copyright ©2011 by pearson education, inc. all rights reserved. nursing: a concept-based approach...

Copyright ©2011 by Pearson Education, Inc.All rights reserved.

Nursing: A Concept-Based Approach to Learning, Volume TwoNorth Carolina Concept-Based Learning Editorial Board

CONCEPT

Nursing:A Concept-Based Approach to Learning

Volume Two

Assessment

32



TABLE 32–3 (continued) Client Positions and Body Areas Assessed



Figure 32-1 The position of the hand for light palpation.



Figure 32-2 The position of the hands for deep bimanual palpation.



Figure 32-3 Deep palpation using the lower hand to support the body while the upper hand palpates the organ.



Figure 32-4 Direct percussion. Using one hand to strike the surface of the body.



Figure 32-5 Indirect percussion. Using the finger of one hand to tap the finger of the other hand.



TABLE 32–5 (continued) Tools Used for a Health Examination



Figure 32-6 It is often helpful to have a young child sit on his or her mother’s lap when possible during the assessment.



Figure 32-7 A nurse allows her client to play with with her stethoscope before using it to assess his heart.



TABLE 32–6 (continued) Instruments to Assess Growth and Development



Figure 32-8 This mother is interacting with her baby while the nurse performs the examination.



Figure 32-9 Toddlers can generally feed themselves.



Box 32–3 (continued) Health Considerations: Birth to 10 Years



Figure 32-10 This school-age child enjoys sorting his collection of action figures.



Figure 32-11 Young adults, meeting in a casual office, strive to advance their careers.



Box 32–4 (continued) Health Considerations: Ages 11–24 Years



Box 32–5 (continued) Health Considerations: Ages 25–64 Years



Box 32–6 (continued) Health Considerations: Ages 65 and Older

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