Health assessment (Chapter 3) Collecting |/ |/ |/ |/
Objective data: Physical examination
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JERSEY COLLEGE questions with answers
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To become proficient with physical assessment skills, the nurse
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must have basic knowledge in 3 areas: - CORRECT ANSWERS
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✔✔-types and operation of equipment needed for the particular
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examination (e.g., penlight, sphygmomanometer, otoscope,
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tuning fork, stethoscope)
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-preparation of the setting, oneself, and the client for the |/ |/ |/ |/ |/ |/ |/ |/ |/
physical assessment
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-performance of the four assessment techniques: inspection, |/ |/ |/ |/ |/ |/
palpation, percussion, and auscultation
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Preparing the physical setting - CORRECT ANSWERS ✔✔-may take
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place in a variety of settings such as a hospital room, outpatient
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clinic, physician's office, school health office, employee health
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office, or a client's home.
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-important that the nurse strive to ensure that the examination
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setting meets conditions
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Conditions that needs to meet the following conditions: -
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CORRECT ANSWERS ✔✔-Comfortable, warm room temperature:
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provide a warm blanket, if the room temp cannot be adjusted
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-private area free of interruptions from others: close the door or
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pull the curtains if possible
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, -quiet area free of distractions: turn off the radio, TV, or other
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noisy equipment
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-adequate lighting: it is best to use sunlight (when available).
|/ |/ |/ |/ |/ |/ |/ |/ |/
However, good overhead, lighting is sufficient. A portable lamp is
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
helpful for illuminating the skin and for viewing shadows or
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
contours
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-firm exam table or bed at a height that prevents stooping: a roll-
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
up stool may be useful when it is necessary for the examiner to
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
sit for parts of the assessment
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-a bedside table/tray to hold the equipment needed for the exam
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Preparing onself - CORRECT ANSWERS ✔✔-as a beginning |/ |/ |/ |/ |/ |/ |/
examiner, it is helpful to assess your own feelings and anxieties
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
before examining the client
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-achieve self-confidence in performing a physical assessment by
|/ |/ |/ |/ |/ |/ |/
practicing the techniques on a classmate, friend, or relative.
|/ |/ |/ |/ |/ |/ |/ |/ |/
-preventing the transmission of infectious agents |/ |/ |/ |/ |/
-wash hands prior to exam, immediately after accidental direct
|/ |/ |/ |/ |/ |/ |/ |/
contact with blood or other body fluids, and after completing the
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physical exam or after removing gloves.
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-always wear gloves if there is chance that you will come in
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
direct contact with blood or other body fluids
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-if a pin or other sharp object is used to assess sensory
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perception, discard the pin and use a new one for your next
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client
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-wear a mask and protective eye goggles if you are performing
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an examination in which you are likely to be splashed with blood
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or other body fluids droplets.
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Objective data: Physical examination
|/ |/ |/ |/
JERSEY COLLEGE questions with answers
|/ |/ |/ |/ |/
To become proficient with physical assessment skills, the nurse
|/ |/ |/ |/ |/ |/ |/ |/
must have basic knowledge in 3 areas: - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
✔✔-types and operation of equipment needed for the particular
|/ |/ |/ |/ |/ |/ |/ |/ |/
examination (e.g., penlight, sphygmomanometer, otoscope,
|/ |/ |/ |/ |/
tuning fork, stethoscope)
|/ |/ |/
-preparation of the setting, oneself, and the client for the |/ |/ |/ |/ |/ |/ |/ |/ |/
physical assessment
|/ |/
-performance of the four assessment techniques: inspection, |/ |/ |/ |/ |/ |/
palpation, percussion, and auscultation
|/ |/ |/ |/
Preparing the physical setting - CORRECT ANSWERS ✔✔-may take
|/ |/ |/ |/ |/ |/ |/ |/
place in a variety of settings such as a hospital room, outpatient
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
clinic, physician's office, school health office, employee health
|/ |/ |/ |/ |/ |/ |/ |/
office, or a client's home.
|/ |/ |/ |/ |/
-important that the nurse strive to ensure that the examination
|/ |/ |/ |/ |/ |/ |/ |/ |/
setting meets conditions
|/ |/ |/
Conditions that needs to meet the following conditions: -
|/ |/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔-Comfortable, warm room temperature:
|/ |/ |/ |/ |/ |/
provide a warm blanket, if the room temp cannot be adjusted
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
-private area free of interruptions from others: close the door or
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
pull the curtains if possible
|/ |/ |/ |/ |/
, -quiet area free of distractions: turn off the radio, TV, or other
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
noisy equipment
|/ |/
-adequate lighting: it is best to use sunlight (when available).
|/ |/ |/ |/ |/ |/ |/ |/ |/
However, good overhead, lighting is sufficient. A portable lamp is
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
helpful for illuminating the skin and for viewing shadows or
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
contours
|/
-firm exam table or bed at a height that prevents stooping: a roll-
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
up stool may be useful when it is necessary for the examiner to
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
sit for parts of the assessment
|/ |/ |/ |/ |/ |/
-a bedside table/tray to hold the equipment needed for the exam
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
Preparing onself - CORRECT ANSWERS ✔✔-as a beginning |/ |/ |/ |/ |/ |/ |/
examiner, it is helpful to assess your own feelings and anxieties
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
before examining the client
|/ |/ |/ |/
-achieve self-confidence in performing a physical assessment by
|/ |/ |/ |/ |/ |/ |/
practicing the techniques on a classmate, friend, or relative.
|/ |/ |/ |/ |/ |/ |/ |/ |/
-preventing the transmission of infectious agents |/ |/ |/ |/ |/
-wash hands prior to exam, immediately after accidental direct
|/ |/ |/ |/ |/ |/ |/ |/
contact with blood or other body fluids, and after completing the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
physical exam or after removing gloves.
|/ |/ |/ |/ |/ |/
-always wear gloves if there is chance that you will come in
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
direct contact with blood or other body fluids
|/ |/ |/ |/ |/ |/ |/ |/
-if a pin or other sharp object is used to assess sensory
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
perception, discard the pin and use a new one for your next
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
client
|/
-wear a mask and protective eye goggles if you are performing
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
an examination in which you are likely to be splashed with blood
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
or other body fluids droplets.
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