NUR265 HEALTH ASSESSMENT FINAL EXAM QUESTIONS AND ANSWERS.
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Course
NUR 265
Institution
NUR 265
what is subjective data?
data the patient tells you about themselves
what is objective data?
data you obtain through physical examination
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what is a primary sour...
NUR265: HEALTH ASSESSMENT:
FINAL EXAM QUESTIONS AND
ANSWERS
what is subjective data?
data the patient tells you about themselves
what is objective data?
data you obtain through physical examination
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what is a primary source?
directly from the patient in regards to their health history
what is a secondary source?
comes from family member or other source about the patient's
health history
What does a general assessment look at?
looks at the patient's behavior, appearance, mobility, and body
structure.
,when is a general assessment started?
when pt first walks in the door
what is a complete assessment?
a complete health history with a full physical examination
what is a focused assessment?
assessment on one problem or body system
what is a follow up assessment?
used to evaluate previously addressed problems at reasonable
intervals for progression or improvements.
what is an emergency assessment?
urgent, rapid data collection used with life saving measures during
critical situations
what is inspection?
concentrated watching to gather data
when does inspection occur in the order of assessment pieces?
ALWAYS first
what are 3 components needed to complete a successful inspection
component of an assessment?
1) good lighting
2) adequate exposure
3) equipment
what is palpation?
sense of touch
when does palpation occur in the order of assessment components?
follows inspection
what does palpation assess for?(7)
1) temperature
2) edema
3) texture
4) moisture
5) organ location
, 6) lumps/massess
7) tenderness/pain
when should you use the fingertips during palpation?
when needing to complete fine tactile discrimination
when should yours the grasping mechanism of the fingers and
thumbs during palpation? (3)
when assessing the position, size, or shape of an organ or mass
when do you use the back (dorsal) side of the hands to palpate?
temperature
what do you use the base of the finger or ulnar surface of the hand
during palpation?
vibration
what are 3 comfort things to remember when palpating a patient?
1) tender areas last
2) light to deep
3) warm hands
what organs do you use bimanual palpation? (2)
kidneys and uterus
what is percussion?
short, sharp tapping on the skin to assess underlying structures
what is produced during percussion?
audible notes
what do the sounds produced during percussion tell you? (3)
location, size, density
how do you tell the location and size of an organ through
percussion?
listen for note changes in between the organ borders
when do you hear resonance?
over normal lung tissue
when do you hear hyper resonance?
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