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NR509 Midterm Exam Study Guide (Latest-2021) / NR 509 Midterm Exam Study Guide: Chamberlain College of Nursing CA$29.44   Add to cart
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NR509 Midterm Exam Study Guide (Latest-2021) / NR 509 Midterm Exam Study Guide: Chamberlain College of Nursing
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  • Course
  • NR509: Advanced Physical Assessment
  • Institution
  • Chamberlain College Of Nursing

NR509 Midterm Exam Study Guide (Latest-2021) / NR 509 Midterm Exam Study Guide: Chamberlain College of Nursing

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  • September 24, 2021
  • 109
  • 2021/2022
  • Exam (elaborations)
  • Questions & answers

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  • nr509 midterm exam study guide latest 2021 nr 509 midterm exam study guide chamberlain college of nursing

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  • Chamberlain College Of Nursing
  • NR509: Advanced Physical Assessment
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1

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, ● Develops proficiency in the essential skills of physical

examination

Flexible Focused or problem-oriented assessment:For patients you know well returning for

routine care, or those with specific ―urgent care‖ concerns like sore throat or knee pain. You will

adjust the scope of your history and physical examination to the situation at hand, keeping

several factors in mind: the magnitude and severity of the patient’s problems; the need for

thoroughness; the clinical setting—inpatient or outpatient, primary or subspecialty care; and the

time available.

●Is appropriate for established patients, especially during routine

or urgent care visits

●Addresses focused concerns or symptoms

●Assesses symptoms restricted to a specific body system

●Applies examination methods relevant to assessing the concern or

problem as thoroughly and carefully as possible

Tangential lighting: JVD, thyroid gland, and apical impulse of heart.

Components of the Health History Jenna/Ashley

Initial information

Identifying data and source of the history; reliability

Identifying data- age, gender, occupation, marital status

Source of history- usually patient. Can be: a family member or friend, letter of referral, or

clinical record.

Reliability- Varies according to the patient’s memory, trust, and mood.

Chief Complaint

, Chief Complaint- Make every attempt to quote the patient’s own words.

Present Illness

Complete, clear and chronological description of the problem prompting the patient visit

Onset, setting in which it occurred, manifestations and any treatments

Should include 7 attributes of a symptom:

●Location

●Quality

●Quantity or severity

●Timing, onset, duration, frequency

●Setting in which it occurs

●Aggravating or relieving factors

● Associated manifestations


-Differential diagnosis is derived from the ―pertinent positives‖ and ―pertinent negatives‖ when

doing Review of Systems that are relevant to the chief complaint. A list of potential causes for

the patients problems.


-Present illness should reveal patient’s responses to his or her symptoms and what effect this has

on their life.


-Each symptom needs its own paragraph and a full description.


-Medication should be documented, name, dose, route, and frequency. Home remedies, non-

prescriptions drugs, vitamins, minerals or herbal supplements, oral contraceptives, or borrowed

medications.

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