NURS202 Exam/Assessment Techniques

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NURS202 Exam/Assessment Techniques
2010-10-10 03:23:42
NURS202 Exam Assessment Techniques

NURS202 Exam/Assessment Techniques
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  1. What are the physical assessment techniques?
    • Inspection
    • Palpation
    • Percussion
    • Auscultation
  2. What is inspection?
    • Observation
    • General observation of the whole body, then specific body systems
    • Assess symmetry ( compare both sides)
    • Use your senses (visual, smell, hearing)
  3. What is palpation?
    • Touch
    • Use hands- Fingertips (most sensitive to fine tactile discrimination) ex for skin texture, swelling, pulses & lumps or masses.
    • Use light palpation (1com) followed by deeper palpation
    • Bimanual (use both hands to capture an organ) ex pelvic exam- uterus
  4. Why do we use percussion?
    • Yielding a palpable vibration
    • Percussion note changes reflect- location and size of organ, density( air, fluid, solid mass) superficial masses (< 5cm)
    • Elicits pain (if inflammation present) - helpful in identifying a problem
  5. What are the different techniques of percussion?
    • Direct- strike body directly. Ex precuss sinuses in an adult
    • Indirect- 2-handed technique. Strike finger at DIP joint. Findings: Resonant, Hyperresonant, Tympany, Dull & Flat
    • Direct or indirect percuss to find CVAT
    • Deep tendon reflexes- use a reflex hammer
  6. How do you test for CVAT?
    • Direct- use fist (ulnar surface) to precuss directly over CVA
    • Indirect- Examiner places hand over patients CVA 7 then provides moderate force when striking his or her hand.
  7. What is Auscultation?
    • Listening with stethoscope
    • Tilt ear piece towards your nose
    • Diaphragm (high pitched sounds)- breath sounds, bowel sounds, normal heart sounds
    • Bell- low pitched/ soft sounds- rest bell gently on the skin to hear extra hear sounds & murmurs
    • Warm end piece (rub, apply friction)