Study sets matching "term:skills nursing assessment = inspection, palpation, auscultation, percussion"

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Study sets matching "term:skills nursing assessment = inspection, palpation, auscultation, percussion"

Inspection, palpation, percussion and auscultation
Inspection
Palpation
Percussion
Auscultation
Inspection - uses the sense of sight to identify specific cha…
Palpation - Uses the sense of touch to evaluate physical sign…
Percussion - Uses the sense of touch and hearing as examiner…
Auscultation - Uses the sense of hearing to listen to body so…
Inspection
Inspection - uses the sense of sight to identify specific cha…
Palpation
Palpation - Uses the sense of touch to evaluate physical sign…
9 terms
Assessment techniques week 1
Inspection
Palpate
Palpation
Palpation Different parts of hands are…
The use of vision and hearing to distinguish normal from abno…
Involves using the hands... •Examine accessible body parts... •Palp…
➢Palpation applies sense of touch to assess... •Texture... •Tempera…
•Fingertips: best for fine tactile discrimination of skin tex…
Inspection
The use of vision and hearing to distinguish normal from abno…
Palpate
Involves using the hands... •Examine accessible body parts... •Palp…
8 terms
nursing exam 2 assessment
subjective data
objective data
techniques for assessment
techniques for abdomen assessment
- spoken info or symptoms that cannot be observed... - gathered…
- signs; measurable and observable ... - use of sight, hearing,…
inspection... palpitation... percussion... auscultation
inspection... auscultation... palpitation... percussion
subjective data
- spoken info or symptoms that cannot be observed... - gathered…
objective data
- signs; measurable and observable ... - use of sight, hearing,…
13 terms
Skills & Asses: Assessment Techniques & Safety in Clinical Setting
Senses you use when examining
Skills performed
Inspection
Palpation
Sight, smell, touch, and hearing
Inspection... Palpation... Percussion... Auscultation
Begins when you first meet person, compare right side to the…
applies touch in order to assess: ... Textures ... Temperature... Mois…
Senses you use when examining
Sight, smell, touch, and hearing
Skills performed
Inspection... Palpation... Percussion... Auscultation
12 terms
Nursing Midterm - Physical Assessment Techniques
Physical Assessment Techniques
Inspection
Palpation
Percussion
Inspection... Palpation ... Percussion ... Auscultation
observation and visual examination of the client, as well as…
light touch, progressing to deeper touch, using the pads of t…
striking a body surface with the tip of a finger, which produ…
Physical Assessment Techniques
Inspection... Palpation ... Percussion ... Auscultation
Inspection
observation and visual examination of the client, as well as…
12 terms
Cardiovascular Assessment Inspection/Palpate/Auscultate
1 Insp
1 palp
2 palp
3 percuss
inspect precordium, made up of heart and great vessels... State…
palpate the base, left sternal border and apex (the pledge of…
mid- clavicular line at 5th intercostal space palpate PMI wit…
state we don't percuss the heart because we do x-rays
1 Insp
inspect precordium, made up of heart and great vessels... State…
1 palp
palpate the base, left sternal border and apex (the pledge of…
20 terms
Nursing Fundamentals- Health Assessment
When taking a health history, the nurs…
Before palpating the abdomen during an…
The nurse would attempt to gather whic…
The nurse would document which of the…
B. Using therapeutic communication skills to identify the cli…
B. Auscultate bowel sounds... Rationale: Before palpating the a…
A. Who lives with the client and the client's support systems…
B. Loss of hair on lower legs bilateral... Rationale: Subjectiv…
When taking a health history, the nurs…
B. Using therapeutic communication skills to identify the cli…
Before palpating the abdomen during an…
B. Auscultate bowel sounds... Rationale: Before palpating the a…
Nursing Fundamentals- Health Assessment
When taking a health history, the nurs…
Before palpating the abdomen during an…
The nurse would attempt to gather whic…
The nurse would document which of the…
B. Using therapeutic communication skills to identify the cli…
B. Auscultate bowel sounds... Rationale: Before palpating the a…
