NSG 2317 Chapter 9-10: chapter 9, 10 assessment technique & vital signs exam review chapter summary notes

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Chapter 9 - assessment techniques and the clinical setting: Physical examination requires technical skills& a knowledge base. Instrument use for body system: otoscope, ophthalmoscope, penlight, nasal & vaginal specula: palpation, purpose: apply your sense of touch to access texture, temperature, moisture, & organ location/size, Purpose: strokes yield palpable vibration & characteristic sound that shows location, size, & density of underlying organ. Lecture 1 nsg 2317 - health assessment: direct (immediate): striking hand contacts body wall directly, producing a sound & used in percussing. Infant"s thorax or adult"s sinus areas: indirect percussion: use 2 hands; striking hand contacts stationary hand fixed on skin, yield sound & subtle vibration; lightly tapping. Characteristics of percussion notes: auscultation: listen to sounds produced by parts of body like heart, blood vessels, lungs & abdomen. Stethoscope: used to evaluate & channel very soft body sounds. Fit & quality: slope of earpiece point forward toward nose & earpieces fit snugly.

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