Exam (elaborations)
NUR 210 EXAM #2 - HEALTH ASSESSMENT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NUR 210 EXAM #2 - HEALTH ASSESSMENT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NUR 210 EXAM #2 - HEALTHASSESSMENT QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
inspection - ANSWER concentrated watching. close, careful scrutiny, first of individual as a whole then
each body system
always first
palpation - ANSWER follows and often confirms points that you noted during inspection.
touch - texture, temp, moisture, organ location and size, swelling, vibration or pulsation, rigidity or
spasticity, crepitation, lumps or masses, tenderness or pain.
palpation - fingertips - ANSWER best for fine tactile discrimination (texture, swelling, pulsation and
lumps)
palpation - grasping of fingers & thumb - ANSWER detect position, shape and consistency of organ or
mass
palpation - dorsa (backs) of hands & fingers - ANSWER best for determining temp
palpation - base of fingers - ANSWER best for vibration
percussion - ANSWER tapping skin with short, sharp strokes to assess underlying structures
percussion use - ANSWER -mapping out location and size of organ
-signaling density (air, fluid, solid)
-detecting an abnormal mass if superficial
-eliciting deep tendon reflex using percussion hammer
percussion notes - resonant - ANSWER amplitude: medium-loud
pitch: low
, quality: clear, hollow
duration: moderate
percussion notes - hyperresonant - ANSWER amplitude: louder
pitch: lower
quality: booming
duration: longer
percussion notes - tympany - ANSWER amplitude: loud
pitch: high
quality: musical/drumlike
duration: sustained-longest
percussion notes - dull - ANSWER amplitude: soft
pitch: high
quality: muffled thud
duration: short
percussion notes - flat - ANSWER amplitude: very soft
pitch: high
quality: dead stop of sound
duration: very short
diaphragm - ANSWER flat edge of stethoscope, used to listen to high-pitched sounds like breath, bowel
and heart sounds
bell - ANSWER endpiece has deep, hollow, cuplike shape, used to listen to soft, low-pitched sounds like
extra heart sounds or murmurs
standard precautions for use with all patients - ANSWER 1. hand hygiene
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