Chapter 8: Assessment Techniques and the Clinical Setting
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The examiner will use the senses to gather data during physical examination and four skills are performed using the senses and they are (in order of performance):
_?_ begins when the examiner first meets the patient with a general survey and sight is the major sense used.
_?_ applies sense of touch to access texture, temperature, organ location and size, swelling, and presence of tenderness or pain.
Tapping person's skin with short, sharp strokes to assess underlying structures is known as _?_.
What are some uses of percussion?
- Mapping location and size of organs
- Signaling density of a structure by as characteristic note
- Detecting a superficial abnormal mass
- Eliciting pain if underlying structure is inflamed
- Eliciting deep tendon reflex using percussion hammer
The two methods of percussion used are:
In _?_ percussion, sometimes called immediate, the striking hand directly contacts body wall.
In _?_ percussion, or mediate, using both hands, the striking hand contacts stationary hand fixed on person's skin.
Listening to sounds produced by the body is known as _?_.
What medical equipment is used in auscultation?
_?_ is the single most important step to decrease microorganism transmission.
When should the examiner wear gloves?
When potential exists for contact with any body fluids (blood, mucous membranes, drainage, bodily excretions).
What should be the general approach of the nurse when examining a patient?
Consider your emotional state and that of a person being examined.
What would you like to do?
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