NUR 168 Chapter 26: Health Assessment- concepts || All Answers
are Flawless.
Auscultation correct answers -listening for sounds within the body
-use proper part of stethescope
Note:
-pitch (high or low)
-loudness (soft or loud)
-quality (types of sounds heard)
-duration (short, medium or long)
Body Mass Index (BMI) correct answers -measure of body fat that is the ratio of the weight of
the body in kilograms to the square of its height in meters
-kilograms divided by height in meters squared
-establishes ideal body weight
-initial assessment of nutritional status
-estimates risk for disease
BMI Weight Categories correct answers
Bronchial Breath Sounds correct answers -normal breath sounds heard over the larynx and
trachea
-high pitched
-harsh "blowing" sounds
-expiration longer than inspiration
Bronchovesicular Breath Sounds correct answers -normal breath sounds heard over the main
stem bronchus
,-moderate blowing sounds
-inspiration equal to expiration
Comprehensive Health Assessment correct answers -broad health assessment that includes a
complete health history and physical assessment
-usually conducted when a patient first enters a health care setting
-information providing a baseline for comparing later assessments
Emergency Health Assessment correct answers -type of rapid focused assessment conducted
when addressing a life-threatening or unstable situation
-ABC's (airway, breathing, circulation)
Focused Health Assessment correct answers -assessment is conducted to assess a specific
problem
-focuses on pertinent history and body regions
-may also be used to address the immediate and highest priority concerns for an individual
patient
Inspection correct answers -purposeful and systematic observation
-observe visually, through audio and smell
-assess appearance, behavior, movement
-distinguish color, texture and moisture of body surfaces
-note body areas for size, color, shape, position,movement, and symmetry
Instrumental Activities of Daily Living (IADLs) correct answers the activities of daily living
needed for independent living (balancing check book, driving, going grocery shopping)
Ongoing Partial Health Assessment correct answers -follow up assessment
-conducted at regular intervals during care of patient
, -concentrates on identified health problems to monitor positive or negative changes
-evaluates effectiveness of interventions
Palpation correct answers -method of examining by feeling a part of the body with the fingers or
hand
-assess temperature, tugor, texture, moisture and body vibrations
Percussion correct answers -act of striking on object against another for the purpose of producing
a sound (use fingertips)
-used to asses the location, shape, size and density of body tissues and organs
Blanch correct answers to whiten; to make pale
Physical Assessment correct answers -systematic examination of the patient for objective data to
better define the patient's condition
-helps the nurse in planning care
-usually performed in a head-to-toe format
-collection of objective data about changes in the patient's body systems
Vesicular Breath Sounds correct answers -normal sounds of respiration
- lower-pitched, rustling sounds with higher intensity during inspiration
-inspiration is longer than expiration
Characteristics of Breath Sounds correct answers
Health Assessment correct answers collect, validate and analyze subjective and objective data to
determine a patient's overall level of physical, psychological, social, cultural, developmental,
functional and spiritual health
are Flawless.
Auscultation correct answers -listening for sounds within the body
-use proper part of stethescope
Note:
-pitch (high or low)
-loudness (soft or loud)
-quality (types of sounds heard)
-duration (short, medium or long)
Body Mass Index (BMI) correct answers -measure of body fat that is the ratio of the weight of
the body in kilograms to the square of its height in meters
-kilograms divided by height in meters squared
-establishes ideal body weight
-initial assessment of nutritional status
-estimates risk for disease
BMI Weight Categories correct answers
Bronchial Breath Sounds correct answers -normal breath sounds heard over the larynx and
trachea
-high pitched
-harsh "blowing" sounds
-expiration longer than inspiration
Bronchovesicular Breath Sounds correct answers -normal breath sounds heard over the main
stem bronchus
,-moderate blowing sounds
-inspiration equal to expiration
Comprehensive Health Assessment correct answers -broad health assessment that includes a
complete health history and physical assessment
-usually conducted when a patient first enters a health care setting
-information providing a baseline for comparing later assessments
Emergency Health Assessment correct answers -type of rapid focused assessment conducted
when addressing a life-threatening or unstable situation
-ABC's (airway, breathing, circulation)
Focused Health Assessment correct answers -assessment is conducted to assess a specific
problem
-focuses on pertinent history and body regions
-may also be used to address the immediate and highest priority concerns for an individual
patient
Inspection correct answers -purposeful and systematic observation
-observe visually, through audio and smell
-assess appearance, behavior, movement
-distinguish color, texture and moisture of body surfaces
-note body areas for size, color, shape, position,movement, and symmetry
Instrumental Activities of Daily Living (IADLs) correct answers the activities of daily living
needed for independent living (balancing check book, driving, going grocery shopping)
Ongoing Partial Health Assessment correct answers -follow up assessment
-conducted at regular intervals during care of patient
, -concentrates on identified health problems to monitor positive or negative changes
-evaluates effectiveness of interventions
Palpation correct answers -method of examining by feeling a part of the body with the fingers or
hand
-assess temperature, tugor, texture, moisture and body vibrations
Percussion correct answers -act of striking on object against another for the purpose of producing
a sound (use fingertips)
-used to asses the location, shape, size and density of body tissues and organs
Blanch correct answers to whiten; to make pale
Physical Assessment correct answers -systematic examination of the patient for objective data to
better define the patient's condition
-helps the nurse in planning care
-usually performed in a head-to-toe format
-collection of objective data about changes in the patient's body systems
Vesicular Breath Sounds correct answers -normal sounds of respiration
- lower-pitched, rustling sounds with higher intensity during inspiration
-inspiration is longer than expiration
Characteristics of Breath Sounds correct answers
Health Assessment correct answers collect, validate and analyze subjective and objective data to
determine a patient's overall level of physical, psychological, social, cultural, developmental,
functional and spiritual health
