This distinct 2-in-1 reference offers important details on heritage taking, actual exam, and interpretation of findings in sensible, priceless methods on each web page. The vast internal column includes special narrative textual content; the slim outer column includes short bulleted summaries of a similar info. This structure allows nurses to fast test the bulleted issues and bounce to extra element as wanted with no turning the page.
In addition to complete review assistance for each physique procedure, this crucial reference covers psychological well-being evaluation and dietary assessment.
Two 8-page full-color inserts deliver to existence evaluate suggestions and landmarks. Icons spotlight particular strategies; lifespan, gender, and racial adjustments in findings; and irregular findings.
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Extra resources for Assessment: A 2-in-1 Reference for Nurses
Tangential lighting is optimal for evaluating the jugular venous pulse, the thyroid gland, and the apical impulse. A quiet environment is optimal during the assessment. Background noise can interfere with auscultation and can be distracting throughout the examination. Try to adjust the environment as best you can. Ask those nearby to lower the volume on their televisions or radios, or to lower their voices. Be courteous and thank them when the examination is completed. qxd 8/28/08 1:45 PM Page 23 PERFORMING A GENERAL SURVEY P ROMOTING COMFORT Remain professional during the entire examination and show concern for the patient’s privacy and modesty.
There’s little or no discomfort when it’s placed in the ear canal, and the results are obtained in a matter of seconds, providing maximum convenience for the nurse and the patient. Follow the manufacturer’s directions for the most accurate results. The oral route is another convenient method. Ideal for an alert adult, make sure the patient doesn’t breathe through his mouth and hasn’t had a hot or cold beverage or smoked a cigarette in the past 15 minutes; these factors can cause an inaccurate reading.
MERCURY MANOMETER FRONT VIEW Mercury column Head Bladder Aperture selector Cuff Handle Battery housing Pressure bulb ANEROID MANOMETER Cuff Bladder BACK VIEW Lens indicator Needle gauge Lens selector disk Pressure bulb REFLEX HAMMER Used to evaluate deep tendon reflexes during the neurologic assessment, this small, rubber-tipped hammer is also called a percussion hammer. qxd 8/28/08 1:45 PM Page 27 PERFORMING A GENERAL SURVEY 27 Reviewing assessment equipment (continued) NASOSCOPE Used to assess the nostrils, the nasoscope consists of a short, narrow head fitted with a light.