1. When might you use deep palpation during a physical examination? Bimanual pal
ID: 128365 • Letter: 1
Question
1. When might you use deep palpation during a physical examination?
Bimanual palpation?
Direct percussion?
Indirect percussion?
2. Explain how the universal precautions and infection control guidelines would apply to the physical examination techniques of inspection, percussion, palpation, and auscultation.
3. Describe how you would prepare yourself to perform a total physical examination of a client of the opposite sex. Describe how you would prepare the client both emotionally and physically.
4. Mr. SM, a 60-year-old Hispanic man, comes to the ER in a wheelchair being pushed by his son. He states “I just fell off a step ladder in my garage and cannot walk.” 46 How would you use the following physical assessment techniques to gather more data on Mr. SM’s legs and feet? • Inspection • Percussion • Palpation • Auscultation Compare your answers with a lab partner.
Explanation / Answer
The most important infection control practice among standard precautions is hand washing. One must begin every physical assessment with a thorough hand hygiene. Some nurses perform hand hygiene in the assessment area with the patient present. It is a non-threatening way to begin the physical assessment and allows the patient time to ask questions regarding the procedure.
The CDC has recently issued Guideline for Hand Hygiene in Health-Care Environment). These hand washing guidelines recommend the use of an alcohol-based hand rub, an antimicrobial soap and water, or a non-antimicrobial soap and water when the hands are visibly contaminated with body fluids.
All institutions may have policies and procedures regarding methods of hand washing;
Regardless, the most important factor is that one must use them for every patient interaction.
Cough etiquettes
Use of gloves, gowns and mask when necessary.
Proper Waste disposal after the process.
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