The sequence of assessment in abdominal examination
IAPP
Pain is the "fifth" vital sign—must be assessed on an ongoing basis.
Cognitive-Perceptual
Examines vaginal canal and cervix
Vaginal speculum
Gives client freedom to divulge information that they are ready to disclose
Open-ended questions
Back lying position with knees flexed and hips externally rotated; soles of the feet on the surface
Dorsal recumbent
The act of striking the body surface to elicit sounds that can be heard or vibrations can be felt.
Percussion
Discover the need for health education.
identifies health-related behaviors and beliefs passed on from family members.
Health perception-health management pattern
Visualizes interior structures of the eye
Opthalmoscope
Rapport building
Non-directive interview
Back lying with head supported in stirrups, the hips should be in line with the edge of the table
Lithotomy
The process of listening to sounds produced within the body.
Auscultation
Nurses must assess and respond to people's ability to perform ADL's (Activities of Daily Living) and IADL's (Independent Activities of Daily Living).
be a Guardian of Mobility
Activity-Exercise
Test auditory function and vibratory perception
Tuning fork
Most important part of the interview
Opening or introductory
Side lying with lowermost arm behind the body, uppermost leg flexed a hip and knee, upper arm flexed at shoulder and elbow
Sim's
Used to assess surface temperature
Dorsum or dorsal part of the hand/back of the hand
Feelings of hopelessness, powerlessness, and depression are not uncommon following a loss or disability
Self-Perception Self-Concept
Examines external ear canal and tympanic membrane
Otoscope
Type of interview question that requires a YES or NO answer
Closed-ended questions
Position for rectal area assessment
Knee chest
Thud-like sound produced by dense tissue such as liver, spleen, or heart
Dullness
Nurses will work with both those patients who are underweight and overweight. Either state can contribute to illness and disease.
Nutrition and metabolic pattern
Screens for distant vision
Snellen chart
Client can answer without direction or pressure from the nurse
Neutral questions
Position when assessing gait, posture and balance
Standing