Term
Explain the purpose of the assessment to the pt |
|
Definition
¡Wash hands
¡Consider client’s culture
¡Organization
¡Include teaching
¡Non- threatening in approach
¡Consider environment |
|
|
Term
First part of assessment is always... |
|
Definition
INSPECTION
-look for symmetry |
|
|
Term
|
Definition
-always do second on the abdomenal exam; after inspection!
|
|
|
Term
Steth Sounds
(Bell and Diaphragm) |
|
Definition
Bell (low pitched sounds)
Diaphragm (high pitched sounds) |
|
|
Term
|
Definition
-medium-loud,
low pitch,
clear & hallow,
moderate duration,
ex. over normal lung tissue |
|
|
Term
Percussion Sounds
(hyperresonance) |
|
Definition
-louder,
-lower pitched,
-booming,
-longer,
-ex. normal over child's lungs; abnormal in adult, over lung w/ increased amount of air (i.e. emphysema) |
|
|
Term
Percussion Sounds
(tymany) |
|
Definition
-loud
-high
-musical and drumlike
-sustained longest
-ex. over air-filled viscus, e.g., the stomach, the intestines |
|
|
Term
|
Definition
-soft
-high pitched
-muffled thud
-short
-ex. relatively dense organ, as liver or spleen
|
|
|
Term
|
Definition
-very soft
-high pitched
-a dead stop of sound, absolute dullness
-very short
-ex. when no air is present, over thigh miscles, bone or over tumor |
|
|