Health Assessment NUR 2092 Exam 2 Questions and Correct Answers
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Course
NUR 2092
Institution
NUR 2092
Health history provides Subjective data for health assessment
Objective data (the signs perceived by examiner through physical examination)
Skills performed one at a time, in this order: Inspection Palpation Percussion Auscultation
Inspection Close, careful scrutiny, first of individual as a who...
Health Assessment NUR 2092 Exam 2
Questions and Correct Answers
Health history provides ✅Subjective data for health assessment
Objective data (the signs perceived by examiner through physical examination)
Skills performed one at a time, in this order: ✅Inspection
Palpation
Percussion
Auscultation
Inspection ✅Close, careful scrutiny, first of individual as a whole and then of each
body system
Begins when you first meet person with a general survey
As you proceed through examination, start assessment of each body system with
inspection
Inspection always comes first
Inspection requires
Good lighting
Adequate exposure
Occasional use of instruments, including otoscope, ophthalmoscope, penlight, or nasal
and vaginal specula, to enlarge your view
Palpation ✅Palpation applies sense of touch to assess the following:
Texture
Temperature
Moisture
Organ location and size
Swelling, vibration, or pulsation
Rigidity or spasticity
Crepitation
Presence of lumps or masses
Presence of tenderness or pain
Palpation Techniques ✅Different parts of hands are best suited for assessing different
factors
Fingertips: best for fine tactile discrimination of skin texture, swelling, pulsation,
determining presence of lumps
, Fingers and thumb: detection of position, shape, and consistency of an organ or mass
Dorsa of hands and fingers: best for determining temperature because skin here is
thinner than on palms
Base of fingers or ulnar surface of hand: best for vibration
Bimanual Palpation ✅requires use of both hands to envelop or capture certain body
parts or organs, such as kidneys, uterus, or adnexa, for more precise delimitation
Percussion ✅Tapping person's skin with short, sharp strokes to assess underlying
structures
Percussion has following uses:
Mapping location and size of organs
Signaling density of a structure by a characteristic note
Detecting a superficial abnormal mass
Percussion vibrations penetrate about 5 cm deep
Deeper mass would give no change in percussion
Eliciting pain if underlying structure is inflamed
Eliciting deep tendon reflex using percussion hammer
2 Methods of Percussion can be done ✅Direct, sometimes called immediate, the
striking hand directly contacts body wall
Indirect, or mediate, using both hands, the striking hand contacts stationary hand fixed
on person's skin
Ausculation ✅Listening to sounds produced by body
Most body sounds are soft and must be channeled through a stethoscope
Stethoscope does not magnify sound, but it blocks out extraneous sounds
Of all the equipment you will use, the stethoscope quickly becomes a personal
instrument
Once you can recognize normal sounds, you can distinguish the abnormal sounds and
"extra" sounds
Wash your hands—this is the single most important step to decrease microorganism
transmission ✅Before and after physical contact with each patient
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