NUR265: Health Assessment: Final Exam
what is subjective data?(Ans- data the patient tells you about themselves
what is objective data?(Ans- data you obtain through physical examination
what is a primary source?(Ans- directly from the patient in regards to their health history
what is a secondary source?(Ans- comes from family member or other source about the patient's health history
What does a general assessment look at?(Ans- looks at the patient's behavior, appearance, mobility, and body structure.
when is a general assessment started?(Ans- when pt first walks in the door
what is a complete assessment?(Ans- a complete health history with a full physical examination
what is a focused assessment?(Ans- assessment on one problem or body system
what is a follow up assessment?(Ans- used to evaluate previously addressed problems at reasonable intervals for progression or improvements.
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what is an emergency assessment?(Ans- urgent, rapid data collection used with life saving measures during critical situations
what is inspection?(Ans- concentrated watching to gather data
when does inspection occur in the order of assessment pieces?(Ans- ALWAYS first
what are 3 components needed to complete a successful inspection component of an assessment?(Ans- 1) good lighting 2) adequate exposure 3) equipment
what is palpation?(Ans- sense of touch
when does palpation occur in the order of assessment components?(Ans- follows inspection
what does palpation assess for?(7) (Ans- 1) temperature 2) edema 3) texture 4) moisture 5) organ location 6) lumps/masses 7) tenderness/pain
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when should you use the fingertips during palpation?(Ans- when needing to complete fine tactile discrimination
when should yours the grasping mechanism of the fingers and thumbs during palpation? (3) (Ans- when assessing the position, size, or shape of an organ or mass
when do you use the back (dorsal) side of the hands to palpate?(Ans- temperature
what do you use the base of the finger or ulnar surface of the hand during palpation?(Ans- vibration
what are 3 comfort things to remember when palpating a patient?(Ans- 1) tender areas last 2) light to deep 3) warm hands
what organs do you use bimanual palpation? (2) (Ans- kidneys and uterus
what is percussion?(Ans- short, sharp tapping on the skin to assess underlying structures
what is produced during percussion?(Ans- audible notes
what do the sounds produced during percussion tell you? (3) (Ans- location, size, density
how do you tell the location and size of an organ through percussion?(Ans- listen for note changes in between the organ borders
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