CHAPTER 25 HEALTH ASSESSMENT 149
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:6.List and describe the four characteristics of
sound assessed by auscultation.
a.
b.
c.
d.
7.Briefly describe how you would assess a
patient for the following conditions.
a.Edema:b.Dehydration:8.Describe the procedure for assessing the
pupils of a patient for the following.
a.Reaction to light:b.Accommodation:c. Convergence:9.List the steps used to assess bone conduction
according to Weber and Rinne.
a.Weber:b.Rinne:10.You are asked to perform a neurologic assess-
ment on a patient. List the equipment you
would assemble before performing the assess-
ment. In what position would your patient
be placed?11.Give an example of a question you may ask
to assess a patient’s mental status in the
following areas.
a.Orientation:b.Immediate memory:c. Past memory:d.Abstract reasoning:e.Language:12.Complete the following paragraph by filling
in the blanks with the correct word.
During auscultation of the heart, the first
heart sound heard is the (a) _______________
of “lub-dub.” This sound occurs when the
(b) _______________ and (c) _______________
valves close and corresponds with the onset
of (d) _______________ contraction. This
sound is called (e) _______________ and is
heard best in the (f) _______________ area.
The second heart sound, (g) _______________,
occurs at the end of (h) _______________
and represents the closure of the
(i) _______________ and (j) _______________
valves. It is the (k) _______________ of
“lub-dub.” These two sounds occur within
(l) _______________ second(s) or less.APPLYING YOUR KNOWLEDGE
CRITICAL THINKING QUESTIONS
1.Being prepared is a key factor in conducting a
competent health assessment. The nurse must
display well-developed cognitive, interpersonal,
technical, and ethical skills. Describe what you
would do to prepare the patient, the room, and
the environment for an examination. How and
why would you modify these preparations for
the following patients?
a.A patient who is comatose
b.A patient who is uncooperative
c.A patient who does not understand your
language
d.A small childLWBK696-C25_p142-150.qxd 9/2/10 9:35 AM Page 149 Aptara Inc