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NUR 104 Module I Health Assessment And Physical Examination Questions And Answers $11.49   Add to cart

Exam (elaborations)

NUR 104 Module I Health Assessment And Physical Examination Questions And Answers

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  • NUR 104
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  • NUR 104

NUR 104 Module I Health Assessment And Physical Examination Questions And Answers

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  • September 14, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 104
  • NUR 104
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Nipsey
NUR 104 Module I Health Assessment And Physical
Examination Questions And Answers
purpose of physical examination ANS gather baseline information about a patient's health status,
supplement/confirm/refute information learned during the history taking, identify or confirm nursing diagnoses,
make clinical judgements about a patient's current or changing health status and ability to manage it, evaluate the
outcomes of care



cultural sensitivity ANS culture influences a patient's behavior, consider health benefits, use of alternative
therapies, nutritional habits, relationships with family and person comfort zone, avoid stereotyping and gender bias



skills of physical assessment ANS inspection, palpation, percussion, auscultation, olfaction



organization of the examination ANS assessment of each body system, note subjective behavior, systematic and
organized, head-to-toe approach



assess the skin ANS nursing history, color, moisture, temperature, texture, turgor or pallor, vascularity, edema,
lesions



condition of nails reflects ANS general health, state of nutrition, occupation, level of self care



assess the mouth and pharynx ANS lips, mouth, gums (color, hydration, lesions), teeth



assess the ears ANS auricles: texture, tenderness, swelling, lesions, color, pain, cerumen



assess the head ANS inspect position, size, shape, contour, facial symmetry, palpate skull (size, shape, contour)



nursing history of the thorax and lungs ANS persistent cough, productive or non productive, shortness of breath,
orthopnea, dyspnea, tobacco use



assess the heart ANS inspection and palpation, patient must be relaxed and comfortable, PMI (point of maximal
impulse), S1 and S2 heart sounds, capillary refill time



level of consciousness ANS awake, alert, drowsy, lethargic, comatose

, orientation ANS person: know their name

place: knows where they are

time: knows date or season

orientation: x3



what does a comprehensive physical examination involve? ANS inspection, palpation, percussion, auscultation,
and olfaction



inspection ANS the use of vision to distinguish normal from abnormal findings



what should you inspect each area for during a physical examination? ANS size, shape, color, symmetry,
position, and abnormalities



palpation ANS involves the use of hands to touch body parts and make sensitive assessments



what changes during a physical examination when examining the abdomen? ANS you auscultate before you
palpate unlike everything else



what do you palpate the skin for? ANS temperature, moisture, texture, turgor, tenderness, and thickness



what do you palpate the abdomen for? ANS tenderness, distention, or masses



what do you palpate last? ANS tender areas



what do you need to palpate? ANS warm hands, short fingernails, and a conscious effort to have a gentle
approach



what parts of the hand should you use to determine position, texture, size, consistency, masses, fluid, and pulsation
during palpation? ANS most sensitive parts (the palmar surface of the fingers and finger pads)



what parts of the hand should you use to assess temperature during palpation? ANS the dorsal surface or back of
the hand

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