ACCURATE ANSWERS
objective data correct answer information that is seen, heard, felt,
or smelled by a nurse.
Signs would be an example
subjective data correct answer things a person tells you about
that you cannot observe through your senses; symptoms
comprehensive physical assessment correct answer includes a
health history interview and a complete head-to-toe examination
of every body system.
focused physical assessment correct answer Pertains to a
particular topic, problem, body part, or functional ability rather
than overall health status, and it adds to the database created by
the comprehensive assessment
ongoing assessments correct answer performed as needed after
initial data is collected.
ex: reassessing a patient after they are given medication
inspection correct answer use of sight to gather data in physical
assessment.
size, shape, color, and symmetry.
ex: skin color, skin lesions, etc..
palpation correct answer use of touch to gather data (texture,
tenderness, temperature)
begins with light pressure, moving to deep palpation
ex: edema, moisture, anatomical landmarks, masses
percussion correct answer tapping on skin to elicit sound.
useful for assessing abdomen, lungs, underlying structures
, example: distended bladder
types of sounds: flatness, dullness, resonance, tympani
auscultation correct answer use of hearing to gather assessment
data
- amplitude, intensity, frequency, quality of sounds
ex: heart sounds, lung sounds, bowel sounds
general survey correct answer overall impression of the client
begins at first contact
components of comprehensive health history correct answer -
biographic data
-reason for seeking care
-history of present illness
-allergies
- immunization history
- medications
- family history
lifestyle choices
open-ended questions correct answer encourage a free-flowing
response
-focus on questions about patient's health
example: "what brings you to the clinic today?"
close-ended questions correct answer yield more precise data and
may be useful for an over-talkative patient.
example: "do you become short of breath?"
IPPA correct answer usually follow this order, EXCEPT for the
abdomen (IAPP)
- palpate last to avoid altering bowel sounds
pain assessment correct answer PQRST method