Head to toe evaluation - Study guides, Class notes & Summaries

Patient Assessment ~~> • Structured process of gathering information used to make a diagnostic opinion of the patient • A problem-oriented evaluation of the patient Indications of respiratory distress ~~> - Dyspnea - Mild Cyanosis - SpO2 greater than 96% on supplemental oxygen Indications of respiratory failure ~~> - Altered mental status - Retractions, tracheal tugging, nasal flaring, use of accessory muscles - Cyanosis or pallor - Audible sounds - Abnormal rate or pa...

CERT SKILLS-HOSA LATEST UPDATE GRADED A+ Phase 1 Death within minutes as a result of overwhelming and irreversible damage to vital organs Phase 2 Death within several hours as a result of excessive bleeding Treatment for burns 1. Remove the source of the burn 2. Cool the burn 3. Cover the burn Three methods for controlling bleeding 1. Direct Pressure 2. Elevation 3. Pressure Points Elevation Elevate the would above the level of the heart What are the five steps to tak...

Types of prevention - answer-primary- car restraints, bicycle helmets, immunizations secondary- prevent for those with RF-pap, mammo tertiary-mgmt of established disease- meds, lifestyle Primary - answer-Preventing the health problem, most cost effective form of healthcare **IMMUNIZATIONS, ensuring adequate illumination at home (preventing falls) Secondary - answer-Detecting disease in early asymptomatic stages, screenings -Early cause finding of asymptomatic disease via the use of a sc...

Nur 155 Exam 1 Questions And Answers Already Passed 4 Steps of Tanner's Clinical Judgement model Noticing, reflecting, responding and interpreting Critical thinking uses principles of nursing process and evidence based practice APIE assessment, planning, implementation, evaluation Assessing systematically and comprehensively piece by piece, body systems, head to toe and focused assesment Objective signs (seen, heard, felt) Evidence-based practice means that everything we ...

A 29 year old male client informs the nurse that he came to the clinic to see if, "Maybe I have lung cancer or something," and wants to get checked out since, "I can't seem to get rid of this body-wracking dry cough that has been hanging around for the last six weeks." Which computer documentation of this client's concerns should the nurse enter? A. Presents with a hacking non-productive cough of 6 weeks duration. B. Describe having a "body-wracking dry cough" of 6 weeks duration. C. ...

7 parts of health history - "1.Biographical data 2.Reason for seeking care - C/C 3.Current health or history of current illness - HPI (history of present illness 4.Past health 5.Family history 6.Review of systems - Head to toe 7.Functional assessment or ADLs " Examples of Biographical data in health hstory - "Name •Address and phone number •Age and birth date •Birthplace •Sex •Marital status •Race •Ethnic origin •Occupation—usual and present •...

246 HESI Review BSN 246 Nightingale College Questions with complete solution 246 HESI Review The nursing process offers a framework to identify needs, create a plan of care, and determine the effectiveness of interventions. Which of the following stages of the nursing process involves the assessment of which interventions were successful and which ones were not? a.Assessment b.Diagnosis c.Planning d.Evaluation D. Evaluation A client reports to the healthcare provider's office for...

EM is treatment of Treatment of seriously ill/injured patients requires rapid assessment of illness and injuries and initiation of life preserving therapies• Timing is key, so a systematic approach that can be rapidly and accurately applied is crucial Initial Assessment • Preparation • Triage • Primary Survey (ABCDE's) • Resuscitation• Adjuncts to primary survey and Resuscitation • Secondary survey (Head to toe &Patient History) • Adjuncts to secondary survey • Con...

- Temp/warmth - Low/High CBC - Increased HR - Low BP - Increased respiratory rate - Redness - Answer- Infection S/S - Rotate patient every 2 hours - Reposition - Padding - PROM - Barrier cream - Keep dry - Move using a lifting device - Answer- Nursing interventions to decrease risk of pressure injuries CD4 will be lower not less than 200 CD8 will be normal - Answer- HIV labs CD4 will be less than 200 CD8 will be increased. - Answer- AIDS labs - Prevents the virus from mu...

HESI Health Assessment Combined. Nursing Process ADPIE • Assess • Diagnose • Outcome identification • Planning • Implementation • Evaluation 1. History Taking and Documentations Subjective – What patient says about their history Collect Medical History Collecting data, 4 types • Complete Health data base • Episodic or problem-centered database • Follow up database • Emergency Data base 2. Assess Pulse in Geriatric Patients May be irregul...