Assessment 9th Edition, (2023) By Carolyn Jarvis & Ann
L. Eckhardt All Chapters 1-32 With Well Explained
Answers| Newest Version
5 purposes of physical examination - ANSWER- gather baseline data on the patient
- support/refute subjective data obtained in nursing history
- identify/confirm nursing diagnosis
- make clinical decisions about patient's changing health status and management
- evaluate the outcomes of care
prepping for examination - ANSWER- infection control
- environment
- equipment
- prep the patient
positions for exams - ANSWER-sitting
-supine
-dorsal recumbent
-lithotomy
-sims
-prone
-lateral recumbent
-knee-chest
sitting - ANSWERassesses head, neck, back, breasts, heart, vitals, upper extremities.
provides full expansion of lungs and better visualization of symmetry of upper body.
supine - ANSWERassesses head, neck, anterior region, breasts, heart, abdomen,
extremities, pulses. most relaxed position, easy access to pulse sites
dorsal recumbent - ANSWERassesses head, neck, anterior region, breasts, heart,
abdomen. positions for abdominal assessment because it promotes relaxation of
abdominal muscles.
lithotomy - ANSWERassesses female genitalia and genital tract. provides maximal
exposure of female genitalia and facilitates insertion of vaginal speculum
sims - ANSWERassesses rectum and vagina. promotes flexion of hip and knee,
improves exposure of rectal area
prone - ANSWERassesses musculoskeletal system. position is only for assessing
extension of hip joint, skin, and buttocks.
lateral recumbent - ANSWERassesses heart. position aids in detecting murmurs
, knee chest - ANSWERassesses rectum; position provides maximal exposure of rectal
area
inspection - ANSWERoccurs when interacting with a patient, watching for nonverbal
expressions of emotional and mental status
olfaction - ANSWERhelps to detect abnormalities that cannot be detected by any
other means; example breath scent
palpation - ANSWERinvolves using the sense of touch to gather information
percussion - ANSWERinvolves tapping the skin with the fingertips to vibrate
underlying tissues and organs
auscultation - ANSWERinvolves listening to sounds the body makes to detect
variations from normal
assessing skin - ANSWER-temperature
-moisture
-texture
-turgor and elasticity
-tenderness
-thickness
assessing organs - ANSWER-size
-shape
-tenderness
-absence of masses
assessing of glands - ANSWER-swelling
-symmetry and mobility
assessing blood vessels - ANSWER-pulse amplitude
-elasticity
-rate
-rhythm
assessing thorax - ANSWER-excursion
-tenderness
general survey includes - ANSWER-gender/race
-age
-signs of distress
-body type
-posture
-gait