands are used to feel the
texture, size, consistency, and location of certain body parts
, Nurs 190 PA Quiz 1
6. Diaphragm used for high pitched sounds of the lungs
7. Bell used for low pitched sounds like bruits and cardiac murmurs
8. Types of percus- direct, blunt, indirect
sion
9. Direct percussion Direct percussion is like tapping lightly on a door to check if someone's home; in
this case, it's used to assess nasal congestion or sinus headache by tapping on the
sinuses to see if they're blocked.
10. indirect percus- Think of indirect percussion like tapping on a watermelon to check its ripeness -
sion doctors tap on your chest to assess the density of your lung tissue, like checking
the fruit's firmness.
11. blunt percussion using palm of non-dominant hand flat over the costovertebral angle (CVA) of body
area and the tapper is the closed fist of dominant hand. Example: used to assess
client with kidney injury when there is hematoma noted at the CVA
12. Palpation use finger pads and/or metacarpophalangeal joint or ulnar part of the hand.
Example: Checking for tactile Fremitus
13. Best techniques Gentle circular motions
to assess lymph
nodes
14. Pinching below the clavicles & below the wrist bilaterally