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Get faster at matching terms HESI exam study Terms in this set (38)Which part of the hand is best suited for palpating vibrations produced during percussion? Ulnar surface Which is the rationale behind allowing the preschooler to play with the stethoscope before auscultating breath sounds? To reduce the child's fear Which assessment involves tapping the patient's skin with short, sharp strokes? Percussion Which type of sounds is auscultated with the bell of the stethoscope? Low-pitched The bell of the stethoscope is a concave cup that best transmits low-pitched sounds. The nurse would hold the bell of the stethoscope very lightly on the skin to listen to low-pitched sounds such as heart murmurs. High-pitched sounds such as normal heart sounds can be heard with the diaphragm of the stethoscope. A Doppler ultrasonic stethoscope is used to hear low- and high-amplitude sounds. Which equipment measures the range of motion of a shoulder joint? Goniometer A goniometer is used to measure the angular joint range of motion of the patient. Which equipment is used to test loss of protective sensation (LOPS) in a patient's foot? Monofilament A monofilament is a smooth nylon fiber that is used to assess sensation in the patient's foot and sole. Under which percussion note characteristic would the nurse document a loud sound perceived during chest percussion? Amplitude Which senses would the nurse use while inspecting a patient during a routine physical examination? Select all that apply. Sight, Smell Which equipment is used to test the hearing capacity of a patient? Tuning fork The nurse may use a tuning fork as part of the clinical assessment to test the auditory capacity and functioning of the patient. High-frequency vibrating tuning forks are placed over the bony prominences of the ear and directly on top of the scalp; an inability to hear the vibrations produced is indicative of hearing loss. Which position would the nurse instruct a frail older adult patient to assume for the examination process? Supine Which instrument is used to examine both the ear and the nose? Otoscope Which parts of the ophthalmoscope are present on the front of the ophthalmoscope head? Select all that apply. Mirror window, Aperture selector Which is the major task of infancy, according to Erikson's stages of psychosocial development? Developing a sense of trust Which assessment skill would the nurse use to determine organ density during the physical examination of a patient? Percussion Which part of the hand would the nurse use to assess the skin texture, swelling, and the presence of lumps during palpation? Fingertips Arrange the steps of palpation in the correct order during the physical assessment. 1.Washing hands under warm water Arrange the assessments performed by the nurse in a sequential order during the routine physical examination of a patient. 1. Inspection Which intervention improves the accuracy of auscultating the lungs of a patient with excessive chest hair? Moisten the patient's chest hair. The nurse would wet the patient's chest hair before auscultating the lungs to prevent crackling sounds produced by friction between the stethoscope endpiece and the chest hair. Which action by the student nurse requires correction? Palpates the abdomen before listening to the bowel sounds During an abdominal examination, palpating the abdomen first may interfere with bowel sounds. Therefore the nurse would first listen to the bowel sounds and then palpate the abdomen. Which percussion note heard over the lung is considered normal in children but abnormal in adults? Hyperresonant Percussion notes with loud amplitude, low pitch, and a booming quality that last for a long duration are referred to as hyperresonant percussion notes. Children have a thin chest wall, so a hyperresonant percussion sound is common. Which findings are obtained during palpation? Select all that apply. Enlarged organ, Normal arterial pulsations, Presence of muscle spasticity Palpation is a process of examining the consistency of tissues, alignment and intactness of organs, and symmetry of body parts by using the palms of hands or finger pads. For which assessments is the palpation technique appropriate? Select all that apply. 