N190 Finals Focused Review - N190 Finals Focused Review Different types of assessment techniques Inspection Auscultation Percussion Palpation Which

N190 Finals Focused Review - N190 Finals Focused...

This preview shows page 1 - 4 out of 26 pages.

N190 Finals Focused Review Different types of assessment techniques - Inspection - Auscultation - Percussion - Palpation Which technique should the nurse do initially among the 4 techniques? - Inspection When a patient sustained chest injury , which technique will the nurse use to elicit crepitus ? - Palpation What assessment technique is used when listening to heart sounds? - Auscultation What technique is used to elicit diaphragmatic excursion? - Percussion What technique will the nurse use when assessing full/distended bladder? - Indirect percussion What technique will be used by the nurse to assess for sinus infection? - direct percussion with the index finger ++++++++++++++++++++++++++++++++ Identify the common equipment used in the clinical area: What instrument is used to assess the degree of joint flexion & extension? - Goniometer What is the used of the doppler? - To assess non-palpable pulses What is used to assess fungal infection on the skin? - Wood lamp What is the use of the skinfold caliper? - Used to assess subcutaneous thickness What instrument is used to detect solid, fluid or masses in body cavities - Transilluminator How are pulses graded? - 0 – 4+ o 0 = no pulse o 1+ = weak & thready
o 2+ = normal o 3+ = brisk o 4+ = bounding Where can you palpate the popliteal artery/pulses? - Behind the knees Where can you palpate the femoral pulses? - Inguinal area What part of the hands is used to assess skin temperature? - Dorsal part of the hand ++++++++++++++++++++++++++++++++ Different types of lesions: What lesion has concentric circles of color & has a dot in the center? - Target lesion What is the other name for target lesion? - “bullseye” lesion What is annular lesion? - It is a one-circle lesion What are discrete lesions? - Lesions that are separated What are confluent lesions? - Lesions that run together What are linear lesions? - Lesions that form a line What do you call lesions that are together? - Grouped lesions These are lesions caused by insect bites/hives, & have reddened irregular border - Wheal What is the difference between a vesicle & a bulla? - Bullae is bigger than vesicle What is the size of a bullae? - More than 0.5 cm What is the size of vesicle? - Less than 0.5 cm
How would you describe a vesicle & bullae? - round/oval shape - palpable mass - thin translucent wall - filled with fluid How do we grade edema? - 1+ to 4+ o 1+ = 2mm o 2+ = 4mm o 3+ = 6mm o 4+ = 8mm ++++++++++++++++++++++++++++++++ *Review cranial nerves - know the corresponding tests being done for each CN - what are the normal & abnormal findings for each CN 12 Cranial Nerves CN I – Olfactory Nerve = sense of smell CN II – Optic Nerve = Snellen test (distant vision) & Rosenbaum test (close proximity vision) CN III – Oculomotor Nerve CN IV – Trochlear Nerve PERRLA & 6 CARDINAL FIELD OF GAZES CN VI – Abducens Nerve C N V – Trigeminal Nerve = clenching of the teeth, opening & closing the mouth, protrude jaw (front) them back, move L & R CN VII – Facial Nerve = movement of the face, smile, frown, puff the cheeks, raise eyelids/eyebrows up & down CN VIII - Vestibulocochlear Nerve= whisper test and Romberg’s test CN IX – Glossopharyngeal Nerve = gag reflex & swallowing CN X Vagus Nerve = swallowing and phonation CN XI – Accessory Nerve = shoulders

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture