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Human Physiology An Integrated Approach, 8th Edition by Silverthorn
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Human Physiology An Integrated Approach, 8th Edition by Silverthorn
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Human Physiology An Integrated Approach, 8th Edition by Silverthorn
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Test Bank for Human Physiology An Integrated Approach 8th Edition by Dee Unglaub Silverthorn| Complete Guide A+
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Test Bank for Human Physiology An IntegratedApproach, 8th Edition by Silverthorn, 9780134605197,
Covering Chapters 1-26 | Includes Rationales
Head and Neck includes - ANSWER: skull, face, hair, neck, shoulders, lymphnodes, thyroid gland,
trachea postion, carotid arteries, jugular veins
techniques for examination of head and neck - ANSWER: inspection
palpation
ascultation
Which cranial nerves are assessed in head/neck - ANSWER: CN V (trigeminal) face strength and
sensation
CN VII (facial) symmetrical movement of face
CN XI (spinal accessory)
HEALTH HISTORY (ROS) - ANSWER: review of systems
Health assessment across Lifespan - ANSWER: comprehensive physical, mental, spiritual,
socioeconomic, cultural status of individual, group, or community
includes Nsg HX
PE
purpose - ANSWER: to obtain baseline
identify Nsg dx (establish risks and problems, and wellness dx)
establish plan of care
monitor the status of previously ID problem
screen for health problems
evaluate outcomes
young adult 20-40 yr old - ANSWER: able to cooperate
dont req modified approach unless ill or chx ill
cognitively impaired need modified approach
middle adult 41-64 yr old - ANSWER: able to cooperate
dont req mod. approach
beginning to experience physical change
(visual, sleep, decrease muscle tone, menopause)
older adult 65+ - ANSWER: time of changing health
physical abilities
consider: need for rest, functional abilites r/t arthritis hearing vision)
SPICES - ANSWER: sleep disorders
problems with eating/feeding
, incontinence
confusion
evidence of falls
skin breakdown
SPICES
comprehensive assessment - ANSWER: includes health HX & head to toe assessment
focused physical assessment - ANSWER: to obtain data on identified actual prob or potential prob
system specific - ANSWER: limited to one body system
on going - ANSWER: as needed, continuing to monitor
ADPIE physical assessment
before approaching pt - ANSWER: (assess, dx, planning)
-obtain check dox orders
-refer to policy reg. procedure
-gain signed, informed consent
-wash hands
-gather all supplies
-obtain assitance when needed
(planning, implementing)
-ID pt name dob by wrist band and ask name dob
-explain procedure
-privacy, period of rest
-position bed for comfort
during the procedure (implementation) - ANSWER: use proper precautions
observe/assess pt ability to tolerate procedure
body mechanics
adequate lighting
after the procedure ( evaluation/reassessment) - ANSWER: evaluate pt response
leave pt comfortable, side rail up, call light on in reach
Bed lowest position
dispose supplies
hand hygiene
document procedure done and patients response
Planning and Preparing (what do i need to remember?)
BE PREPARED ALWAYS! - ANSWER: prepare environment and patient
-adequate lighting, comfy room temp, privacy
positioning and proper draping
-use body mechanics, comfy position for pt
gather all supplies
-what equipment do i need for this assessment?
-VS equipment, reflex hammer, tongue depressor, soft.hard.sharp object to measure sensation?,
flashlight, extra blanket?
data collection - ANSWER: diagnosis
chief complaint/reason for admission
past med hx
meds
past surgeries
allergies
limitations
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