Health Assessment Exam #1 (Ch.
1,3,4,8,9,10,12,18,27,29) with question and answer100%
correct
Terms in this set (196)
What does the health history provide? Subjective and objective data
What is subjective data? what is an SD is what the patient tells you
example? Example: headache, chest pain
What is objective data? what is an example? OD are the signs perceived by the examiner through physical
examination during assessment
Example: rash seen by a nurse, or temp taken with a
thermometer
In what order are skills performed during a 1. Inspection
typical assessment? 2.Palpation
3. Percussion
4.Auscultation
,If a patient has abdomen pain, what 1. Inspection
order do you do the assessment? 2.AUSCULTATION
Why? 3.Palpation
4. Percussion
Because of pain, don't touch or tap the tender area first.
Start by inspecting and then listening before you feel the
area.
What occurs during inspection, the first -ALWAYS COMES FIRST
step? -begins when you first meet a person w/ a general survey
-you should start assessment of each body system with
inspection
-requires: good lighting, adequate exposure, use of
instruments including otoscope, opthalmoscope, penlight, or
specula
What occurs during palpation, the second Palpation applies sense of touch to assess
step? Can include:
temperature, texture, moisture, organ location and size,
swelling, vibration or pulsation, rigidity or spasticity,
crepitation, presence of lumps or masses, presence of
tenderness or pain
-use fingers unless taking temperature
How can you assess factors during the by using different parts of the hands
palpation step?
During palpation, what should fingertips be -best for fine tactile discrimination of skin texture, swelling,
used to feel? pulsation, and determining presence of lumps
During palpation, what should fingers and -detection of position, shape, and consistency of an organ or
thumb be used for? mass
During palpation, what should the dorsa of -best for determining temperature because skin here is
hands and fingers be used for? thinner than on palms
During palpation, what should the base of -best for vibration
fingers or the ulnar surface of hand be used **-vibrations are felt on the ulnar side of hand
for?
During palpation, what type of palpation 1. start with LIGHT palpation to detect surface
should you start with and why? What steps characteristics and accustom person to being touched
are next? -1 cm
2.then deeper palpations when needed
-intermittent pressure better than one long continuous
palpation
-5 to 8 cm or 2-3 in
ALSO: bimanual palpation- requires use of both hands to
envelop or capture certain body parts or organs such as
kidneys, uterus or adnexa for precise delimitation
, What occurs during percussion, the third -consists of tapping a person's skin with short, sharp strokes to
step? assess underlying structures
What uses does percussion have? -mapping location and size of organs
-signaling density of a structure by a characteristic note
-detecting a superficial abnormal mass
1. percussion vibrations penetrate about
5 cm deep
2.deeper mass would give no change in percussion
-eliciting pain if underlying structure is inflamed
-eliciting deep tendon reflex using percussion hammer
HOLLOW (AIR-FILLED) ORGANS SOUND
DIFFERENT THAN SOLID ORGANS
What are the two methods of percussion? 1. Direct, or immediate, which is when the striking hand
directly contacts body wall
2.Indirect, or mediate, is when you use both hands and the
striking hand contacts stationary hand fixed on person's skin
In regards to percussion, what is Resonance is low pitch and it occurs over normal lungs
resonance and where does it occur?
In regards to percussion, what is Hyperresonant is lower pitch and it occurs over child's lungs
hyperresonant and where does it occur?
In regards to percussion, what is tympany Tympany is high pitch and it occurs over air filled organs
and where does it occur? (stomach, intestines)
In regards to percussion, what is dull Dull is high pitch and it occurs over solid organs (liver, spleen)
and where does it occur?