A. Who lives with the client and the client's support systems…
B. Loss of hair on lower legs bilateral ... Rationale: Subjecti…
When taking a health history, the nurs…
B. Using therapeutic communication skills to identify the cli…
Before palpating the abdomen during an…
B. Auscultate bowel sounds... Rationale: Before palpating the a…
27 terms
Abdominal Assessment - N220 Fundamentals of Nursing ACE Nursing Drexel F2016
Bristol Stool Chart
General Approach to Abdominal Assessment
General Approach to Abdominal Assessme…
Order of the Assessment
1. Ask client to urinate before exam... 2. Drape client at xipho…
Stand to right side of client for exam... 1. Have client point…
1. Inspection... 2. Auscultation (performed second because palpa…
Bristol Stool Chart
General Approach to Abdominal Assessment
1. Ask client to urinate before exam... 2. Drape client at xipho…
11 terms
Physical Assessment Technique Examples
symmetry
surface characteristics
gross abnormalities
unusual odors
inspection
inspection or light palpation
inspection
inspection
symmetry
inspection
surface characteristics
inspection or light palpation
Nursing 142 Module 7: Head to Toe Assessment
Head to Toe Assessment
Palpation
Auscultation
Percussion
Look for any abnormalities in head, neck, arms, chest, abdome…
Feeling
Listening
Tapping:... -Tympany... -Dullness... -Resonance... -Flatness
Head to Toe Assessment
Look for any abnormalities in head, neck, arms, chest, abdome…
Palpation
Feeling
10 terms
Physical Assessment
Subjective Data
AMPLE
PQRST
Objective Data
1. Introduce yourself as a SUNY Broome Nursing Student... 2. Ask…
A: ALLERGIES-to meds, foods, latex, environment... M: MEDICATION…
P: What PROVOKES the pain?... Q: what is the QUALITY of the pain…
1. Inspection... 2. Palpation... 3. Percussion... 4. Auscultation
Subjective Data
1. Introduce yourself as a SUNY Broome Nursing Student... 2. Ask…
AMPLE
A: ALLERGIES-to meds, foods, latex, environment... M: MEDICATION…
Nursing Fundamentals- Health Assessment
When taking a health history, the nurs…
Before palpating the abdomen during an…
The nurse would attempt to gather whic…
The nurse would document which of the…
B. Using therapeutic communication skills to identify the cli…
B. Auscultate bowel sounds... Rationale: Before palpating the a…
A. Who lives with the client and the client's support systems…
B. Loss of hair on lower legs bilateral... Rationale: Subjectiv…
When taking a health history, the nurs…
B. Using therapeutic communication skills to identify the cli…
Before palpating the abdomen during an…
B. Auscultate bowel sounds... Rationale: Before palpating the a…
5 terms
Jarvis Assessment techniques and the clinical setting ch 3
The skills requisite for the physical…
Inspection
Palpation
Percussion
inspection, palpation, percussion, and auscultation.
...
...
...
The skills requisite for the physical…
inspection, palpation, percussion, and auscultation.
Inspection
...
NURSING 105 - Health Assessment
Physical examination
Inspection
Auscultation
Percussion
1. Inspection ... 2. Auscultation ... 3. Percussion... 4. Palpation
Visual examination ... Moisture,color,texture of body surfaces... S…
Listening to sounds produced within the body... Pitch,intensity,…
Striking body surface to elicit sounds or vibrations... Determin…
Physical examination
1. Inspection ... 2. Auscultation ... 3. Percussion... 4. Palpation
Inspection
Visual examination ... Moisture,color,texture of body surfaces... S…
20 terms
Nursing Fundamentals- Health Assessment
When taking a health history, the nurs…
Before palpating the abdomen during an…
The nurse would attempt to gather whic…
The nurse would document which of the…
B. Using therapeutic communication skills to identify the cli…
B. Auscultate bowel sounds... Rationale: Before palpating the a…
A. Who lives with the client and the client's support systems…
B. Loss of hair on lower legs bilateral... Rationale: Subjectiv…
When taking a health history, the nurs…
B. Using therapeutic communication skills to identify the cli…
Before palpating the abdomen during an…
B. Auscultate bowel sounds... Rationale: Before palpating the a…
10 terms
nursing test
assessment
diagnosis
outcome identification
planning
评估
诊断
鉴定
计划
assessment
评估
diagnosis
诊断
Assessment Techniques
Skills of Physical Examination
What comes first?
