CHAPTER 3 & 4 HA

Palpation

It consists of using the parts of the hand to touch and feel for characteristics such as texture, temperature, moisture, and mobility.

percussion

It involves tapping the body parts to produce sound waves.

inspection

It involves using the senses of vision, smell, and hearing to observe and detect any normal or abnormal findings.

true

A nurse can reassess the client in order to validate data obtained in the first assessment.

Stethoscope

A(n) _________ is used to listen for heart sounds, movement of the bowel, and the movement of air through the respiratory tract, which are not audible to the human ear.

establishes comparability of nursing data across clinical populations.

An assessment form commonly used in long-term care facilities is the nursing minimum data set. One primary advantage to this type of assessment form is that it

vital signs

An example of an objective finding in an adult client is

false

General nondescriptive terms, such as normal, abnormal, or poor, should be used when documenting data.

draw a line through the error, writing "error" and initialing.

If the nurse makes an error while documenting findings on a client's record, the nurse should

focused

In some health care settings, the institution uses an assessment form that assess only one part of a client. These types of forms are termed

may be easily used by different levels of caregivers, which enhances communication.

One advantage for an institution to use an integrated cued/checklist type of assessment data form is that it

requires a lot of time to complete.

One disadvantage of the open-ended assessment form is that it

true

Open-ended forms are a type of initial assessment documentation form.

true

The client's understanding and perception of problems should be recorded while documenting data.

objective

The data which includes information about the client that the nurse directly observes during interaction with him or her and information elicited through physical assessment techniques.

"bilateral lung sounds clear."

The nurse has assessed the breath sounds of an adult client. The best way for the nurse to document these findings on a client is to write

avoid slang terms or labels unless they are direct quotes.

The nurse is preparing to document assessment findings in a client's record. The nurse should

prevents missed questions during data collection.

The nurse is recording admission data for an adult client using a cued or checklist type of assessment form. This type of assessment form

true

Using phrases instead of sentences to record data is a better method of documenting data.

pain relief measures.

While recording the subjective data of an adult client who complains of pain in his lower back, the nurse should include the location of the pain and the