nurs 2092 health assessment exam 2 study guide 2021 updated
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Heal
thAssessmentExam 2:St
udyGui
de
2021UPDATED
Ch
apt
er0
8:
Wh
enp
erf
ormi
ngap
hys
ica
las
ses
sme
nt,
thef
ir
stt
ech
niqu
eth
enu
rsewi
l
lal
way
sus
eis
:
a
. Pa
lpa
tion
.
b
. I
nsp
ect
ion
.
c
. Pe
rcu
ssi
on.
d
. Au
scu
lta
tion
.
B
Th
esk
il
lsr
equ
isi
tef
ort
hep
hys
ica
lex
ami
nat
iona
rei
nsp
ect
ion
,pa
lpa
tion
,pe
rcu
ssi
on,
anda
usc
ult
ati
on.
Th
esk
il
lsa
rep
erf
orme
don
eatat
imea
ndi
nth
isor
der(
wit
hth
eex
cep
tionoft
hea
bdomi
nal
a
sse
ssme
nt,
dur
ingwh
icha
usc
ult
ati
ont
ake
spl
aceb
efor
epa
lpa
tiona
ndp
erc
uss
ion
).Th
eas
ses
sme
nt
ofe
achb
odys
yst
emb
egi
nswi
thi
nsp
ect
ion
.Af
ocu
sedi
nsp
ect
iont
ake
sti
mea
ndy
iel
dsas
urp
ris
ing
a
mou
ntofi
nfor
mat
ion
.
Th
enurs
eispr
epar
ingt
oper
for
map h
y s
ica
lasse
ssme
nt.
Whi
chs
tat
eme
nti
str
uea
bou
tth
e
ph
ysic
ala
sses
sme n
t?Th
einsp
ect
ionphas
e:
a
. Us
ual
l
yyi
el
dsl
i
ttl
ein
for
mat
ion
.
Ta
kest
imea
ndr
eve
alsas
urp
ris
ing
b
. a
mou
ntofi
nfor
mat
ion
.
Ma
ybes
ome
wha
tun
comf
ort
abl
efort
he
c
. e
xpe
rtp
rac
ti
ti
one
r.
d
. Re
qui
resaqu
ickg
lan
cea
tth
epa
tie
nt’
s
b
odys
yst
emsb
efor
epr
oce
edi
ngwi
th
p
alp
ati
on.
B
Afocu
sedinsp
ecti
ont
ake
stimeandyiel
dsasur
pri
si
ngamountofi
nfor
mat
ion.
Ini
ti
al
ly
,th
e
ex
a mi
nermayfee
lunc
omfor
tab
le,
s t
ari
ngatt
heper
sonwi
thou
ta l
sodoi
ngs
o met
hi
ng.A
f
ocusedass
essmenti
ssi
gni
fi
cant
lymoretha
na“qui
ckgl
ance
.”
Th
enu
rsei
sas
ses
sin
gap
ati
ent
’
ssk
ind
uri
nga
nof
fi
cev
isi
t.Wh
atp
artoft
heh
anda
ndt
ech
niqu
e
s
hou
ldb
eus
edt
obe
sta
sse
sst
hep
ati
ent
’
ssk
int
emp
era
tur
e?
a
. F
ing
ert
ips
;th
eya
remor
ese
nsi
ti
vet
o
s
mal
lch
ang
esi
nte
mpe
rat
ure
.
b
.
, Dor
sal
sur
fac
eoft
heh
and
;th
esk
ini
s
t
hin
neront
hiss
urf
acet
hanont
hep
alms
.
c
. Ul
narp
ort
ionoft
heh
and;
inc
rea
sedb
lood
s
upp
lyi
nth
isa
reae
nha
nce
ste
mpe
rat
ure
s
ens
it
iv
it
y.
, d
. Pa
lma
rsu
rfa
ceoft
heh
and
;th
iss
urf
acei
s
t
hemos
tse
nsi
ti
vet
ote
mpe
rat
ure
v
ari
ati
onsb
eca
useofi
tsi
ncr
eas
edn
erv
e
s
upp
lyi
nth
isa
rea
.
B
Th
edor
sa(
bac
ks)oft
heh
and
san
dfi
nge
rsa
reb
estf
ord
ete
rmi
ni
ngt
emp
era
tur
ebe
cau
set
he
s
kini
sth
inn
eront
hed
ors
als
urf
ace
sth
anont
hep
alms
.Fi
nge
rti
psa
reb
estf
orf
ine
,ta
cti
l
e
d
isc
ri
min
ati
on.
Theot
herr
esp
ons
esa
ren
otu
sef
ulf
orp
alp
ati
on.
Wh
ichofthe
setec
hni
quesu
sesth
esens
eoft
ouc
htoass
esste
xtu
re,
temp
era
tur
e,
moist
ure,
andswe
ll
in
gwh e
nthen
urs
eisa
sse
ssi
ngapat
ie
nt?
a
. Pa
lpa
tion
b
. I
nsp
ect
ion
c
. Pe
rcu
ssi
on
d
. Au
scu
lta
tion
A
Palpa
tionusesthesenseoft
oucht
oa s
sesst
hepati
entf
orthe
sefa
ctors.
Ins
pec
ti
on
i
n v
olvesvi
sion;
percussi
onasse
sse
sthrou
ghtheuseofpal
pabl
evi
brat
ionsa
ndaud
ibl
e
sounds;an
da uscul
tat
ionuse
sthesen
seofhear
ing
.
Th
enurs
eispr
epa
rin
gtoa
sse
ssap
ati
ent
’
sab
dome
nbyp
alp
ati
on.
Hows
hou
ldt
hen
urs
e
pr
oceed
?
a
. Pal
pat
ionofrep
ort
edl
y“te
nder
”ar
easar
e
av
oide
db eca
usepal
pat
ionint
hes
eare
as
ma
yca
usep
ain
.
b
. Pa
lpa
tin
gat
end
era
reai
squ
ick
ly
p
erf
orme
dtoa
voi
dan
ydi
scomf
ortt
hat
t
hep
ati
entma
yex
per
ien
ce.
c
. Th
eas
ses
sme
ntb
egi
nswi
thd
eep
p
alp
ati
on,
whi
l
een
cou
rag
ingt
hep
ati
entt
o
r
ela
xan
dtot
aked
eepb
rea
ths
.
d
. Th
eas
ses
sme
ntb
egi
nswi
thl
i
ght
p
alp
ati
ont
ode
tec
tsu
rfa
cec
har
act
eri
st
ic
s
a
ndtoac
cus
tomt
hep
ati
entt
obe
ing
t
ouc
hed
.
D
L
igh
tpa
lpa
tioni
sin
iti
al
lyp
erf
orme
dtod
ete
cta
nys
urf
acec
har
act
eri
st
ic
san
dtoa
ccu
stomt
he
p
ers
ont
obe
ingt
ouc
hed
.Te
nde
rar
eass
hou
ldb
epa
lpa
tedl
ast
,notf
ir
st.
, Th
enu
rsewou
ldu
seb
ima
nua
lpa
lpa
tiont
ech
niqu
einwh
ichs
it
uat
ion
?
a
. Pa
lpa
tin
gth
eth
ora
xofa
nin
fan
t
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