The healthcare provider completes the examination and prescribes a chest x-ray, which is scheduled for the next morning.…
During the physical assessment, a focus should be on auscultation of the heart and lungs for S/S of cardiac problems. In the case of R.M. there should not be any abnormalities.…
4. Percussion techniques can be used to detect A) heart beats. lungs. E) enlarged organs.…
For the Physical Exam section, document the observable signs. Signs are objective, in that they are measurable conditions, and therefore included in the physical exam. This includes vital signs or anything observed by performing the patient physical exam.…
Rationale: This technique allows the nurse to observe and count the chest movement, even when respirations are shallow.…
A patient with a C7 spinal cord injury states he must hve the flu because he has a bad headache and nausea. The initial action of the nurse is to…
The pulses in the legs and feet are evaluated on the clinical exam. Diagnostic tests include blood pressure measurements to compare the arms and legs, Doppler ultrasonography on the legs, duplex Doppler/ultrasound exam of the extremities to visualize arterial blood flow, an ECG, and arteriography (injecting dye that can be visualized in the arteries).…
I would being by asking Mr. and Mrs. Lawson basic questions concerning the family’s history regarding any similar symptoms that other family members may have displayed. I would also ask if there were any changes in the family setting, such as relocating or if other family members have recently relocated. I would also ask Mr. and Mrs. Lawson specific details about the symptoms regarding Clara’s eating patterns, and sleeping patterns, and how long this has been occurring. I would also engage Clara into conversation, so that her direct responses could be included in the conversation, so that I would have a better understanding on the lack of eye contact when talking.…
Assessed for presence of edema, I & Os, lab values of sodium and potassium, vital signs performed q hour, breath sounds assessed, cardiac monitoring.…
Mr. and Mrs. Lawson brought their 4-year-old adopted daughter, Clara, to see Dr. Mason, a psychiatrist. Clara was polite in greeting Dr. Mason, but did not smile and kept her gaze down as she took a seat. Mr. and Mrs. Lawson sat next to Clara and began explaining their concerns. They described Clara as a quiet child who has recently begun throwing temper tantrums, during which she is inconsolable. Her sleep and eating patterns have changed, and she no longer wants to go to preschool.…
In “Anatomy of an Illness as Perceived by the Patient” by Norman Cousins, the author discusses an illness he caught from a trip he took abroad, called malaise, a serious collagen disease of the connective tissue. This made it difficult for him to move his neck, and limbs. Norman discusses what type of treatment and tests they ran on him while in the hospital, commenting on how they sent four different departments to take his blood in one day.…
Received female patient in bed in the left lateral position in no form of respiratory distress. Patient voiced abdominal pain and headache. O/E: Patient was alert and rationale. Oriented to person, time and place. Skin was of a dark brown complexion. Skin appears moist and well hydrated. Bilateral pedal edema noted. Nails were clean and well groomed, normal pink striation seen. Capillary refill was less than one second. Hair is evenly distributed and well kept. On palpation of the head no palpable mass or tenderness elicited. Face orifices was clean. Chest expansion equal and adequate. Normal breath sounds were heard over the lung field. Respiration rate of 20 breathes per minute. No sign of raise jugular vein seen. Normal s1 and s2 sounds were heard. Pulses were palpable bilaterally except the carotid pulse. Pulse rate of 88 beats per minute of a regular rhythm and pattern. Blood pressure of 124/81. Abdomen was obese with normal striations seen. Linea nigra located in the midline of abdomen from the synthesis pubis to the umbilicus. Umbilicus is in the midline of abdomen no redness or discharge seen. Uterus is gravid. Fetal heart rate was 134 beats per minute. Bowel sounds were heard on auscultation. Abdomen was firm with a fundal height of 36/ 40 weeks. Per vaginal loss was minimal creamish discharge. Full range of motion to extremities.…
CRITICAL CARE Critical care: the eight vital signs of patient monitoring Malcolm Elliott and Alysia Coventry O ne of the traditional roles of nurses involves surveillance. This might include watching patients for changes in their condition, recognising early clinical deterioration and protection from harm or errors (Rogers et al, 2008). For over 100 years, nurses have performed this surveillance using the same vital signs: temperature, pulse, blood pressure, respiratory rate and in recent years, oxygen saturation (Ahrens, 2008).…
Both HYPO and HYPER kalemia can cause cardiac dysrhythmias progressing to ventricular fibrillation and asystole. Think "cardiac" with both. Hyperkalemia is the most deadly of all electrolyte imbalances.…
What is the purpose of medical diagnosis? Are outcomes of diagnosis always accurate/objective? If not, what are the possible limitations of diagnosis as a form of knowledge production?…