A | B |
Techniques of Physical Assessment | Inspection, Palpation, Percussion Auscultation |
Left Lower Quadrant | LLQ |
Inspection | Assessment process during which the nurse observes the client |
Palpation | The use of the hands and the sense of touch to gather data |
Percussion | Tapping of various body organs and structures to produce vibration and sound |
Auscultation | The act of listening to sounds within the body to evaluate the condition of body organs Stethoscope Bell |
Stethoscope Bell | Used for low pitch sounds (cardiac sounds) |
Stethoscope Diaphragm | Used for high pitch sounds (bowel, breath, normal cardiac |
Standard Precautions | Guidelines to Protect the Client and Healthcare Workers |
Day/Date/Time, Place, Person | Three Areas of Alert & Oriented X 3 |
PERRLA | Pupils Equal, Round, Reactive to Light, and Accommodation |
EENT | Eyes, Ears, Nose, Mouth |
Adventitious | Abnormal Lung Sounds |
Apical Pulse | Located and heard at 5th Intercostal Space (ICS); Midclavicular Line |
PMI | Point of Maximum Intensity5th |
Inspect, Auscultate, Percuss, & Palpate | Order of Physical Assessment Techniques |
Decreased Turgor | Skin remains elevated after being pulled up and released (tenting) |
Capillary Refill | Normal is < 3 sec |
Left Upper Quadrant | LUQ |
Right Upper Quadrant | RUQ |
Right Lower Quadrant | RLQ |
Types of Physical Assessment | Initial, Focused, Emergency, Ongoing |