NURS 5220 ASSIGNMENT 2 | 2026 UPDATED
| WITH COMPLETE SOLUTIONS 100 %
CORRECT
Percussion - ANSWER>Sense of touch to produce vibration and sound waves
Sound waves are heard as percussion tones or resonance
Percussion hammer and Tuning Fork
Depth of underlying tissue determines the percussion tones:
Tympany
Hyperresonance
Resonance
Dullness
Flatness
Percussion tones - ANSWER>• Tympany- gastric bubble
• Hyperresonance- lungs with emphysema
• Resonance- healthy lungs
• Dullness- liver
• Flatness- muscle
• Direct (sinus)
• Indirect or mediate (percussion striking own finger)
• Blunt (CVA tenderness)
• Scratch test
, Auscultation - ANSWER>• Sense of hearing
• Stethoscope on bare skin (no fabric)
- High pitch sounds (diaphragm)
- Low pitch sounds (bell)
• Quiet environment
• Listen to characteristics of the sound
- Intensity - Duration - Pitch - Quality
SOAP and Diagnostic Reasoning - ANSWER>• CDM involves taking ALL of the possibilities that fit the chief complaint—this is
called differential diagnosis.
• You will discard the ones that don't fit—this is called "ruling out."
• Ruling out is just as important as ruling in
• You will use your physical examination, lab tests and imaging to get further information.
Diagnostic Reasoning Clinical Decision Making - ANSWER>• Differential diagnosis is a PROCESS
• Involves taking all the possible explanations for a problem
• Discarding the ones that don't fit
• Keeping the ones that do fit the patterns
• You may develop THE diagnosis—because it is obvious
— "GSW to the shoulder"
• OR you may have a list of possibilities— "this is what's left in my differential"
• AND you may have Rule Out (R/O)s—things that need more work
Diagnostic Reasoning Assessment/ Diagnosis - ANSWER>• May be a symptom
• May be a "working diagnosis"
—which means you will start treatment
• Rule outs
• Health maintenance needs
• Risk factors
Don't Rush to the Plan More to follow in Management Courses - ANSWER>• Med orders
• Fluids
| WITH COMPLETE SOLUTIONS 100 %
CORRECT
Percussion - ANSWER>Sense of touch to produce vibration and sound waves
Sound waves are heard as percussion tones or resonance
Percussion hammer and Tuning Fork
Depth of underlying tissue determines the percussion tones:
Tympany
Hyperresonance
Resonance
Dullness
Flatness
Percussion tones - ANSWER>• Tympany- gastric bubble
• Hyperresonance- lungs with emphysema
• Resonance- healthy lungs
• Dullness- liver
• Flatness- muscle
• Direct (sinus)
• Indirect or mediate (percussion striking own finger)
• Blunt (CVA tenderness)
• Scratch test
, Auscultation - ANSWER>• Sense of hearing
• Stethoscope on bare skin (no fabric)
- High pitch sounds (diaphragm)
- Low pitch sounds (bell)
• Quiet environment
• Listen to characteristics of the sound
- Intensity - Duration - Pitch - Quality
SOAP and Diagnostic Reasoning - ANSWER>• CDM involves taking ALL of the possibilities that fit the chief complaint—this is
called differential diagnosis.
• You will discard the ones that don't fit—this is called "ruling out."
• Ruling out is just as important as ruling in
• You will use your physical examination, lab tests and imaging to get further information.
Diagnostic Reasoning Clinical Decision Making - ANSWER>• Differential diagnosis is a PROCESS
• Involves taking all the possible explanations for a problem
• Discarding the ones that don't fit
• Keeping the ones that do fit the patterns
• You may develop THE diagnosis—because it is obvious
— "GSW to the shoulder"
• OR you may have a list of possibilities— "this is what's left in my differential"
• AND you may have Rule Out (R/O)s—things that need more work
Diagnostic Reasoning Assessment/ Diagnosis - ANSWER>• May be a symptom
• May be a "working diagnosis"
—which means you will start treatment
• Rule outs
• Health maintenance needs
• Risk factors
Don't Rush to the Plan More to follow in Management Courses - ANSWER>• Med orders
• Fluids
