NU 643- Study Guide with Complete Solutions

NU 643- Study Guide with Complete Solutions Subjective Data - Answer-- What the patient tells you - Feelings, Perceptions, Concerns Objective Data - Answer-- What is seen/observed signs - Inspection, Palpation, Percussion, Auscultation Percussion - Answer-- determines density of body part - striking plexor finger against distal finger - 5 sounds: flat, dull, hyper, resonant, tympanic Percussion: Flat - Answer-- heard over solid areas - i.e bone, thigh Percussion: Resonance - Answer-- low pitched, hollow sounds - heard over lung tissue Percussion: Dull - Answer-- normally heard over dense areas - heard over heart and liver EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 2/9 - replaces resonance when fluid is present - heard with pneumonia or tumors Percussion: Hyperresonant - Answer-- louder and lower pitched than resonant sounds - heard when percussing hyperinflated lungs (COPD, Asthma Attack) Percussion: tympanic membrane - Answer-- hollow, drum-like - heard over the stomach - heard with pneumothorax Attributes of a Symptom: OLDCARTS - Answer-- onset - location - duration - characterization - aggravating factors - relieving factors - timing - severity Talkative Patient Interventions - Answer-- 5-10 minutes uninterrupted EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024 Page 3/9 - focus on/question most important factor - summarize #1 concern Angry Patient - Answer-- recognize presence may increase their anger - avoid criticism they have with other providers - validate their feelings without agreeing - ensure safe environment - avoid being confrontational Silent Patient Interventions - Answer-- watch for