In inspection...
Palpation
Inspection... Palpation... Percussion... Auscultation
Inspection (starts with the general survey then focuses on sp…
compare left to right... resist touching... good lighting... instrumen…
confirms observations made during inspection
Skills of Physical Examination
Inspection... Palpation... Percussion... Auscultation
What comes first?
Inspection (starts with the general survey then focuses on sp…
12 terms
Health Assessment Chapter 8
the skills requisite for physical exam…
inspection
palpation
percussion
inspection... palpation... percussion... auscultation... one at a time,…
concentrated watching... first as individual as a whole then of…
follows and confirms points noted in inspection... sense of touc…
tapping the person's skin with short, sharp strokes to assess…
the skills requisite for physical exam…
inspection... palpation... percussion... auscultation... one at a time,…
inspection
concentrated watching... first as individual as a whole then of…
15 terms
Ch 22 health Assessment
Physical examination and purpose
Types of physical examination
Organization of physical assessment
Preparing for physical assessment
Used as part of a general health assessment... Used to gather d…
1. Comprehensive... Interview plus complete head-to-toe examina…
Start from head and move down ... Body system:... 1. Neurological…
-Yourself: ... 1. Theoretical knowledge-A and P, techniques... 2…
Physical examination and purpose
Used as part of a general health assessment... Used to gather d…
Types of physical examination
1. Comprehensive... Interview plus complete head-to-toe examina…
module 11 respiratory assessment
physical assessment
data collection
inspection and observation
palpation
provides a complete picture of physiologic functioning... compre…
performed on an almost continual basis... initial detailed asses…
________ visually the various parts of the body and the behav…
performed by using the hands, fingertips to touch and feel va…
physical assessment
provides a complete picture of physiologic functioning... compre…
data collection
performed on an almost continual basis... initial detailed asses…
58 terms
Health Assessment for Nursing Practice- Chapter 3&9
Health assessment
Subjective data
Objective data
Different types of health assessment
data used to identify clients health status, practices, risk…
- history - symptoms (feels)
-physical- signs (clinical findings)
-comprehensive... -Problem based/focused... -Episodic/follow up... -Sc…
Health assessment
data used to identify clients health status, practices, risk…
Subjective data
- history - symptoms (feels)
9 terms
NCLEX: Abdominal Assessment
Inspect the skin for:
Ascultate for:
Percuss for:
Palpate for:
- color... - abnormalities... - contour... - tautness... - abdomen fo…
bowel sounds
- air or... - solids
tenderness
Inspect the skin for:
- color... - abnormalities... - contour... - tautness... - abdomen fo…
Ascultate for:
bowel sounds
Exam 1 Nursing Assessment
Assessment
Nursing Process (6 steps)
Foundational Awareness
Developmental Theories (7 Names)
Collection of comprehensive data important to patient's health.
1. Assessment... 2. Diagnosis... 3. Outcome Identification: Goals... 4…
1. A&P... 2. Growth... 3. Development... 4. Ethnic and Cultural Consid…
1. Freud: Psychosexual... 2. Erikson: Psychosocial... 3. Maslow: Se…
Assessment
Collection of comprehensive data important to patient's health.
