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68C Ph.2 T.1

Assisting with Physical Examinations

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