Physical Assessment: Body Systems Flashcards | Quizlet

Physical Assessment: Body Systems

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In a physical assessment...

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Terms in this set (145)

In a physical assessment...

Always compare the symmetry, by looking side to side.

A head to toe assessment consists of:

1. level of consciousness.
2. bilateral pulse.
3. sounds and blood pressure.
4. hygiene, also a good time to check genital and perineal.
5. legs and feet.

Visual examination of size, shape, color, symmetry (from side to side), position (deformities), and abnormalities.

Listening for breath, heart, and bowel sounds, sometimes pulse sounds too. Performed with or without a stethoscope. Stethoscope should be placed on skin, not clothes. Sounds are described by pitch, intensity, duration, and quality.

Use the bell of the stethoscope for...

Use the diaphragm of the stethoscope for...

High-pitched sounds

When assessing the abdomen...

Look, listen, and feel, in that order.

Direct or Immediate Auscultation is...

Heard by the unaided ear or without a stethoscope. Examples include expiratory wheeze and nasal congestion.

Indirect or Mediate Auscultation is...

Sounds heard with a stethoscope.

Frequency of sound waves.

Intensity is...

Subjective data. For instance, sounds could be rumbling, blowing, or musical.

Palpation is...

Touching the patient with different parts of your hands, there is deep and light palpation. Palpate tender areas last. Nails should be short and hands should be warm. Wear gloves if in contact with mucous membranes or body fluids.

Light Palpation is...

Using finger pads with very light touch. Depress the skin .5 to .75 inches (1.25-2 cm). Assess for texture, tenderness, moisture, elasticity, pulsations, surface organs, and masses.