NUR-634 ADVANCED PHYSICAL
ASSESSMENT MIDTERM STUDY GUIDE
ACTUAL EXAM ALL QUESTIONS AND
WELL ELABORATED ANSWERS TOP
RATED VERSION FOR ALREADY A+
GRADED HIGHLY RECOMMENDED
|NEW AND REVISED
SubjectivemDatam-mCORRECTmANSWERm-
symptomsmfrommthemclient'smpointmofmviewmandminclude:mfeelings,mperceptions,mandmconcerns
-whatmthempatientmtellsmyou
ObjectivemDatam-mCORRECTmANSWERm-
whatmthemhealthmprofessionalmobservesmbyminspecting,mpalpating,mpercussing,mandmauscultatingm
duringmthemphysicalmexamination
-observedmsigns
Assessmentm-mCORRECTmANSWERm-
themclinicalmreasoningmprocessmthatminterpretsmthempatient'smhistorymandmphysicalmexamination,ms
inglesmoutmidentifiedmproblems,mandmmovementmfrommeachmproblemsmtomitsmactionmplan
Planm-mCORRECTmANSWERm-
incorporatesmpatientmeducation,mchangesminmmedications,mneededmtests,mreferralsmtomothermclinic
ians,mandmreturnmvisitsmformcounselingmandmsupport
-
requiresmgoodminterpersonalmskillsmandmsensitivitymtomthempatientsmgoals,meconomicmmeans,mcom
petingmresponsibilities,mandmfamilymstruggles/dynamics
, Percussionm-mCORRECTmANSWERm-
amdiagnosticmproceduremdesignedmtomdeterminemthemdensitymofmambodympartmbymthemsoundmprod
ucedmbymtappingmthemsurfacemwithmthemfingers
-
usemofmthemstrikingmormplexormfingerm(usuallymthem3rd)mtomdelivermamrapidmtapmormblowmagainstmth
emdistalmpleximetermfingerm(usuallymthemdistalm3rdmfingermofmthemleftmhandmlaidmagainstmthemsurfac
e)mtomevokemamsoundmwave
-them5msoundsmaremresonant,mflat,mdull,mhypermresonant,mandmtympanic
-Resonantmsoundsmaremlowmpitched,mhollowmsoundsmheardmovermnormalmlungmtissue.
-Flatmaremnormallymheardmovermsolidmareasmsuchmasmbones.mthigh
-
Dullmormthudlikemsoundsmaremnormallymheardmovermdensemareasmsuchmasmthemheartmormliver.mDulln
essmreplacesmresonancemwhenmfluidmormsolidmtissuemreplacesmair-
containingmlungmtissues,msuchmasmoccursmwithmpneumonia,mpleuralmeffusions,mormtumors.
-
Hyperresonantmsoundsmthatmaremloudermandmlowermpitchedmthanmresonantmsoundsmaremnormally
mheardmwhenmpercussingmthemchestsmofmchildrenmandmverymthinmadults.mHyperresonantmsoundsmm
aymalsombemheardmwhenmpercussingmlungsmhyperinflatedmwithmair,msuchmasmmaymoccurminmpatients
mwithmCOPD,mormpatientsmhavingmanmacutemasthmaticmattack.mAnmareamofmhyperresonancemonmone
msidemofmthemchestmmaymindicatemampneumothorax.
-
Tympanicmsoundsmaremhollow,mhigh,mdrumlikemsounds.mTympanymismnormallymheardmovermthemsto
mach,mbutmismnotmamnormalmchestmsound.mTympanicmsoundsmheardmovermthemchestmindicatemexce
ssivemairminmthemchest,msuchmasmmaymoccurmwithmpneumothorax.
