Head to toe assessment Exam Questions With 100% Verified Answers.
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Course
Head to Toe
Institution
Head To Toe
Head to toe assessment Exam Questions With
100% Verified Answers.
When an assessment would be done - answerbeginning of each shift
weekly or monthly in long term care
whenever a change occurs
whenever you as the nurse think its necessary
what is a head to toe assessment - answera physical ass...
Head to toe assessment Exam Questions With
100% Verified Answers.
When an assessment would be done - answer✔beginning of each shift
weekly or monthly in long term care
whenever a change occurs
whenever you as the nurse think its necessary
what is a head to toe assessment - answer✔a physical assessment of each body system that offers
objective information about the patient
the skills of assessment enable us to detect subtle as well as obvious changes in the patients
health status
to gain the patients cooperation during assessment we need to explain why it is necessary
preparing for assessment - answer✔bedside reporting
look at your patients chart/computer
know their diagnosis, allergies, recent labs, HX, chief c/o
provide privacy
ensure warm comfortable temperature in room
tell patient what to expect
drape areas that dont need to be exposed
use a relaxed voice and facial expression
have a 3rd person of the patients gender present when assessing genitalia to protect yourself from
being accused of doing anything unethical
with children allow them to play with and visualize equipment prior to assessing to facilitate
cooperation
when finished ask patient if they have any questions or concerns
when asking questions don't be judgemental making sure you don't sound accusatory
ask open ended questions to foster communication
adolescents do have the right to confidentiality
elderly patients will take extra time to assess
cultural awareness - answer✔need to make yourself aware of cultural differences and practices in
the population you will be working with
Hispanics are usually very modest
Asian/ Pacific islanders avoid touching
you will have to observe and see what your patient is comfortable with
respect cultural beliefs
Setting Priorities when assessing - answer✔generally we assess from head to toe direction but if
a patient presents with a specific problem or complaint we assess that area first and them when
resolved or assessed we return to the head to toe pattern
if going to do something painful save it for the last thing in that area
your going to inspect, palpate, percuss, auscultate in that order except with the abdomen
always follow infection control standards
check for latex allergies
record your assessment asap
when you assess you are gathering initial data or comparing to previous shift
an Registered nurse must do the initial admission assessment - answer✔when assessing note both
your patients verbal and nonverbal cues
inspect - answer✔visual exam
always pay attention watch all their movements or lack of movement
need to know normal to identify adnormals
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