Palpate for a thrill and auscultate
for a bruit prior to cannulation.
In a physical exam, the following might work: When you place your stethoscope on the chest and back to auscultate
the lungs, instruct the child to "place a hand on your belly and take a deep breath into your belly button so that your hand moves out.
Textbooks teach that to find if the liver is off, we should palpate, auscultate
, percuss, and maybe even biopsy the liver.
It can be used to auscultate
, but Doppler ultrasound is not as precise as the stethoscope when used by a practiced listener for identifying the source and subtle characteristics of murmurs.
The clinician should always auscultate
the heart and lungs for murmurs or extra heart sounds; absent breathing sounds may be consistent with pneumothorax or pleural effusion.
I use my stethoscope to auscultate
lung sounds, heart sounds and bowel sounds.
It is important to consider how long it would take the nurse to auscultate
the FHR for about three contractions; assuming contractions in the active phase of labor typically come in a 2-3 minute pattern, lasting anywhere from 30-90 seconds, the nurse would have to listen to the FHR for about 6-10 minutes at a time.
I always have a stethoscope to illustrate to the children how nurses auscultate
heart, lung and stomach sounds as mentioned in the book.
In addition, participants were able to auscultate
breath and heart sounds and palpate carotid, radial, and femoral pulses.
Simulation 3 Time Frame Patient Expected Condition Nursing Action 0-5 minutes Incontinent of Auscultate
urine, lungs lungs, with rates from calculate possible intake and aspiration output, discuss pneumonia, and toileting heart schedule, and arrhythmia.
Take TUNK (to tap on a burial chamber wall, so the archeologist can detect a hidden void on the other side) and AUSCULTATE
(to tap on a patient's chest, so the doctor can hear the echo through his stethoscope).
Alternatively, one may auscultate
the brachial artery while incrementally inflating the cuff to 30 mm Hg above the point at which the tapping noise (Korotkoff sounds) disappears.