Getting Started
Closing door, pulling curtain
What is providing privacy?
Starts when you walk in the room
What is general survey?
Evoke sound waves or dullness with tapping
What is percussion?
Back of hand
How do you assess the skin temperature?
High pitched sounds due to narrowing of airway?
What is wheezes?
Enable visualization
What is adequate lighting?
Person, Place & Time
What is orientation x3?
Inspection, Palpation, Percussion, Auscultation
What is proper order for physical exam except for the abdomen?
Using this part of the stethoscope to hear low pitch sounds
What is the bell?
Depression in skin where there is swelling
What is pitting edema?
Introduce self, explain procedure, develop rapport
What is preparing the client?
General appearance, demeanor, facial expression,grooming, speech pattern
What are areas to ovserve on general survey?
Use of sight to gather data
What is inspection?
Inspection, Auscultation, Percussion, Palpation
What is the proper order of examination for the abdomen?
Abnormal rounded shape of nail bed
What is clubbing?
Increase temperature, warm blanket
What is keeping the client comfortable?
TPRBP
What is vital signs?
1-3 seconds
What is normal capillary refill?
APE To Man
What is the heart valves?
Accentuated thoracic curve, hunchback
What is kyphosis?
Systematic, organized assessment of each body system
What is head to toe?
Siderails up, clear pathways, call light within reach
What are safety aspects of general survey?
Use of touch to gather data
What is palpation?
Uses eye opening, verbal response, motor response to describe patient LOC
What is Glasgow Coma Scale?
Assessment sign of dehydration
What is tenting?