Nursing and Physical Assessment Study Guide

Nursing and Physical Assessment Study Guide. Detailed coverage of physical exam, assessment techniques, assessment scales, blood tests, and more (Mobi Medical)







Boost Your grades with this fully illustrated study guide. Detailed coverage of physical exam, assessment techniques, assessment scales, blood tests, and more. FREE Vital Signs and Basic Biometrics in the trial

Audience

Intended for nursing, medical, and dental students and residents.

Features

* Fully illustrated.
* Detailed coverage of nursing duties including analysis and assessment techniques.
* Navigate from Table of Contents or search for the words or phrases
* Add Bookmarks
* Text annotation and mark-up
* Access the guide anytime, anywhere - at home, on the train, in the subway.
* Use your down time to prepare for an exam.
* Always have the guide available for a quick reference.

Table of Contents

Vital Signs: Temperature | Blood Pressure | Pulse | Respiratory rate

Basic Biometrics: Height | Weight | BMI | Pain scale | PQRST Method for Symptom Assessment

Primary Assessment Techniques: Inspection | Palpation | Percussion | Auscultation: Heart Sounds | Heart Murmurs | Lung Sounds | Bowel Sounds

Physical Examination: General appearance | Organ systems | Medical history | Differential diagnosis | Cancer Signs | Edema | Universal precautions

Blood Tests Reference Ranges:
Clinical biochemistry: Electrolytes and Metabolites | Liver function tests | Other enzymes and proteins | Other ions and trace metals | Lipids | Tumor markers | Hormones
Hematology: Red blood cells | White blood cells | Coagulation
Immunology: Acute phase protein markers of Inflammation | Autoantibodies
Other: Serology | Arterial blood gas

Serum Electrolytes:
Sodium: Hypernatremia | Hyponatremia
Potassium: Hyperkalemia | Hypokalemia
Calcium: Hypercalcaemia | Hypocalcaemia
Magnesium: Hypermagnesemia | Hypomagnesemia
Chloride: Hyperchloremia | Hypochloremia
Phosphate: Hyperphosphatemia | Hypophosphatemia
Bicarbonate: Hyperbicarbonatemia | Alkalosis | Hypercapnia || Hypobicarbonatemia | Acidosis | Hypocapnia

Other Standard Tests and Scales: EKG | Oxygen saturation | Ulcer assessment | Glasgow coma scale | Pediatric Glasgow Coma Scale | Muscle strength | Bristol Stool Scale | Tanner stage | Odor Intensity | X-Ray

Injection: Subcutaneous | Intramuscular | Depot | Intravenous | Insulin Types

Medical Abbreviations: 0–9 | A | B | C | D | E | F | G | H | I | K | L | M | N | O | P | Q | R | S | T | U | V | W-Z | Latin abbreviations

Abbreviations for medical organizations and personnel: A-B | C-N | O-Z

Measurement Units: Metric system (SI) | SI writing style | Powers of 10 prefixes | US units and conversion to SI

Anatomical Terms: Position | Direction | Motion

Cranial nerves: I olfactory | II optic | III oculomotor | IV trochlear | V trigeminal | V1 ophthalmic | V2 maxillary | V3 mandibular | VI abducens | VII facial | VIII vestibulocochlear (cochlear, vestibular) | IX glossopharyngeal | X vagus | XI accessory | XII hypoglossal





Nursing and Physical Assessment Study Guide. Detailed coverage of physical exam, assessment techniques, assessment scales, blood tests, and more (Mobi Medical)

How Sweet

http://well.blogs.nytimes.com/2010/12/29/in-praise-of-nurses/?src=me&ref=health

I love and admire nurses.




Oncology nurses and ostomy nurses. Radiation nurses and post-op nurses. And those essential, always-there-when-you-need-them, round-the-clock nurses. (And though most of my experience is with female nurses, I admire male nurses, too.)



Now this isn’t some abstract infatuation, based on seeing “South Pacific” one too many times. I’ve been hospitalized six times in my life, and the medical personnel I came to know best — and like best — were the nurses.



To generalize: Nurses are warm, whereas doctors are cool. Nurses act like real people; doctors often act like aristocrats. Nurses look you in the eye; doctors stare slightly above and to the right of your shoulder. (Maybe they’re taught to do that in medical school?)

