NURS 190 Quiz 1 with correct answers 2023/2024

NURS 190 Quiz 1 4 basic physical assessment techniques - correct answers inspection palpation percussion auscultation How to do a physical assessment on the abdomen? And why? - correct answers inspection auscultation percussion palpation - so that we DO NOT allow for hyperactive bowel sounds before auscultating What are the sensitive areas of the hand? - correct answers • The finger pads are used for discrimination of underlying structures and functions such as pulses, superficial lymph nodes, or crepitus. • Vibrations (vibrations) are best perceived by the examiner when using the base of the fingers (metacarpophalangeal joints). • The ulnar surface of the hand, including the finger, is most sensitive to vibrations such as fremitus. • The palmar aspect of the fingers is used to determine position, consistency, texture, size of structures, pain, and tenderness. • The dorsal surface of the fingers is most sensitive to temperature. • The dominant hand is always more sensitive than the non-dominant hand. What is light palpation used for? - correct answers Light palpation is used with the pads of the fingers to help assess the skin surface, pulses, textures, tenderness (1cm) What is deep palpation? - correct answers Used to palpate abdomen and internal organs (2-4cm) What is contraindicated for deep palpation? - correct answers Dissecting aneurysms, peritonitis, ectopic pregnancy What is percussion? - correct answers tapping the person's skin with short, sharp strokes to assess underlying structures What is direct percussion? - correct answers Technique of tapping the body with the fingertips of the dominant hand. What is direct percussion used to assess for? - correct answers Adult sinuses What is blunt percussion? - correct answers Non dominant hand is flat and dominant hand hits over non dominant with a fist What is blunt percussion used for? - correct answers Assess for pain and tenderness in gallbladder, liver, and kidneys What is indirect percussion? - correct answers It's the technique most commonly used (sounds are clearer & more easily interpreted). A hammer or tapping finger is used What is a tympany sound? - correct answers loud, high pitched Where would you hear a tympanic sound? - correct answers stomach or intestines What is a resonance sound? - correct answers loud, low pitched, hollow