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PTRS 882 Screening Lab Study Set Exam
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PTRS 882 Screening Lab StudySet Exam
what is the order of physical assessment for cardiovascular screens? - Answer
observation
palpation
percussion
auscultation
what should you do during cardiovascular screening observation? - Answer always
begin with observation
examine the skin, moles (ABCDE)
examine the fingernails (for clubbed nails)
examine breathing
observe patient's position
skin: signs of local inflammation, infection, jaundice
how do you perform palpation for cardiopulmonary screening? - Answer feel skin
temperature
palpate between ribs
palpate lymph nodes
palpate the thyroid gland, trachea
why do we palpate between the ribs? - Answer can provide information for differential
diagnosis
-intercostal muscle pain (indicates overworked muscle, from coughing, etic)
if lymph nodes are painful and swollen, it indicates... - Answer infection
if lymph nodes are painless and swollen, it indicates... - Answer neoplasm or cancer
what is percussion? - Answer tapping on the body to understand what structures are
under the skin
what percussions do you perform in sitting? - Answer percussion of the back (lungs)
, percussion of the kidneys
what is the ABCDE skin assessment? - Answer A: asymmetry
B: border (smooth is better than not)
C: color (considered about changing color)
D: diameter (concerned about changing)
E: evolving (is this area changing)
what auscultations do you perform in sitting? - Answer heart sounds
lung sounds
what lung sounds should you check in auscultation (sitting)? - Answer tactile fremitus
"99"
tracheal breath sounds
bronchial breath sounds
vesicular breath sounds
bronchovesicular breath sounds
can you diagnose melanoma? - Answer obviously no
but you should look out for it and make sure pt sees a physician if you suspect it
we should be aware and concerned
if you suspect it they need to get it checked out ASAP, but not urgent care
what should you auscultate in the abdomen when patient is supine? - Answer listen
15-20 seconds per each quadrant
listen for aortic pulse
listen for normal activity (gurgling/rumbling)
how long should you listen in each abdominal quadrant (auscultation)? - Answer 15-20
seconds
if aortic pulse is bruit, it may indicate ________ - Answer aortic aneurysm
how do you percuss the liver? - Answer find the belly button and move to the right
towards the midclavicular line. Move slightly upward.
how do you percuss for excessive fluid in the abdomen? - Answer start with normal
abdominal percussion to outline areas of dullness and tympany. If you suspect fluid in
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