AttributesmofmamSymptomm-mCORRECTmANSWERm-sevenmattributes
-OPQRSTm&mAssociatedmmanifestationsm(anythingmelsemaccompanyingmit)
-onset,mprovocative/palliative,mquality,mregion/radiation,mseverity,mtiming
TalkativemChallengingmPatientmInterventionm-mCORRECTmANSWERm-givem5-
10mminutesmuninterrupted
ASSESSMENT MIDTERM STUDY GUIDE
ACTUAL EXAM ALL QUESTIONS AND
WELL ELABORATED ANSWERS TOP
RATED VERSION FOR ALREADY A+
GRADED HIGHLY RECOMMENDED
|NEW AND REVISED
SubjectivemDatam-mCORRECTmANSWERm-
symptomsmfrommthemclient'smpointmofmviewmandminclude:mfeelings,mperceptions,mandmconcerns
-whatmthempatientmtellsmyou
ObjectivemDatam-mCORRECTmANSWERm-
whatmthemhealthmprofessionalmobservesmbyminspecting,mpalpating,mpercussing,mandmauscultatingm
duringmthemphysicalmexamination
-observedmsigns
Assessmentm-mCORRECTmANSWERm-
themclinicalmreasoningmprocessmthatminterpretsmthempatient'smhistorymandmphysicalmexamination,ms
inglesmoutmidentifiedmproblems,mandmmovementmfrommeachmproblemsmtomitsmactionmplan
Planm-mCORRECTmANSWERm-
incorporatesmpatientmeducation,mchangesminmmedications,mneededmtests,mreferralsmtomothermclinic
ians,mandmreturnmvisitsmformcounselingmandmsupport
-
requiresmgoodminterpersonalmskillsmandmsensitivitymtomthempatientsmgoals,meconomicmmeans,mcom
petingmresponsibilities,mandmfamilymstruggles/dynamics
, Percussionm-mCORRECTmANSWERm-
amdiagnosticmproceduremdesignedmtomdeterminemthemdensitymofmambodympartmbymthemsoundmprod
ucedmbymtappingmthemsurfacemwithmthemfingers
-
usemofmthemstrikingmormplexormfingerm(usuallymthem3rd)mtomdelivermamrapidmtapmormblowmagainstmth
emdistalmpleximetermfingerm(usuallymthemdistalm3rdmfingermofmthemleftmhandmlaidmagainstmthemsurfac
e)mtomevokemamsoundmwave
-them5msoundsmaremresonant,mflat,mdull,mhypermresonant,mandmtympanic
-Resonantmsoundsmaremlowmpitched,mhollowmsoundsmheardmovermnormalmlungmtissue.
-Flatmaremnormallymheardmovermsolidmareasmsuchmasmbones.mthigh
-
Dullmormthudlikemsoundsmaremnormallymheardmovermdensemareasmsuchmasmthemheartmormliver.mDulln
essmreplacesmresonancemwhenmfluidmormsolidmtissuemreplacesmair-
containingmlungmtissues,msuchmasmoccursmwithmpneumonia,mpleuralmeffusions,mormtumors.
-
Hyperresonantmsoundsmthatmaremloudermandmlowermpitchedmthanmresonantmsoundsmaremnormally
mheardmwhenmpercussingmthemchestsmofmchildrenmandmverymthinmadults.mHyperresonantmsoundsmm
aymalsombemheardmwhenmpercussingmlungsmhyperinflatedmwithmair,msuchmasmmaymoccurminmpatients
mwithmCOPD,mormpatientsmhavingmanmacutemasthmaticmattack.mAnmareamofmhyperresonancemonmone
msidemofmthemchestmmaymindicatemampneumothorax.
-
Tympanicmsoundsmaremhollow,mhigh,mdrumlikemsounds.mTympanymismnormallymheardmovermthemsto
mach,mbutmismnotmamnormalmchestmsound.mTympanicmsoundsmheardmovermthemchestmindicatemexce
ssivemairminmthemchest,msuchmasmmaymoccurmwithmpneumothorax.
AttributesmofmamSymptomm-mCORRECTmANSWERm-sevenmattributes
-OPQRSTm&mAssociatedmmanifestationsm(anythingmelsemaccompanyingmit)
-onset,mprovocative/palliative,mquality,mregion/radiation,mseverity,mtiming
TalkativemChallengingmPatientmInterventionm-mCORRECTmANSWERm-givem5-
10mminutesmuninterrupted