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68C Ph.2 T.1
Assisting with Physical Examinations
| Question | Answer |
|---|---|
| ELO>Identiy components of an initial screening that may be performed by a practical nurse | a.vital signs b.height/weight c.brief history d.psychological prepartion e.test prerequisites completed f.informed consent necessary |
| ELO>Describe positioning and draping techniques used for a physical examination | a.sitting b.dorsal recumbent c.lithotomy d.supine e.lateral recumbent f.sims g.knee chest h.prone |
| ELO>List common equipment and supplies required for the performance of a physical examination | stethoscope, thermometer, sphygmomanometer, scale, snellen eye chart, flashlight, otoscope, percussion hammer, tuning fork |
| ELO>Describe the nursing responsibilities when assisting a physican/practiioner with a physical examination | have all equipment available prior to examination |
| Draping | may be cloth or paper, prevent unnecessary expose, helps client relax, provides warmth and prevent chilling |
| what supplies are needed for a occult blood testing/ rectal exam? | a.gloves b.lubricant c.test card |
| what would a tape measure be used for? | measure circumference of baby's head, circumference of a client's arms or legs, client's chest circumference etc. |
| what are some of the responsibilities the nurse should be familiar with to facilitate the physical examination? | preparing exam room, preparing patient, collecting samples |
| HR of neonate, infant toddler, school age, adolescent, adult, older adult | 120-160, 125-135, 90-120, 65-105, 60-100, 60-100 |
| RR of neonate, infant, toddler, school age, adolescent, adult, older adult | 36-60, 40-46, 20-30, 22-24, 16-22, 12-20, 12-18 |
| adult BP/older adult | systolic 100-120 diastolic 70-80/ systolic 130-140 diastolic 90-95 |
| pyrexia, febrile, hyperthermia describe | above-normal body temperature |
| S+S of elevated body temperature | anorexia, flushed, glassy eyes, elevated pulse/RR, disorientation |
| which temperature site is least accurate? | axillary |
| factors influencing pulse rates? | age, exercise, fever, anxiety, pain, medications, hemorrhage, postural changes, metabolism, pulmonary conditions |
| Pulse volume variations (0-4+) | 0-absent pulse, none felt 1+ thready pulse, difficult to feel 2+ weak pulse, not palpable 3+ normal pulse, easily felt 4+ bounding pulse, feels full and springlike |
| factors influencing respiration? | hyperpyrexia (greatly elevated bp), body position, medications, acute pain, brainstem injury, hemoglobin function |
| cheyne-stokes respirations | abnormal pattern of respirations characterized by alternating periods of apnea, deep, rapid breathing |
| when is the usage of an automatic BP inappropriate? | irregular heart beat, arrythmias, shivering, seizures, older adults, obese extremity |
| OPQRST | Onset, Provocative, Quality, Radiation, Severity, Treatments, Understanding-what do you think is causing it, Values-goals of care |
| How do you convert Fahrenheit to centrigrade? | C= (F- 32 x 5/9) |
| How do you convert centrigrade to Fahrenheit? | F= (9/5 x C) +32 |
Created by:
ajwildasin30
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