Intro to Nursing and Health Hx
What is a focused Assessment?
an assessment that focuses on a body system
What principle is followed in standard precautions?
Wearing gloves when in contact with the patient's mucous membranes
What is acute pain?
Acute pain has recent onset and results in tissue damage.
how do you assess jaundice in a dark skinned patient?
inspect the palms and soles for a yellowish-green color
What are the symptoms associated with migraine headaches?
nausea, vomiting, and visual disturbances
A screening assessment focuses on?
Disease detection
how would you compare temperatures of one side of the body with the other side?
using the back of your hand to detect the difference
What is referred pain?
pain that is felt at a site different from that of the injured or diseased organ.
how would you describe the appearance of petechiae?
purplish-red pinpoint lesions
How would you palpate the thyroid gland using the anterior approach?
the nurse would feel the tissue between the sternocleidomastoid muscle and the trachea
What is involved in the introduction phase of the patient interview?
introducing self to pt, describing purpose of interview, describing the interview process
what are you assessing when striking the costovertebral angle with your fist during an assessment?
tenderness in the kidneys
What is somatic pain?
pain that arises from the bone, joint, muscle, skin or connective tissues and is usually aching or throbbing in quality and well located.
What is an expected finding of nails?
a nail surface that is smooth and rounded
Where are the anterior cervical lymph nodes located?
adjacent to the sternocleidomastoid muscle
Give an example of an open ended question?
how have you been feeling? what were you doing when you felt the pain in your hip?
A patient in a tripod position may indicate what?
difficulty breathing
What is visceral pain?
pain that occurs with obstruction of a hollow organ and causes intermittent cramping pain.
Describe clubbing of the nails.
When the angle of the nail base exceeds 180 degrees.
75-80% of individual who develop oral cancer do what?
consume excessive amounts of alcohol
What does a patient centered interview mean?
that patients are free to share their concerns, beliefs, and values in their own words.
4.5 liters
take 10/2.2=4.5
every kilogram equal a liter of fluid thus 10lbs/2.2
how do nurse's assess a patient's pain?
by asking the patient to rate the pain being experienced.
What is an early sign of malignant melanoma?
uneven, variegated color
What questions would you ask a client when performing a symptom analysis for a rash?
when did it start?, what makes it worse?, what do you do to make it better?, describe the sensation, does it burn or itch?, describe what it looked like initially.