NUR-634 Advanced Physical Assessment Midterm Study Guide with Answers
-symptoms from the client's point of view and include:
Subjective Data feelings, perceptions, and concerns
-what the patient tells you
-what the health professional observes by inspecting, pal-
pating, percussing, and auscultating during the physical
Objective Data
examination
-observed signs
-the clinical reasoning process that interprets the patient's
history and physical examination, singles out identified
Assessment
problems, and movement from each problems to its action
plan
-incorporates patient education, changes in medications,
needed tests, referrals to other clinicians, and return visits
for counseling and support
Plan
-requires good interpersonal skills and sensitivity to the
patients goals, economic means, competing responsibili-
ties, and family struggles/dynamics
Percussion
, NUR-634 Advanced Physical Assessment Midterm Study Guide with Answers
-a diagnostic procedure designed to determine the den-
sity of a body part by the sound produced by tapping the
surface with the fingers
-use of the striking or plexor finger (usually the 3rd) to
deliver a rapid tap or blow against the distal pleximeter
finger (usually the distal 3rd finger of the left hand laid
against the surface) to evoke a sound wave
-the 5 sounds are resonant, flat, dull, hyper resonant, and
tympanic
-Resonant sounds are low pitched, hollow sounds heard
over normal lung tissue.
-Flat are normally heard over solid areas such as bones.
thigh
-Dull or thudlike sounds are normally heard over dense ar-
eas such as the heart or liver. Dullness replaces resonance
when fluid or solid tissue replaces air-containing lung
tissues, such as occurs with pneumonia, pleural ettusions,
or tumors.
-Hyperresonant sounds that are louder and lower pitched
than resonant sounds are normally heard when per-
cussing the chests of children and very thin adults. Hy-
perresonant sounds may also be heard when percussing
lungs hyperinflated with air, such as may occur in patients
with COPD, or patients having an acute asthmatic attack.
An area of hyperresonance on one side of the chest may
indicate a pneumothorax.
-Tympanic sounds are hollow, high, drumlike sounds.
Tympany is normally heard over the stomach, but is not
a normal chest sound. Tympanic sounds heard over the
chest indicate excessive air in the chest, such as may occur
with pneumothorax.
-symptoms from the client's point of view and include:
Subjective Data feelings, perceptions, and concerns
-what the patient tells you
-what the health professional observes by inspecting, pal-
pating, percussing, and auscultating during the physical
Objective Data
examination
-observed signs
-the clinical reasoning process that interprets the patient's
history and physical examination, singles out identified
Assessment
problems, and movement from each problems to its action
plan
-incorporates patient education, changes in medications,
needed tests, referrals to other clinicians, and return visits
for counseling and support
Plan
-requires good interpersonal skills and sensitivity to the
patients goals, economic means, competing responsibili-
ties, and family struggles/dynamics
Percussion
, NUR-634 Advanced Physical Assessment Midterm Study Guide with Answers
-a diagnostic procedure designed to determine the den-
sity of a body part by the sound produced by tapping the
surface with the fingers
-use of the striking or plexor finger (usually the 3rd) to
deliver a rapid tap or blow against the distal pleximeter
finger (usually the distal 3rd finger of the left hand laid
against the surface) to evoke a sound wave
-the 5 sounds are resonant, flat, dull, hyper resonant, and
tympanic
-Resonant sounds are low pitched, hollow sounds heard
over normal lung tissue.
-Flat are normally heard over solid areas such as bones.
thigh
-Dull or thudlike sounds are normally heard over dense ar-
eas such as the heart or liver. Dullness replaces resonance
when fluid or solid tissue replaces air-containing lung
tissues, such as occurs with pneumonia, pleural ettusions,
or tumors.
-Hyperresonant sounds that are louder and lower pitched
than resonant sounds are normally heard when per-
cussing the chests of children and very thin adults. Hy-
perresonant sounds may also be heard when percussing
lungs hyperinflated with air, such as may occur in patients
with COPD, or patients having an acute asthmatic attack.
An area of hyperresonance on one side of the chest may
indicate a pneumothorax.
-Tympanic sounds are hollow, high, drumlike sounds.
Tympany is normally heard over the stomach, but is not
a normal chest sound. Tympanic sounds heard over the
chest indicate excessive air in the chest, such as may occur
with pneumothorax.
