Professional Documents
Culture Documents
Collecting Objective Data
Collecting Objective Data
Collecting Objective Data
Objective Data
Marina Gharibian PhD RN
NURS 202
Spring 2022-2023
Collecting Objective
Data (Data directly
observed by the examiner)
Hand hygiene
Gloves
Mask, eye protection, face shield
Gown
Patient care equipment
Establish Establish nurse-client relationship
Client Explain
Explain that the physical assessment will
follow
Approach
and Respect Respect client’s desire and request
Preparation
Begin examination with less intrusive
Begin
procedure
Equipment needed for physical exam
Coin or key
Cotton ball
Ophthalmoscope
Otoscope
Penlight
Hammer
Snellen chart
Tongue depressor
Tuning fork
Watch with second hand
Snellen Chart
Physical
Examination
Techniques
Four Assessment Techniques
Inspection (1)
Uses of percussion:
Determine location,
size and shape
Detecting abnormal
masses
Eliciting pain
Eliciting reflexes
Percussion There are three approaches to percussion, but the
most widely used is indirect percussion.
Indirect percussion is often used to assess the lungs
and the abdomen (e.g., bowels, bladder, liver). The
steps of this technique are as follows:
1. Non-dominant hand: With your hand parallel to the
body, place the distal interphalangeal joint of the
pleximeter (middle) finger of your non-dominant
hand firmly on the body region to percuss. Ensure
that only your interphalangeal joint is touching the
body (and not the rest of the hand) and that the finger
is fully extended.
2. Dominant hand: Flex (bend) the pleximeter finger of
your dominant hand and with the tip of your finger,
tap twice on the distal interphalangeal joint of your
non dominant hand.
Percussion produces sounds that vary according to the tissue being percussed. This chart shows important
percussion sounds along with their characteristics and typical locations.