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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
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…
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…
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: 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…
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…
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…
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
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…
10 terms
nursing test
assessment
diagnosis
outcome identification
planning
评估
诊断
鉴定
计划
assessment
评估
diagnosis
诊断
13 terms
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…
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…
9 terms
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…
9 terms
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…
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…
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
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
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
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…
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)
30 terms
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…
8 terms
Correct Assessment techniques of lungs.
INSPECTION (posterior chest):
PALPATION (posterior chest):
PERCUSSION (posterior chest):
AUSCULTATE (posterior chest):
Note the shape and configuration of the chest wall. Spinous…
Confirm symmetric chest expansion by placing your warmed han…
Determine the predominate over the lung fields. Start at the…
Evaluate the presence and quality of normal breath sounds. T…
INSPECTION (posterior chest):
Note the shape and configuration of the chest wall. Spinous…
PALPATION (posterior chest):
Confirm symmetric chest expansion by placing your warmed han…
8 terms
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…
...
19 terms
Health Assessment Final
Hair
Skin
Nails
Head
Inspection
Inspection
Inspection
Inspection
Hair
Inspection
Skin
Inspection
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…
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…
37 terms
Abdomen Bladder & Kidneys Assessment
Abdomen Organs
History
Prepare patient for assessment
9 regions or 4 quadrants of the abdomen
Know the abdomen organs and their placement
Past and present conditions/surgeries... Pain location, make wor…
Have patient void prior to assessment (save contents j i c)... H…
Divide into four quadrants or nine regions... to map and notate…
Abdomen Organs
Know the abdomen organs and their placement
History
Past and present conditions/surgeries... Pain location, make wor…
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…
28 terms
Assessment Techniques in the Clinical Setting
Health history provides
Physical examination requires examiner…
Inspection
Inspection requires
• Subjective data for health assessment... • Objective data
• Technical skills, the tools to gather data... • Then examiner…
• Close, careful scrutiny, first of individual as a whole and…
• Good lighting... • Adequate exposure... • Occasional use of instr…
Health history provides
• Subjective data for health assessment... • Objective data
Physical examination requires examiner…
• Technical skills, the tools to gather data... • Then examiner…
77 terms
Foundations Chapter 31 Health Assessment and Physical Examination
3... The nurse should pace the examinati…
2 ... If a patient's oral cavity or brea…
1... While examining a patient's body us…
4... Auscultation refers to listening to…
While preparing a patient for a physical examination, a nurse…
After inspecting four patients, a nurse documents the finding…
After teaching a student nurse about palpation, a registered…
Which physical assessment technique involves the use of a ste…
3... The nurse should pace the examinati…
While preparing a patient for a physical examination, a nurse…
2 ... If a patient's oral cavity or brea…
After inspecting four patients, a nurse documents the finding…
123 terms
health assessment test 1
nursing process
nursing health assessment
purpose of nursing health assessment
nursing skills
diagnosis and treatment of human responses to actual or poten…
this is the first step in the nursing process. the ongoing an…
to provide information to facilitate a plan of care to delive…
these skills include communication and ethical skills
nursing process
diagnosis and treatment of human responses to actual or poten…
nursing health assessment
this is the first step in the nursing process. the ongoing an…
16 terms
Chapter 8 Health Assessment
What order are the examiners skills us…
Inspection requires
Palpation assesses
Fingertips palpate for
Inspection... Palpation... Percussion... Auscultation
Good lighting, Adequate exposure, Occasional use of instrumen…
Texture... Temperature... Moisture... Organ location and size... Swelling…
best for skin texture, swelling, pulsation, determining prese…
What order are the examiners skills us…
Inspection... Palpation... Percussion... Auscultation
Inspection requires
Good lighting, Adequate exposure, Occasional use of instrumen…
97 terms
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…
10 terms
Physical Assessment Outline
Head and Neck... Inspection 6... Palpation 1…
Nose ... Inspection 3... Palpation 3... Mouth…
Palpation- do not forget mastoid proce…
Cardiac assessment:... -Inspection with p…
