Inspect eyes and o - Study guides, Class notes & Summaries

1. Cane- place on strong side, move with weak a. Hand grip level at client’s greater trochanter b. Elbows flexed at 15 to 30 degrees c. Hold 4-6 inches from the side of the foot d. Hold in the unaffected side and move together with the weaker side e. Inspect the cane tips regularly for worn rubber f. For client with 1 upper extremity, hemicanes or quadripod canes are used g. For walker, instruct client to put all 4 points of the walker on the floow before putting weight on the hand piec...

GENERAL ORDER OF THE EXAM * • Inspect  visually observe pt • Palpate  use hands to feel pt • Percuss  light striking of body parts to produce sounds • Auscultate  listening to body w/stethoscope o Bell = low-pitch sound o Diaphragm = high-pitch sound *All systems except GI 4 CLASSICAL ASSUMPTIONS • A & O x 4 (person, place, time, situation) • Vital signs WNL • Visual acuity assessed via Snellen chart (CN 2 – Optic) • Patient is in NAD PREPARATION • ...

Maternity and Pediatrics HESI Review 3 Latest Update 2023/2024 (All New Questions Included) Maternity and Pediatrics HESI Review 3 Mother of a preschool-aged child calls school RN to report her child was bitten by a tick while on a school outing last wk. Mother tells RN she removed tick & flushed it down toilet. What action should school RN take? Schedule test for Lyme disease if rash appears. Dr. prescribes phenytoin (Dilantin) for school-aged child diagnosed with tonic-clonic epileps...

HPI seizures Correct Answer-did you fall, shrill cry, motor activity, loss of consciousness, chewing or lip smacking, post-ictal HPI pain Correct Answer-sudden or progressive, deep aching, throb or stabbing, where is pain, radiate HPI gait coordination Correct Answer-lose balance, fall forwardbackward, feel stiff, legs give way HPI weakness parathesia Correct Answer-sudden onset, with activity, tingling, numbness or confusion, chronic illness, medications like zidovudien or chemothera...

ATLS FINAL EXAM QUESTIONS AND ANSWERS A+ GRADED 100% VERIFIED APPROVED BY: Want to earn $103 per month? 1. what is the #1 cause of preventable deaths after trauma?: hemorrhage 2. what initital labs should be drawn when starting an IV in trauma?: type and cross CBC for baselines preg test for females blod gases and lactate for shock 3. what are the 3 contra indications for a foley in trauma?: blood at eth urethral meatus perineal ecchymosis high riding or non-palpable prostate pel...

Subjective data Said by the client (S) Objective data Observed by the nurse (O) Order for assessment (not abdominal) Inspect, Palpation, Percussion, Auscultation Inspection Critical observation and ALWAYS first in assessment and uses all senses. Part of the hand to assess skin temperature back of the hand (dorsal aspect) Deep Palpation Light Palpation Deep: 5-8cm (2-3'') Light: 1 cm Percussion is performed in the wrist Bell of the steth...

Exit Performance Elsevier adaptive quizzing MED SURG 1 QUIZ #3 2023/24 update A parent receives a note from the school reporting that a student in the class has head lice. The parent calls the school nurse to ask how to check for head lice. What instruction should the nurse provide? "Ask the child where it itches." "Check to see whether your dog has ear mites." "Look at your child's head along the scalp line for white dots." "Inspect your ch...

ABMDI Demonstrating Scientific Knowledge Exam Questions and Answers 100% Pass Sings of Death Include: - Correct Answer ️️ --Lack of Pulse/Respiration -Absence of Heartbeat -Lack of Corneal Reflex and Pupillary Constriction -Coolness of the Body -Rigor Mortis -Livor Mortis Rigor Mortis - Correct Answer ️️ -Stiffness of the body that sets in several hours after death Rigor Mortis (Continued) - Correct Answer ️️ --Starts in the smaller muscles (jaw, extremities) **First Indi...

Subjective data - correct answer Said by the client (S) Obejective data - correct answer Observed by the nurse (O) Assessment Techniques is as follows - correct answer Inspect-Palpation-Percussion-Auscultation Order of Abdomen Assessment - correct answer Inspect-Auscultation-Percuss-Palapate Inspection - correct answer *always first* 1. Take time to observe with eyes ear nose 2.Use good lighting 3.Look at color shape symmetry position 4.Observe for odors from skin breath wound ...

Inspect head and face (Ans- skull symmetry: symmetric facial feature symmetry: symmetric appearance: Papules, pustules, or comedones Inspect eyes and orbital area (Ans- orbital area: No visible abnormal findings sclera: White conjunctiva: Moist and pink conjunctival discharge: No discharge Inspect nasal cavities (Ans- color: Pink discharge: No discharge turbinate patency: Patent observations: No additional visible abnormal findings Inspect ears ...