Nursing Process (6 steps)
1. Assessment... 2. Diagnosis... 3. Outcome Identification: Goals... 4…
20 terms
NRS 208: Chapter 8
The clinical setting: general survey
hand hygiene: safer enviroment
gloves: safer enviroment
The clinical setting: hands on
Consider your emotional state and that of the person being ex…
1. Wash your hands!!!!! the single most important step in dec…
wear gloves!!!... When potential exists for contact with any bod…
-Measurement and vital signs... -Begin with person's hands... -Conc…
The clinical setting: general survey
Consider your emotional state and that of the person being ex…
hand hygiene: safer enviroment
1. Wash your hands!!!!! the single most important step in dec…
6 terms
Nursing skills
Palpation
Percussion
Auscultation
Rapport
The use of touch to gather data. To check Temp., skin texture
Tapping on the skin with short strokes from fingers, produces…
Use of hearing to gather data
A close and harmonious relationship in which the people or gr…
Palpation
The use of touch to gather data. To check Temp., skin texture
Percussion
Tapping on the skin with short strokes from fingers, produces…
8 terms
Nursing 212 Assessing Pediatric Clients
Toddlers
Incorporate games
Assess motor skills
Pre-K
When assessing a toddler, keep toddlers with their parents.... o…
Toddler
Toddler
child wants to please... Initiative stage... verbal capacity but li…
Toddlers
When assessing a toddler, keep toddlers with their parents.... o…
Incorporate games
Toddler
Fundamental Nursing Skills and Concepts: Chapter 13- Physical Assessment (H-T) Vocabulary
Physical Assessment
Inspection
Percussion
Palpation
Systematic examination of body structures (one method of gath…
Purposeful observation (Most used, examining particular body…
1) striking or tapping a part of the body 2) type of chest ph…
Lightly touching or applying pressure to the body
Physical Assessment
Systematic examination of body structures (one method of gath…
Inspection
Purposeful observation (Most used, examining particular body…
12 terms
307-Ch 8-Assessment/Safety in Clinical Setting
Use senses to gather data
The physical examination requires the…
Skills requisite for the physical exam…
Inspection
sight, smell, touch, hearing (what a patient is telling you,…
-technical skills to gather data... -relate this data to knowled…
Inspection, Palpation, Percussion, Auscultation... Abdominal ex…
ALWAYS FIRST- begins when you first meet person w/ general su…
Use senses to gather data
sight, smell, touch, hearing (what a patient is telling you,…
The physical examination requires the…
-technical skills to gather data... -relate this data to knowled…
10 terms
Chapter 4: Techniques of Physical Examination and Equipment
Subjective Data
Objective Data
Physical Examinations
Inspection
What the patient tells the nurse (symptoms)
Nurses findings. Can be measured
Inspection ... Palpation... Percussion... Auscultation
Relies on visual, auditory and olfactory senses to assess gen…
Subjective Data
What the patient tells the nurse (symptoms)
Objective Data
Nurses findings. Can be measured
Respiratory Clinical Skills
History
Inspection
Palpation
Percussion
Cough... Hemoptysis... Sputum production (colour, quantity)... Shortne…
Colour (plethora, pallor, cyanosis)... Respiratory rate/effort/r…
Palpation of thoracic muscles/skeleton for tenderness... Evaluat…
Percuss the tones over the chest comparing from side to side,…
History
Cough... Hemoptysis... Sputum production (colour, quantity)... Shortne…
Inspection
Colour (plethora, pallor, cyanosis)... Respiratory rate/effort/r…
Ch. 8 - V/S
Inspection... Palpation... Percussion... Auscul…
Percussion sounds
Resonant Noise
Tympany
Order of Assessment (InPalPerAus)
Resonant... Tympany... Dull... Flat
lungs
intestines
Inspection... Palpation... Percussion... Auscul…
Order of Assessment (InPalPerAus)
Percussion sounds
Resonant... Tympany... Dull... Flat
Lecture #1
Nursing Process
Types of Health Assessments
Structured Interview Phases
COLDSPA- symptoms
1. Assessment... 2. Nursing Diagnosis... 3. Plan... 4. Intervention/Im…
1. Complete... 2. Episodic... 3. Interval/Follow-up... 4. Emergency
*Preparation... 1. Introductory... 2. Working... 3. Termination/Summary