HEENT Assessment... head neck ... Eyes... Ears
HEENT - nose and mouth/pharynx
HEENT tip
Cardiovascular Assessment
Head and Neck... Inspection 6... Palpation 1…
HEENT Assessment... head neck ... Eyes... Ears
Nose ... Inspection 3... Palpation 3... Mouth…
HEENT - nose and mouth/pharynx
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…
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…
27 terms
Physical Assessment
A complete health assessment 3 major c…
For a complete health assessment the n…
Purpose of a physical exam
Fowlers position
Health history... review of systems (ROS)... physical exam
gather subjective data... gather objective data... gather objective…
gather baseline data... support/refute subjective data... identify…
Semi fowlers = 45 degree angle... High fowlers= 90 degree angle…
A complete health assessment 3 major c…
Health history... review of systems (ROS)... physical exam
For a complete health assessment the n…
gather subjective data... gather objective data... gather objective…
8 terms
Chapter 8 Assessment Techniques and Safety in the Clinical Setting
Skills requisite for the physical exam…
Inspection
Palpation
Your palpation technique should be:
inspection, palpation, percussion and auscultation (they are…
Concentrated watching. It is close, careful stunt, first of t…
Palpation applies your sense of touch to asses these factors:…
Slow and systemic, calm, and gentle
Skills requisite for the physical exam…
inspection, palpation, percussion and auscultation (they are…
Inspection
Concentrated watching. It is close, careful stunt, first of t…
129 terms
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…
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
10 terms
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…
10 terms
Physical Assessment
inspect head symmetry, shape, and size…
inspect iris, eyebrows, eyelids, and e…
inspect and palpate external ear, insp…
inspect internal and external lips, te…
head, neck,& lymphatics(1)
external ocular structures(2)
ears(3)
mouth& throat(4)
inspect head symmetry, shape, and size…
head, neck,& lymphatics(1)
inspect iris, eyebrows, eyelids, and e…
external ocular structures(2)
Basic Techniques of Physical Assessment
auscultation
cues
database
dullness
using a stethoscope to listen to the sounds produced by the b…
bits of information that hint at the possibility of a health…
the collected objective and subjective gathered about a patie…
a flat percussion tone that is soft and of short duration
auscultation
using a stethoscope to listen to the sounds produced by the b…
cues
bits of information that hint at the possibility of a health…
7 terms
Head to Toe Assessment Checklist
Head & Neck
Eyes, Ears, Nose, Mouth, Throat
Respiratory
Cardiac & Peripheral Vascular
Inspect scalp... Palpate skull... Palpate TMJ... Inspect face... Inspect…
Inspect external eye structures... PERRLA... Palpate frontal sinus…
Inspect thoracic cage... Palpate chest expansion... Tactile fremitu…
Inspect pericardium - heaves... Palpate carotid arteries... Auscult…
Head & Neck
Inspect scalp... Palpate skull... Palpate TMJ... Inspect face... Inspect…
Eyes, Ears, Nose, Mouth, Throat
Inspect external eye structures... PERRLA... Palpate frontal sinus…
8 terms
Examination/Assessment Techniques
Physical assessment techniques
Inspection
Palpation
Percussion (yielding a palpable vibrat…
*inspection... *palpation... *percussion... *auscultation
*general observation of the whole body, then specific body sy…
*hands ... - fingertips (most sensitive to fine tactile discrim…
*percussion note changes reflect ... - location and size of org…
Physical assessment techniques
*inspection... *palpation... *percussion... *auscultation
Inspection
*general observation of the whole body, then specific body sy…
20 terms
N-315 Chapter 8 - Assessment Techniques and the Clinical Setting
Cultivating your senses -
Inspection
Palpation - purpose
Palpation - using different parts of h…
Health history requires interviewing skills... Physical examinat…
Close scrutiny of individual as a whole and then each body sy…
-Texture, temperature, moisture, pulsations, crepitus (accumu…
Different parts of hands are best suited for assessing differ…
Cultivating your senses -
Health history requires interviewing skills... Physical examinat…
Inspection
Close scrutiny of individual as a whole and then each body sy…
24 terms
Video 2
Intro/HPI
Pulmonary inspection
Pulmonary palpation
Pulmonary assessment
- Introduce self to patient... - CC... - HPI - PQRST... - PMH... - Abbrev…
- Inspect thorax for symmetry, posture, deformity (Symmetrica…
- Palpate anterior and posterior intercostal spaces for pain…
- Assess thoracic expansion (posterior) - Place thumbs togeth…
Intro/HPI
- Introduce self to patient... - CC... - HPI - PQRST... - PMH... - Abbrev…
Pulmonary inspection
- Inspect thorax for symmetry, posture, deformity (Symmetrica…
8 terms
Physical assessment
Types of assessment
Physical examination skills
Inspection
Palpation
.Complete exam... .Problem-oriented... .Specific screening... .Shift a…
.Inspection... .Palpation... .Percussion... .Auscultation
Begins when you meet the person and develop a general survey…
2nd step... Usually confirms points noted during inspection... Asse…
Types of assessment
.Complete exam... .Problem-oriented... .Specific screening... .Shift a…
Physical examination skills
.Inspection... .Palpation... .Percussion... .Auscultation
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