Which type of sounds is Auscultated with the bell of the stethoscope quizlet?
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In which order should a nurse implement the four physical assessment techniques when initiating a health assessment? Show a. Percussion, palpation, inspection, auscultation b, c Hand hygiene should be performed before having direct contact with any client and after contact with intact skin, nonintact skin, blood, body fluids or excretions, mucous membranes, wound dressings, and inanimate objects in the immediate vicinity of the patient, as well as after removing gloves. PPE should be removed before leaving the client's room or cubicle. Gloves are necessary when the nurse will be providing direct client care, and gloves should also be worn when cleaning the environment or medical equipment. Gloves may not be necessary when interviewing or teaching the client, for example. Gowns should never be reused, even when the gown was worn while caring for the same client. ANS: Warm the hands first before touching the patient., Start with light palpation to detect surface characteristics., Use the fingertips to examine skin texture, swelling, pulsation, and presence of lumps., Identify any tender areas, and palpate them last. Always warm the hands before beginning palpation. Use intermittent pressure rather than one long continuous palpation; identify any tender areas, and palpate them last. Fingertips are used to examine skin texture, swelling, pulsation, and presence of lumps. Use the dorsa (backs) of the hands to assess skin temperature because the skin on the dorsa is thinner than on the palms. Irregular edges The lesions of melanoma are asymmetrical (that is, if a line is drawn through a mole, the two halves will not match) with uneven or irregular borders and a variety of colors or shades within the lesion. The size is larger in diameter than the size of the eraser on a pencil (1/4 inch or 6 mm), but they may sometimes be smaller when first detected. The lesions are evolving, which means that any change—in size, shape, color, elevation, or another trait, or any new symptom such as bleeding, itching, or crusting—points to danger. auscultation Auscultation is the act of listening with a stethoscope to sounds produced within the body. This technique is used to listen for blood pressure, heart sounds, lung sounds, and bowel sounds. Inspection is the process of performing deliberate, purposeful observations in a systematic manner. It uses the senses of smell, hearing, and sight. The hands and fingers are sensitive tools of palpation and can assess temperature, turgor, texture, moisture, pulsations, vibrations, shape and masses, and organs. Percussion is used to assess the location, shape, and size of organs, and the density of other underlying structures or tissues. oriented to person, place, and time Oriented ×3 indicates that the client is oriented to person (one's own name, the names of significant others, or knowing the nurse), place (location, city, or state), and time (time of day, day of week, or date). Inspection is the only technique that is used when assessing every body part and system. Palpation is the use of touch to assess texture, temperature, moisture, size, shape, location, position, vibration, crepitus, tenderness, pain, and edema. Percussion is used to illicit sound or determine tenderness. Auscultation is used to listen to sounds. Palpation, percussion and auscultation are not used to assess every body part or system. The knee-chest position is useful for examining the rectum. In this position, the client kneels on the examination table with the weight of the body supported by the chest and knees. In the prone position, the client lies down on the abdomen with the head to the side. The prone position is used primarily to assess the hip joint. In the supine position, the client lies down with the legs together on the examination table. This position allows the abdominal muscles to relax and provides easy access to peripheral pulse sites. Areas assessed with the client in this position may include the head, neck, chest, breasts, axillae, abdomen, heart, lungs, and all extremities. In the dorsal recumbent position, the client lies down on the examination table or bed with the knees bent, the legs separated, and the feet flat on the table or bed. Areas that may be assessed with the client in this position include the head, neck, chest, axillae, lungs, heart, extremities, breasts, and peripheral pulses. Palpation is the use of touch to assess texture, temperature, moisture, size, shape, location, position, vibration, crepitus, tenderness, pain, and edema. Inspection is used to conduct the general survey, observing for body positioning, appearance, and behavior. Percussion is used to illicit sound or determine tenderness. Auscultation is used to listen to sounds. Sets found in the same folderWhich type of sounds is Auscultated with the bell of the stethoscope?The bell is used to detect low-frequency sounds; the diaphragm, high-frequency sounds.
Which sound would the nurse Auscultate with the bell of the stethoscope?The bell of the stethoscope is best for picking up bruits. The diaphragm is more attuned to relatively high-pitched sounds; the bell is more sensitive to low-pitched sounds like bruits. When using the bell, apply it lightly over the area of the body you're listening to.
Which of the following is the bell of the stethoscope best used?The bell is most effective at transmitting lower frequency sounds, while the diaphragm is most effective at transmitting higher frequency sounds. Some stethoscopes combine these functions into a single surface.
Why would the nurse use the bell of the stethoscope when listening to the abdomen quizlet?The diaphragm of the stethoscope is sensitive in picking up high-pitched sounds of the abdomen. The bell of the stethoscope is sensitive in detecting low-pitched sounds like heart murmurs. The interface of the bell and the diaphragm is less useful for clinical assessment.
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