Character or Quality... Onset... Location... Duration... Severity... Pattern…
Nursing Process
1. Assessment... 2. Nursing Diagnosis... 3. Plan... 4. Intervention/Im…
Types of Health Assessments
1. Complete... 2. Episodic... 3. Interval/Follow-up... 4. Emergency
Ch. 23 Abnormal vs. Normal
observe the coloration of the skin
note the vascularity of the abdominal…
note any striae
inspect for scars
normal: abdominal skin may be paler than the general skin ton…
normal-scattered fine beins may be visible. blood in the bein…
normal: new striae are pink or bluish in color; old striae ar…
normal: pale, smooth, minimally raised old scars may be seen…
observe the coloration of the skin
normal: abdominal skin may be paler than the general skin ton…
note the vascularity of the abdominal…
normal-scattered fine beins may be visible. blood in the bein…
final for fundamental nursing skills
narrative charting
SOAP charting
S-O-A-P means
focus charting
the style of documentation generally used in source-oriented…
the documentation style more likely to be used in a problem-o…
Subjective data... Objective data... analysis of the data... plan for…
(modified form of SOAP charting) uses word "focus" rather tha…
narrative charting
the style of documentation generally used in source-oriented…
SOAP charting
the documentation style more likely to be used in a problem-o…
Combo with "Fundamental Nursing Skills and Concepts: Chapter 13- Physical Assessment (H-T) Vocabulary" and 2 others
Physical Assessment
Inspection
instruments used for inspection
Percussion
Systematic examination of body structures (one method of gath…
Purposeful observation (Most used, examining particular body…
ophthalmoscope... otoscope
striking or tapping a part of the body with the fingertips to…
Physical Assessment
Systematic examination of body structures (one method of gath…
Inspection
Purposeful observation (Most used, examining particular body…
Assessment Techniques and Safety in the Clinical Setting (5 Qs) (missing percussion and auscultation stuff here)
Skills performed one at a time, in thi…
Observing patient with naked eye
What are you observing when you inspect?
Begins when you first meet person with…
Inspection... Palpation... Percussion... Auscultation
inspection
Symmetry, body features, anything abnormal
inspection
Skills performed one at a time, in thi…
Inspection... Palpation... Percussion... Auscultation
Observing patient with naked eye
inspection
5 terms
GI assessment
subjective data
objective data
mouth
abdomen
complaints? gas? rectal bleeding? weight loss or gain? troubl…
inspect... auscultate... palpate... percuss
symmetry, color, size... pallor, cyanosis, cracking, ulcers, fis…
inspect for skin changes, dilated veins, contour, symmetry... co…
subjective data
complaints? gas? rectal bleeding? weight loss or gain? troubl…
objective data
inspect... auscultate... palpate... percuss
46 terms
101: Skills Lab 2 Nursing Process
pg 162 box 11-1... pg 163... pg 519 Skills 3…
Nursing Process
The Nursing Process: Assessment
Nursing Health History:
...
Def: a systematic, rational method of planning and providin…
Purpose: Establishes a database about the client's response…
Data Collection ... - Includes current and past health status…
pg 162 box 11-1... pg 163... pg 519 Skills 3…
...
Nursing Process
Def: a systematic, rational method of planning and providin…
22 terms
Skills for assessment
health history
IPPA
Abdomen
Inspection
guides physical assessment
Inspection, palpation, percussion, auscultation
IAPP (palpate last)
the use of the eyes to gain observational information
health history
guides physical assessment
IPPA
Inspection, palpation, percussion, auscultation
126 terms
NURS228 Health Assessment in Nursing
assessment
diagnosis
planning
implementation
subjective and objective data
Analyze the subjective and objective data to make a nursing j…
determine the outcome and develop a plan
carry out the plan
assessment
subjective and objective data
diagnosis
Analyze the subjective and objective data to make a nursing j…
Abdomen PE
Inspect abdomen
Auscultate all four quandrants of abdo…
Palpate abdomen in six areas superfici…
Percuss liver size
...
...
...
...
Inspect abdomen
...
Auscultate all four quandrants of abdo…
...
