List techniques for preparing a patient physically and psychologically before and during an examination.
When a physical assessment is performed, there are different techniques, like inspection, palpation, percussion, and auscultation. These are used in sequence, unless performing an abdominal assessment. Palpation and percussion which alters the bowel sounds, so it inspects, auscultate, percuss, then palpate an abdomen. The components of a physical exam includes the inspection, the examiner will look and inspect specific areas of your body for normal color, shape and consistency.
Physical examination is the process of evaluating objective anatomic findings through the use of observation, palpation, percussion, and auscultation. The information obtained is thoughtfully integrated with the patient's history.
Preoperative procedures are designed to improve the outcome of the surgery, decrease the risk for complications, and make the surgery as safe and effective as possible. Patients who receive general anesthesia, which renders them unconscious, must refrain from eating or drinking for at least 8 hours before surgery.
The steps of the primary assessment are the form a general impression of the patient, assess responsiveness, and perform a rapid scan that consists of checking and correcting problems with the patient's airway, breathing, and circulation.
Physically positioning during the
exam ask the patient to assume proper positions so body parts are
accessible and they stay comfortable, maintain privacy with proper
dress and draping, make sure they stay warm by eliminating drafts,
controlling room temp, providing warm blankets, maintain respect
and show consideration by adjusting needed drapes.
Psychologically a thorough explanation of the purpose and steps of
each assessment lets a patient know what to expect and how to
cooperate. Encourage the patient to ask questions and comment on
discomfort. Convey an open, professional approach while remaining
relaxed. Talk to them, explain things and show confidence.
List techniques for preparing a patient physically and psychologically before and during an examination.
During the physical examination of a patient's eyes, the nurse asks the patient to follow the tracing of a giant H with the eyes. What function is the nurse assessing in this patient? Pupil reaction to light Extraocular movements Convergence Corneal light reflex
The patient with prostate cancer was admitted for chemotherapy; however, during physical examination, the patient was found to be short of breath with a rapid heart rate. There was no known history of cardiac or infectious conditions; basic metabolic panel was normal. Chemotherapy was held for a couple of days while erythropoietin was given for anemia. Final diagnoses: (1) Symptoms related to chemotherapy-induced aplastic anemia, (2) adenocarcinoma of the prostate. Assign the appropriate codes.
During an examination of a female patient, the nurse observes lymphadenopathy and suspects an acute infection. Acutely infected lymph nodes would be: a. clumped. b. unilateral. c. firm but freely movable. d. hard and nontender.
list of areas that can be visually inspected on a patient during the introduction period and before you begin your formal physical assessment.
Sam Goliath, a 42-year-old male new patient, presents today for a routine physical examination. At the end of the examination the patient noted he had a good-sized growth on his back that has been present for several months. A problem-focused history and examination reveals a 1-cm-diameter wart-type growth that is an actinic keratosis. A diagnostic shave biopsy of the growth was performed. List the appropriate procedure(s) for this case.
Identify the position that is recommended for the following examinations: Colonoscopy Cervical examination Patient with severe asthma Patient with severe bleeding Surgery of the spine C-Section During a normal baby delivery Heart surgery Sigmoidoscopy To take blood pressure
Case Study # 2 Positioning for the Gastrointestinal Examination Description >> Your patient has arrived for his UGI series and the procedure begins. The patient thoroughly dislikes the taste of barium. In fact, you have had to coax him to drink the little he has so far. You know how important barium is for this study. Halfway through the fluoroscopic examination, the radiologist tells you that the patient has hypermotility of the GI tract. You are to give your patient...
Communication-best tactics for relaying information to patients; 1. How to address inappropriate patient statements Techniques when subjective and objective data do not align Techniques for addressing children during examination Conversation techniques: biased Techniques to addressing missing information an during intervie Therapeutic vs non therapeutic communication Defensive communication Non-verbal communication examples, what they mean; distance Positives and negatives of charting during interviews Open and closed ended questions-what they are best for Empathy statements
Topic: Advocate How would you demonstrate patient advocacy for someone that could not mentally or physically advocate for themselves? List several examples. Be sure to check back to see what others have said. You must comment on three posts with appropriate replies. Check out the discussion rubric on doc sharing. Please make your posts by the due date assigned. Refer to the discussion rubric for grading details (click the gear icon in the blue bar above the due date and...
MIG 126 Positioning II Case Study #2 Positioning for the Gastrointestinal Examination Description >> Your patient has arrived for his UGI series and the procedure begins. The patient thoroughly dislikes the taste of barium. In fact, you have had to coax him to drink the little he has so far. You know how important barium is for this study. Halfway through the fluoroscopic examination, the radiologist tells you that the patient has hypermotility of the GI tract. You are to...