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NUR-634 Advanced Physical Assessment Midterm Study Guide 2024 Actual Questions with Verified Answers, 100% Guarantee Pass
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NUR-634 Advanced Physical Assessment Midterm Study Guide 2024 Actual Questions with Verified Answers, 100% Guarantee Pass

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  • September 3, 2024
  • 27
  • 2024/2025
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NUR-634 Advanced Physical Assessment Midterm Study Guide.pdf file:///C:/Users/HP/Desktop/SSSSSSS/NUR-634%20Advanced%20Ph




NUR-634 Advanced Physical Assessment Midterm

Study Guide


1. Subjective Data

ANS -symptoms from the client's point of view and include feelings,perceptions, and concerns

-what the patient tells you

2. Objective Data

ANS -what the health professional observes by inspecting, palpating,percussing, and

auscultating during the physical examination

-observed signs

3. Assessment

ANS -the clinical reasoning process that interprets the patient's historyand physical

examination, singles out identified problems, and movement from eachproblems to its action

plan

4. Plan

ANS -incorporates patient education, changes in medications, needed tests,referrals to other

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clinicians, and return visits for counseling and support

-requires good interpersonal skills and sensitivity to the patients goals, economicmeans,

competing responsibilities, and family struggles/dynamics

5. Percussion

ANS -a diagnostic procedure designed to determine the density of a bodypart by the sound

produced by tapping the surface with the fingers

-use of the striking or plexor finger (usually the 3rd) to deliver a rapid tap or blow against the

distal pleximeter finger (usually the distal 3rd finger of the left hand laidagainst the surface) to

evoke a sound wave

-the 5 sounds are resonant, flat, dull, hyper resonant, and tympanic

-Resonant sounds are low pitched, hollow sounds heard over normal lung tissue.

-Flat are normally heard over solid areas such as bones. thigh

-Dull or thudlike sounds are normally heard over dense areas such as the heart orliver. Dullness

replaces resonance when fluid or solid tissue replaces air-containinglung tissues, such as occurs

with pneumonia, pleural effusions, or tumors.

-Hyperresonant sounds that are louder and lower pitched than resonant sounds are normally

heard when percussing the chests of children and very thin adults. Hyperresonant sounds may

also be heard when percussing lungs hyperinflated with air, such as may occur in patients with
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COPD, or patients having an acute asthmatic attack. An area of hyperresonance on one side of

the chest may indicatea pneumothorax.

-Tympanic sounds are hollow, high, drumlike sounds. Tympany is normally heard over the

stomach, but is not a normal chest sound.Tympanic sounds heard over thechest indicate

excessive air in the chest, such as may occur with pneumothorax.

6. Attributes of a Symptom

ANS -seven attributes

-OPQRST & Associated manifestations (anything else accompanying it)

-onset, provocative/palliative, quality, region/radiation, severity, timing

7. Talkative Challenging Patient Intervention

ANS -give 5-10 minutes uninterrupted

-focus on and ask questions to what seems most important to patient




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