9 terms
Assessment Techniques
Physical Examination... Inspection (looki…
Physical Assessment... Palpation (touching)
Physical Assessment... Percussion (tapping)
Physical Assessment ... Auscultation (lis…
- Begins the moment you see the client... - Watching the client…
- Deep Palpation... Organs and masses... Intermittent pressure... Lig…
- Helps to define the sounds of the underlying areas... - Avoid…
- Do not listen through clothing... - Eliminate any extra noise…
Physical Examination... Inspection (looki…
- Begins the moment you see the client... - Watching the client…
Physical Assessment... Palpation (touching)
- Deep Palpation... Organs and masses... Intermittent pressure... Lig…
77 terms
Toddler - Adolescents Assessment
The Interview
Approaches for Toddlers 13-36 months
Approaches for Preschoolers 3-6 yrs
Approaches for School Aged 6-12 yrs
Be professional and friendly... Develop a rapport with child and…
May do interview/assessment while toddler is near or held by…
Allow to stay close to parent... Allow to handle/use equipment a…
Ask child if parent can be present for the exam... Respect priva…
The Interview
Be professional and friendly... Develop a rapport with child and…
Approaches for Toddlers 13-36 months
May do interview/assessment while toddler is near or held by…
Nursing 3120 Final
Comprehensive assessment
Problem-based/focused assessment
episodic/follow-up assessment
shift assessment
-detailed history and physical examination ... -performed at ons…
-history and examination that are limited to a specific probl…
-following up with a healthcare provider
-identify changes in a patient's condition from baseline ... -ba…
Comprehensive assessment
-detailed history and physical examination ... -performed at ons…
Problem-based/focused assessment
-history and examination that are limited to a specific probl…
5 terms
Module 2: Introduction to the Collaborative Nursing Process
essential ingredients of a collaborati…
Spiralling Model of Collaborative Part…
Nursing Process
Basic physical assessment
Sharing power... Being non-judgemental and accepting... Being open…
Exploring... Zeroing In... Working out... Reviewing
Assessment... Diagnosis... Planning... Implementation... Evaluation
Inspection... Palpation... Percussion... Auscultation
essential ingredients of a collaborati…
Sharing power... Being non-judgemental and accepting... Being open…
Spiralling Model of Collaborative Part…
Exploring... Zeroing In... Working out... Reviewing
30 terms
Nursing Assessment
Activities of Daily Living (ADLs)
Adventitious Breath Sounds
Auscultation
Body Mass Index (BMI)
the activities of daily living needed for independent living
abnormal breath sound heard over the lungs
listening for sounds within the body
ratio of height to weight
Activities of Daily Living (ADLs)
the activities of daily living needed for independent living
Adventitious Breath Sounds
abnormal breath sound heard over the lungs
Nursing Fundamentals- Health Assessment
When taking a health history, the nurs…
Before palpating the abdomen during an…
The nurse would attempt to gather whic…
The nurse would document which of the…
B. Using therapeutic communication skills to identify the cli…
B. Auscultate bowel sounds... Rationale: Before palpating the a…
A. Who lives with the client and the client's support systems…
B. Loss of hair on lower legs bilateral... Rationale: Subjectiv…
When taking a health history, the nurs…
B. Using therapeutic communication skills to identify the cli…
Before palpating the abdomen during an…
B. Auscultate bowel sounds... Rationale: Before palpating the a…
17 terms
General Nursing Assessment - Test 1
What is Assessment
What is the goal of the Assessment
Purposes of Assessment
Types of Physical Assessment
Assessment is the systematic gathering of information related…
Used to gather data about the patient... Focuses on functional…
Identify nursing diagnoses and collaborative problems... Monitor…
Comprehensive... Focused... Ongoing... Emergency
What is Assessment
Assessment is the systematic gathering of information related…
What is the goal of the Assessment
Used to gather data about the patient... Focuses on functional…
15 terms
Thorax and Lung Assessment
Lobes of the lung
Lifespan considerations
Urgent assessment
Subjective data
the left lung has 2 lobes; the right lung has 3 lobes. anteri…
respiratory strength declines. lungs lose elasticity, flexibi…
acute SOB--immediately assess respiratory and pulse rates, bp…
past medical history (diagnosis of respiratory disease or con…
Lobes of the lung
the left lung has 2 lobes; the right lung has 3 lobes. anteri…
Lifespan considerations
respiratory strength declines. lungs lose elasticity, flexibi…
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