1. Identifying the tender areas first and palpating them at the end Which type of sound would the nurse expect to hear while percussing the right upper quadrant of the abdomen? High-pitched, soft sounds occurring for a short time Which action would the nurse take first to assess a sleeping 4-month-old infant? Auscultate the lung, heart, and bowel sounds. Why would the nurse ask the parent to remove a child's gown before auscultating the child's lungs? To avoid sound artifacts Which are the requirements for performing proper inspection of a patient during physical examination? Select all that apply. Good lighting Which examination room characteristics are effective? Select all that apply. Heat source Which sounds would be best heard using the bell endpiece of the stethoscope? Select all that apply. Heart murmurs Which intervention is priority when performing an oral assessment on a fussy 3-month-old infant? Offer brightly colored toys to the child. Which action by a nurse assessing a 2-month-old child requires correction? The nurse makes the child sit with support. Which statement/question by a new nurse assessing a 2-year-old requires correction? "Can I please listen to your heart now?" Which intervention would the nurse use when assessing a patient with a respiratory virus to prevent the spread of infection? The nurse would educate the staff, the patient, and visitors Which assessment technique would the nurse use to determine the patient's temperature? Touching the patient's skin with the dorsal side of the hands and fingers Which patients would the nurse assess using the head-to-toe approach? an adolescent, an aging adult, and a school-age child. Which measures would the nurse take while assessing a 3-month-old? Examine the Moro reflex at the end of the assessment. Which measures would the nurse take while assessing a patient with a respiratory illness who has severe ear pain? Ask out about the cause of ear pain in the patient. Which type of percussion note will the nurse hear while percussing over the scapula? Flat Which techniques would the nurse use to assess a 2-year-old patient? Select all that apply. Compliment the child about clothing and toys. Sets with similar termsCh.8 Assessment Techniques and Safety47 terms Alexandra_Ashley17 Health Assessment Chapter 8 Assessment Techniques…47 terms enichols44 Chapter 8 - Assessment Techniques and Safety in th…11 terms hannahcurns Sets found in the same folderCH13 Skin, Hair, Nails EAQ36 terms katie_mecca CH9 General Survey EAQ29 terms katie_mecca CH3 The nterview EAQ29 terms katie_mecca CH10 Vital Signs EAQ30 terms katie_mecca Other sets by this creatorMaternity exam 1134 terms katie_mecca module 8: schizo44 terms katie_mecca module 5:crisis/anger&agression23 terms katie_mecca module 4: legal and ethical nursing45 terms katie_mecca Other Quizlet setsTECHNOLOGIE : LES APPELLATIONS OFFICIELLES EN BOUL…27 terms BASTIEN7491 A201 Exam 427 terms nsperos Prostart I Chapter 4 Communication Skills39 terms cvhsfacs Related questionsQUESTION Why are sighthounds sensitive to barbiturates? 8 answers QUESTION You are preparing to transport a patient involved in a motor vehicle collision to the hospital. What information would you least likely include n your communication with the hospital? 3 answers QUESTION Evidence-based practice is the practice of nursing in which interventions are based on data from research that demonstrates that they are appropriate and successful. 12 answers QUESTION The nurse aide is assigned to a client who frequently expresses concerns about the care the client is receiving. When the client begins to express concern, the nurse aide SHOULD: 14 answers Which assessment skill would the nurse use to determine organ density during the physical examination of a patient quizlet?Percussion is tapping the patient's skin with short, sharp strokes, which produce a palpable vibration and a characteristic sound that depicts the location, size, and density of the underlying organ. Palpation is used to assess texture, temperature, and swelling.
Which equipment is used to test the hearing capacity of a patient quizlet?An otoscope is used to view the internal structures of the ear and ear canal. A tuning fork is used to test the auditory capacity of the patient.
Which action by the student nurse performing a cardiovascular assessment requires correction quizlet?Which action by the student nurse performing a cardiovascular assessment requires correction? Assessing the heart sounds by first using the bell of the stethoscope.
Under which section in the review of body systems would the nurse document a history of back pain?Under which section in the review of body systems would the nurse document a history of back pain? musculoskeletal system. (muscle pain, cramps, gait problems and back pain are included in this section.)
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Which parts of the ophthalmoscope are present on the front of the ophthalmoscope head quizlet?
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