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Asst. Physical Exam - General Chpt.38 pg 428-446

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Answer
Give the patient the opportunity to;   Empty their bladders or bowels  
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Explain to the patient exactly;   What will occur during the exam  
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When giving instructions to the patient about undress, gowning, or positioning;   Be specific as possible  
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Encourage the patient to;   Ask questions  
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If English is NOT the clients primary language;   Provide a translator  
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Show the client how the gown;   Is to be worn (opening in the back)  
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Assist the client if they are in;   Pain or having difficulty ambulating  
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Clients should completely disrobe for a;   1.Physical exam 2.gynecological exam (pelvic/vaginal)  
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Partial gowning may be used if the complaint involves;   Respiratory difficulties or examination of the eyes, ears, or throat  
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Use sheets, blankets and pillows to   Provide comfort and privacy  
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The position the client should assume to MEET the doctor AND is used to preform an exam of the head, neck, chest, back, and arms is;   Sitting; Sitting upright on the examination table with the legs over the side and the feet on a footrest  
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Lying flat on the back is called;   Supine or horizontal recumbent  
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Sitting at a 90 degree angle with legs on the table is called;   High-Fowler's position  
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High-Fowler's position is one of the best positions for examining patients who are experiancing   Low back pain or SOB (shortness of breath)  
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Sitting at a 45 degree angle with legs on the table is called;   Semi-Fowler's position  
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The position the client should assume for an exam of the abdomen is;   Dorsal recumbent  
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Dorsal recumbent means   The client lies in a horizontal recumbent (supine) position with both knees bent and feet flat on table  
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The position the client should assume for a pelvic (vaginal) exam is   Dorsal lithotomy  
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Dorsal lithotomy means;   The client assumes the dorsal recumbent position with buttocks at the edge of the exam table and feet placed in stirrups  
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Do not place the client in dorsal lithotomy position until;   The physicians presence is imminent for the exam  
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The position the client should assume for suppository administration, enema, or rectal temp   The Sim's position  
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The Sim's position refers to;   The adult clients left leg is slightly bent, the right leg is sharply bent, and the left arm is behind  
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The position the client should assume for an exam of the back, spine, or posterior leg is;   The Prone position  
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The Prone position refers to;   Lying flat on the table, face down, with head to turned to one side  
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The position the client assumes for a rectal exam is;   Knee-Chest position  
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The knee-chest position refers to the client;   The client will be kneeling on the exam table with buttocks raised and the head and chest on the exam table.  
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In the KNee-Chest position a pillow is placed   Under the chest and the arms are extended above the head with the elbows bent  
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Placing the client with their head lower than their legs is called   Trendelenburg  
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Trendelenburg is used to treat;   Shock  
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Signs(Sx) and Symptoms(SX) Of shock include;   1.Pallor or cyanosis 2.Feeble pulses and tachycardia 3.Disorientation, lethargy, stupor, and unconsciousness 4.Cool skin and diaphoresis 5.N+V 6.Hypotension  
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Respect the clients privacy by:   1.Always knocking before entering the examination room, and waiting for reply 2.Always close the door after entering or leaving the room 3.Keeping the client covered with a blanket or sheet  
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