Assessment
Techniques
Techniques
What are the four primary assessment techniques?
Inspection, Palpation, Percussion, Auscultation
Name two types of communication.
verbal and nonverbal
What is the normal range for oxygen saturation level?
95% to 100%
What does the ABCDE mnemonic assess?
Asymmetry, Border, Color, Diameter, Evolving
What are the four abdominal quadrants?
RUQ, RLQ, LUQ, LLQ
Which technique uses the diaphragm of the stethoscope?
Auscultation
What is the primary purpose of a health assessment?
To determine a patient’s health status, risk factors, and need for health education to develop a nursing care plan
Define the 'gold standard' for pain assessment.
Patient's self-report.
What are the three layers of the skin?
Epidermis, dermis, and subcutaneous tissue
What are adventitious lung sounds?
Abnormal breath sounds like wheezes, crackles
What is the difference between direct and indirect percussion?
Direct involves using one or two fingertips, directly and lightly tap the area that needs to be assessed; Indirect involves using your middle finger of your nondominant hand on the area to be assessed.
What are the two main components of a health assessment?
Comprehensive health history and complete physical examination
What are four types of pain duration?
Acute, Chronic, Intractable, Intermittent
What are common signs of poor circulation in the nails?
clubbing, cyanosis, and capillary refill greater than 2 seconds
What does OLDCARTS stand for?
Onset, Location, Duration, Characteristics, Aggravating, Relieving, Timing, Severity
What senses are used during inspection?
sight, hearing, and smell
What is patient-centered care?
A type of care that emphasizes the individual’s needs, values, and capabilities
What is the normal BMI range?
18.5-24.9
What is turgor and what does it assess?
Turgor is skin elasticity and is used to assess hydration status.
Name two neurological symptoms that may indicate a stroke.
aphasia and hemiparesis
Describe the difference between the purpose of light and deep palpation.
Light palpation assesses surface characteristics; deep palpation assesses deeper structures.
What is the difference between primary, secondary, and tertiary prevention?
Primary: prevent disease (e.g., immunizations); Secondary: early detection (e.g., screenings); Tertiary: manage disease and prevent complications (e.g., rehab)
Name three types of pain sources.
somatic, visceral, neuropathy
Name two common lab tests used to assess nutritional status.
Serum albumin and prealbumin levels
What are the 5 Ps in the musculoskeletal assessment?
pain, pallor, pulselessness, paresthesia, paralysis