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HEALTH ASSESSMENT NUR2092 EXAM 2 QUESTIONS WITH CORRECT ANSWERS
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HEALTH ASSESSMENT NUR2092 EXAM 2QUESTIONS WITH CORRECT ANSWERS
Ch. 8 - ANSWER -Assessment Techniques and Safety in the Clinical Setting
Health history provides - ANSWER -Subjective data for health assessment
Objective data (the signs perceived by examiner through physical examination)
Skills performed one at a time, in this order: - ANSWER -Inspection
Palpation
Percussion
Auscultation
Inspection - ANSWER -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
Health Assessment NUR2092 Exam 2 questions with correct answers
,Palpation - ANSWER -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 - ANSWER -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 - ANSWER -requires use of both hands to envelop or capture certain body
parts or organs, such as kidneys, uterus, or adnexa, for more precise delimitation
Health Assessment NUR2092 Exam 2 questions with correct answers
, Percussion - ANSWER -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 - ANSWER -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 - ANSWER -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
Health Assessment NUR2092 Exam 2 questions with correct answers
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