My most recent dependence on nurses came in 2008 and early 2009 as I was treated for an aggressive Stage 3 prostate cancer. But more about that later.



My first vivid nurse memory comes from the summer of 1970 at Exeter Hospital in New Hampshire. I was 12 years old — almost 13 — and a benign tumor in my right knee needed to be cut out.

Read the rest here.

Nurse Work Abroad UAE

One of Philippines’s leading overseas human resource provider is currently looking for nurses who are qualified for Nurse Work Abroad UAE. These nurse work abroad UAE was approved for recruitment by the POEA last December 10 for the said recruitment agency whose office is located in Ayala Avenue in Makati City. For the said nurse work abroad UAE, 345 applicants will be chosen for placement in the said nursing jobs abroad.

If you are interested in applying for the said Nurse Work Abroad UAE, forward your resume and application directly to the office of Global Resource for Outsourced Workers (GROW), Inc. For more info regarding the said nurse work abroad UAE, you may contact GROW thru their landline numbers or Email Address specified below.


Global Resource for Outsourced Workers (GROW) Inc.
4/F Philippines First Building
6764 Ayala Avenue, Makati City
Healthcare Staffing: +(632) 893 5267 or +(632) 893 5268 +(632) 893 5269
IT Staffing: +(632) 848 2493 or +(632) 848 2494 or +(632) 864 0378
Fax No: +(632) 893 5294
Email: info@growinc.net
Website: www.growinc.net

Armstrong Atlantic State University

Founded in 1935, Armstrong Atlantic State University (AASU) is a dynamic public university located in Savannah, Georgia, USA. It is part of the University System of Georgia.

The University has the following Colleges: College of Education, College of Health Professions, College of Liberal Arts, College of Science & Technology. Undergraduate degrees are offered in Applied Physics, Art, Art

Five major things when moving house

A video about the tips you need to do when moving house is provided in Rancho Palos Verdes CA Homes for Sale.

I think, need to have a bookmark to find the house that we will buy. After finding the house we want. Consider a few tips that performed at the time of moving house, for the goods we possess are not left behind in the old house and also not damaged.

1. Use the service to move house, this will make your load will be reduced. Various services to make moving house is offered with various advantages and disadvantages. Choose the best.
2. Make sure, that in moving the goods from your old house, moving house services using the wrap, package, or storage. In particular, services that have storage for your pet, it can be considered.
3. Make sure that your house will occupy the next has been fixed, good roof, or floors. What is the condition of paint and so forth. So when your goods are already there, there are no improvements on your house causing damage to your goods.
4. Also make sure whether the installation of pipe systems, sewerage, water systems running perfectly. If there is damage, do the repairs before you move your goods. Again, this can reduce the risk of damage to your goods.
5. Then the most important is the safety factor the house, either from the danger of theft, fire and so forth. Make sure your house keys repaired. If there is access to the emergency exit, whether it has been confirmed to operate properly.

Congratulations occupy your new home!

Risk for Ineffective Airway Clearance/Breathing Pattern | Nursing Care Plan for Seizures Disorder

Risk factors may include

Neuromuscular impairment

Tracheobronchial obstruction

Perceptual or cognitive impairment

Possibly evidenced by

(Not applicable; presence of signs and symptoms establishes an actual diagnosis)

Desired Outcomes/Evaluation Criteria—Client Will

Respiratory Status: Ventilation

Maintain effective respiratory pattern with airway patent and aspiration prevented.

Nursing care plan with rationale:

1. Encourage client to empty mouth of dentures or foreign objects if aura occurs and to avoid chewing gum or sucking lozenges if seizures can occur without warning.

Rationale: Reduces risk of aspiration or foreign bodies lodging in pharynx.

2. Place in lying position on a flat surface; turn head to side during seizure activity.

Rationale: Promotes drainage of secretions; prevents tongue from obstructing airway.

3. Loosen clothing from neck, chest, and abdominal areas.

Rationale: Facilitates chest expansion, enhancing breathing.

4. Insert soft airway as indicated per facility protocol and only if jaw is relaxed.

Rationale: If inserted before jaw is tightened, these devices may prevent biting of tongue and facilitate suctioning and respiratory support if required. Airway adjunct may be indicated after

cessation of seizure activity if client is unconscious and unable to maintain safe position of tongue. Note: Current opinion is mixed regarding the use of airways during seizure activity.

