NURSING 1J02 Study Guide - Midterm Guide: Intercostal Space, Auscultation, Palpation

• School: McMaster University
• Department: Nursing
• Course: NURSING 1J02
• Professor: Elizabeth Kingcott

Document Summary

Inspection: contour flat/round, umbilicus, skin (colour, striae, moles, pulsations, heaves/lifts. Auscultate: bowel sounds 3 spots per quad (diaphragm, 5-30 times a min = normal, vascular sounds aorta, renal, and iliac. Percuss: all 4 quads, heard tymphany throughout and dullness over organs. Palpation: light 1cm, to detect tenderness: deep 8 cm, to judge size & location of organs, name all abdominal structures. Note: skin colour, pulsations, heaves/lifts, edema, hair distribution, venous pattern. Palpation to detect pulsations and vibrations : apical pulse exhale and hold , short gentle tapping sensation , precordium to find apex, base & l sternal. Border w/ fingers: cardiac landmarks, aortic valve. Auscultation - w/ bell & diaphragm: cardiac landmarks (x5 beats, z-pattern (x3 beats, apical pulse (x30 secs)