In regards to percussion, what is flat and Flat is high pitch and it occurs where no air is present such as
where does it occur? over muscles/bones or a tumor
What occurs during auscultation, the Auscultation is when you listen to sounds produced by the
fourth step? body
-most sounds are soft and must be channeled through a
stethoscope
-once you can recognize normal sounds, you can distinguish
the abnormal sounds and "extra" or abnormal sounds
What is the single most important step in WASH YOUR HANDS
decreasing microorganism transmission? -before physical contact with each patient
-after inadvertent contact with blood, body fluids, secretions,
and excretions
-after contact with any equipment contaminated with body
fluids
-after removing gloves
1,3,4,8,9,10,12,18,27,29) with question and answer100%
correct
Terms in this set (196)
What does the health history provide? Subjective and objective data
What is subjective data? what is an SD is what the patient tells you
example? Example: headache, chest pain
What is objective data? what is an example? OD are the signs perceived by the examiner through physical
examination during assessment
Example: rash seen by a nurse, or temp taken with a
thermometer
In what order are skills performed during a 1. Inspection
typical assessment? 2.Palpation
3. Percussion
4.Auscultation
,If a patient has abdomen pain, what 1. Inspection
order do you do the assessment? 2.AUSCULTATION
Why? 3.Palpation
4. Percussion
Because of pain, don't touch or tap the tender area first.
Start by inspecting and then listening before you feel the
area.
What occurs during inspection, the first -ALWAYS COMES FIRST
step? -begins when you first meet a person w/ a general survey
-you should start assessment of each body system with
inspection
-requires: good lighting, adequate exposure, use of
instruments including otoscope, opthalmoscope, penlight, or
specula
What occurs during palpation, the second Palpation applies sense of touch to assess
step? Can include:
temperature, texture, moisture, organ location and size,
swelling, vibration or pulsation, rigidity or spasticity,
crepitation, presence of lumps or masses, presence of
tenderness or pain
-use fingers unless taking temperature
How can you assess factors during the by using different parts of the hands
palpation step?
During palpation, what should fingertips be -best for fine tactile discrimination of skin texture, swelling,
used to feel? pulsation, and determining presence of lumps
During palpation, what should fingers and -detection of position, shape, and consistency of an organ or
thumb be used for? mass
During palpation, what should the dorsa of -best for determining temperature because skin here is
hands and fingers be used for? thinner than on palms
During palpation, what should the base of -best for vibration
fingers or the ulnar surface of hand be used **-vibrations are felt on the ulnar side of hand
for?
During palpation, what type of palpation 1. start with LIGHT palpation to detect surface
should you start with and why? What steps characteristics and accustom person to being touched
are next? -1 cm
2.then deeper palpations when needed
-intermittent pressure better than one long continuous
palpation
-5 to 8 cm or 2-3 in
ALSO: bimanual palpation- requires use of both hands to
envelop or capture certain body parts or organs such as
kidneys, uterus or adnexa for precise delimitation
, What occurs during percussion, the third -consists of tapping a person's skin with short, sharp strokes to
step? assess underlying structures
What uses does percussion have? -mapping location and size of organs
-signaling density of a structure by a characteristic note
-detecting a superficial abnormal mass
1. percussion vibrations penetrate about
5 cm deep
2.deeper mass would give no change in percussion
-eliciting pain if underlying structure is inflamed
-eliciting deep tendon reflex using percussion hammer
HOLLOW (AIR-FILLED) ORGANS SOUND
DIFFERENT THAN SOLID ORGANS
What are the two methods of percussion? 1. Direct, or immediate, which is when the striking hand
directly contacts body wall
2.Indirect, or mediate, is when you use both hands and the
striking hand contacts stationary hand fixed on person's skin
In regards to percussion, what is Resonance is low pitch and it occurs over normal lungs
resonance and where does it occur?
In regards to percussion, what is Hyperresonant is lower pitch and it occurs over child's lungs
hyperresonant and where does it occur?
In regards to percussion, what is tympany Tympany is high pitch and it occurs over air filled organs
and where does it occur? (stomach, intestines)
In regards to percussion, what is dull Dull is high pitch and it occurs over solid organs (liver, spleen)
and where does it occur?
In regards to percussion, what is flat and Flat is high pitch and it occurs where no air is present such as
where does it occur? over muscles/bones or a tumor
What occurs during auscultation, the Auscultation is when you listen to sounds produced by the
fourth step? body
-most sounds are soft and must be channeled through a
stethoscope
-once you can recognize normal sounds, you can distinguish
the abnormal sounds and "extra" or abnormal sounds
What is the single most important step in WASH YOUR HANDS
decreasing microorganism transmission? -before physical contact with each patient
-after inadvertent contact with blood, body fluids, secretions,
and excretions
-after contact with any equipment contaminated with body
fluids
-after removing gloves
