Solutions.
N190 Final Exam 169 Complete
Solutions.
The different types of assessment techniques? - ANSWER Inspection
Palpation
Percussion
Auscultation
Which technique should the nurse use initially for each specific assessment? - ANSWER Inspection
Assessment technique to illicit a diaphragmatic excursion? - ANSWER Percussion
Technique used to listen to heart sounds? - ANSWER Auscultation
Technique used to listen to crepitus who sustained a chest injury? - ANSWER Palpation
What is the technique used to assess distended bladder? - ANSWER Direct percussion
What is the technique used to assess sinus infection? - ANSWER Direct Percussion
What is the technique used for percussion of the lungs? - ANSWER Indirect Percussion
Identify the most common equipment used in the clinical area
Goniometer
Doppler
Wood lamp
Skin fold caliper
,N190 Final Exam 169 Complete
Solutions.
Transilluminator
Stabio
Stethoscope
Ophthalmoscope - ANSWER Goniometer: measure the degree of joint extension and flexion
Doppler: Asses non palpable pulses
Wood lamp: presence of fungal infection of skin
Skinfold Caliper: Measure thickness of subcutaneous tissue
Transilluminator: Use to detect blood, solid or fluid or mass in body cavities
Stabio meter: Height of pt.
Stethoscope, penlight
Ophthalmoscope: red reflex
Grading for pulses - ANSWER 0 : absent
1+: weak thready
2+: normal
3+: brisk
4+: bounding
Location of pulses - ANSWER Popliteal : behind the knees
, N190 Final Exam 169 Complete
Solutions.
Femoral: inguinal area
What part of your hand do you use to assess skin temperature? - ANSWER Dorsal part of hand
What part of your hand do you use to use percussion? - ANSWER Tip of middle finger
Identify different types of lesions
Annular
Target
Dicerete
Confluent
Linear
Grouped - ANSWER Annular: one circle
Target: concentric circles (more than one circle of color)
Discrete: separated
Confluent: runs together
Linear: form a line
Grouped: Together
Wheal lesion - ANSWER Lesion caused by insect bite or hive
redden irregular border