Rasmussen Health Assessment final Exam with Complete Solutions
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Course
Rasmussen Health Assessment
Institution
Rasmussen Health Assessment
Rasmussen Health Assessment final
Exam with Complete Solutions
How to test for visual acuity Snellin eye chart
(Stand 20 feet away from the chart)
how to test for hearing Use the Rinne test
Do a physical exam
Bruit abnormal blowing or swishing sound heard during auscultation of an arter...
Rasmu ssen Health Assessment final Exam with Complete Solutions How to test for visual acuity ✔✔Snellin eye chart (Stand 20 feet away from the chart) how to test for hearing ✔✔Use the Rinne test Do a physical exam Bruit ✔✔abnormal blowing or swishing sound heard during auscultation of an artery or organ How to auscultate lungs ✔✔side to side (zig -zag movement, have pt. take a full breath while you are listening - start C7 to T10 COMPARING ) How to auscultate abdom en ✔✔perform auscultation prior to palpation or percussion. Listen in a clockwise manner starting in the lower right quadrant, listen for 5 minutes in each quadrent normal bowel sounds ✔✔5-30 per minute, high pitched hypoactive bowel sounds ✔✔follow abdo minal surgery or with inflammation of the peritoneum, 5-15 per minute, could be bowel obstruction hyperactive bowel sounds ✔✔loud, high -pitched, rushing, tinkling sounds that signal increased motility (diarrhea, laxative use, gurgling) ABCDEs of melanoma ✔✔asymmetry, border, color, diameter, evolution Skin assessment on dark skinned patient ✔✔Pallor: yellowish brown, ashen gray Erythema: purplish tinge difficult to see Cyanosis: dull and lifeless Jaundice: check for yellowness of palms of hands bronchia l breath sounds ✔✔higher pitch, louder, inspiration and expiration are equal and there is a pause between inspiration and expiration. (heard in the front) bronchovescicular breath sounds ✔✔moderate, high pitched, ( inspiration = to expiration) vesicular breath sounds ✔✔low pitched, soft, expiration, alveoli Crackles (fine) ✔✔discontinuous, high -pitched, short crackling, (popping sounds heard during inspiration that are not cleared by coughing ) Crackles (coarse) ✔✔Loud, low -pitched, bubbling an d gurgling sounds that start in early inspiration and may be present in expiration. (May decrease somewhat by suctioning or coughing but will reappear shortly. Sounds like opening a velcro fastener) Stridor ✔✔strained high -pitched sound (heard on inspirat ion caused by obstruction in the pharynx or larynx) How to assess edema ✔✔1+ Barely detectable impression when finger is presssed into skin. 2+ Slight indentation. 15 seconds to rebound
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