5. Suction as needed.

Rationale: Reduces risk of aspiration or asphyxiation. Note: Risk of aspiration is low unless individual has eaten within the last 40 minutes.

6. Administer supplemental oxygen or bag ventilation, as needed postictally.

Rationale: May reduce cerebral hypoxia resulting from decreased circulation and oxygenation secondary to vascular spasm during seizure. Note: Artificial ventilation during general seizure activity is of limited or no benefit because it is not possible to move air in and out of lungs during sustained contraction of respiratory musculature. As seizure abates, respiratory

function will return unless a secondary problem exists, such as foreign body or aspiration.

7. Prepare for and assist with intubation, if indicated.

Rationale: Presence of prolonged apnea postictally may require ventilatory support.

Risk for Trauma/Suffocation | Nursing Care Plan for Seizures Disorder

Risk factors may include

Weakness, balancing difficulties

Cognitive limitations, altered consciousness

Loss of large or small muscle coordination

Emotional difficulties

Possibly evidenced by

(Not applicable; presence of signs and symptoms establishes an actual diagnosis)

Desired Outcomes/Evaluation Criteria—Client Will

Risk Detection

Verbalize understanding of factors that contribute to possibility of trauma or suffocation and take steps to correct situation.

Risk Control

Demonstrate behaviors and lifestyle changes to reduce risk factors and protect self from future seizure events and injury.

Modify environment as indicated to enhance safety.

Maintain treatment regimen to control or eliminate seizure activity.

Significant Other [SO]/Caregiver Will

Knowledge: Personal Safety

Identify actions or measures to take when seizure activity occurs.

Nursing care plan with rationale:

1. Explore with client the various stimuli that may precipitate seizure activity.

Rationale: Alcohol, various drugs, and other stimuli, such as loss of sleep, flashing lights, and prolonged television viewing, may increase the potential for seizure activity. Client may or may not have control over many precipitating factors, but may benefit from becoming aware of risks.

2. Discuss seizure warning signs, if appropriate, and usual seizure pattern. Teach SO to recognize warning signs and how to care for client during and after seizure.

Rationale: Can enable client or SO to protect individual from injury and to recognize changes that require notification of physician and further intervention. Knowing what to do when seizure occurs can prevent injury or complications and decreases SO’s feelings of helplessness.

3. Keep padded side rails up with bed in lowest position, or place bed up against wall, and add floor pad if rails are not available or appropriate.

Rationale: Minimizes injury should frequent or generalized seizures occur while client is in bed.

4. Maintain strict bedrest if prodromal signs or aura is experienced. Explain necessity for these actions.

Rationale: Client may feel restless, need to ambulate or even defecate during aural phase, thereby inadvertently removing self from safe environment and easy observation. Understanding importance of providing for own safety needs may enhance client cooperation.

5. Stay with client during and after seizure.

Rationale: Promotes client safety and reduces sense of isolation during event.

6. Turn head to side and suction airway as indicated. Insert soft bite block per facility protocol, only if jaw relaxed.

Rationale: Helps maintain airway and reduces risk of oral trauma but should not be “forced” or inserted when teeth are clenched because dental and soft-tissue damage may result. Note: Current practice is mixed regarding the use of airways during seizure activity.

7. Cradle head, place on soft area, or assist to floor if out of bed. Do not attempt to restrain.

Rationale: Gentle guiding of extremities reduces risk of physical injury when client lacks voluntary muscle control. Note: If attempt is made to restrain client during seizure, erratic movements may increase, and client may injure self or others.

8. Perform neurological and vital sign checks after seizure: level of consciousness, orientation, ability to comply with simple commands, ability to speak, memory of incident, weakness or motor deficits, blood pressure (BP), pulse, and respiratory rate.

Rationale: Documents postictal state and time and completeness of recovery to normal state. May identify additional safety concerns to be addressed.

9. Reorient client following seizure activity.

Rationale: Client may be confused, disoriented, and possibly amnesic after the seizure and need help to regain control and alleviate anxiety.

10. Allow postictal “automatic” behavior without interfering while providing environmental protection.

Rationale: May display behavior of motor or psychic origin that seems inappropriate or irrelevant for time and place. Attempts to control or prevent activity may result in client becoming aggressive or combative.