nurs 190 physical assessment hein fall term 1 2024
function of the cranial nerves
auscultation sounds are described in
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NURS 190
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NURS 190 Physical Assessment Hein Fall term 1 2024
Questions With Complete Solutions
A doppler ultrasonic stethoscope uses __________________ to
detect sounds that are difficult to hear with a regular
stethoscope, such as ____________________ sounds and
____________________. Correct Answers ultrasonic waves,
fetal heart sounds, peripheral pulses.
Approximately how long is the tubing on a stethoscope?
Correct Answers 30-36 cm, or 12-14 in.
As the nurse assesses each body system or region, he or she
inspects for what? Correct Answers color, size, shape, contour,
symmetry, movement, or drainage.
Asymmetry of facial expression is a cue to assess what? Correct
Answers function of the cranial nerves
Auscultation includes body sounds that can be heard with the
ears alone. What sounds are these? Correct Answers speech,
coughing, respirations, and percussion tones.
Auscultation sounds are described in terms of what? Correct
Answers Sounds are described in terms of intensity, pitch,
duration, and quality.
For example, the nurse might note that a patients respirations are
loud, high pitched, long, and raspy.
,Blood pressure cuffs must have a bladder width of what?
Correct Answers 40-50% of the circumference of the arm
Blood pressure cuffs must have a length of what? Correct
Answers 80% of the circumference of the arm
Bruising (ecchymosis) of the skin is a cue to do what? Correct
Answers ask the patient about recent falls, trauma, injury,
anticoagulant medication, or a bleeding problem.
Deep palpation happens at a depth of what? Correct Answers
2-4 cm (approximately 0.75-1.5 in.)
Deep palpation is used for what? Correct Answers to palpate an
organ that lies deep within a body cavity such as the kidney,
liver, or spleen, or when overlying musculature is thick, tense, or
rigid such as in obesity or with abdominal guarding.
Describe the technique for blunt percussion. Correct Answers
placing the palm of the nondominant hand flat against the body
surface and striking the nondominant hand with the dominant
hand. A closed fist of the dominant hand is used to deliver the
blow.
Direct percussion is the technique of tapping the body with
what? Correct Answers the fingertips of the dominant hand
During palpation the palmar aspect of the fingers is used to
determine what? Correct Answers position, consistency,
texture, size of structures, pain, and tenderness.
, during palpation when should nonsterile gloves be worn?
Correct Answers if open skin areas or drainage were noted
during inspection.
During palpation, pain, involuntary guarding or rigidity,
especially in the abdomen may be a sign of what? Correct
Answers pathology
During percussion ensure the motion is from what? Correct
Answers the wrist, not the forearm or the plexor finger
During percussion what should make contact with the body?
Correct Answers ensure that only the pleximeter makes contact
with the body.
During percussion when should you release the plexor finger?
Correct Answers immediately after the delivery of two sharp
strikes.
Grimacing, guarding (protective posture), or wincing when a
patient moves or when a body part is moved during assessment
are cues to do what? Correct Answers examine the underlying
joint and muscles for problems or masses.
How do stethoscopes work? Correct Answers Stethoscopes
work not by amplifying sounds but by blocking out other noises
in the environment.
How do you perform indirect percussion? Correct Answers The
hyperextended middle finger of the nondominant hand is placed
firmly over the area being examined. This finger is the
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