nsg 3012 Discussions Physical Assessment
nsg 3012 Discussions Physical Assessment
nsg 3012 Discussions Physical Assessment
Physical Assessment
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Using the South University Online Library or the Internet,
research the various aspects of physical assessment. Based on your research and
understanding, respond to one of the following:
nsg 3012 Discussions Physical AssessmentYou are admitting a 27-year-old woman to your unit for
work-up of weight loss. While conducting an admission interview, you learn that
she has recently lost her job and has a strong family history of depression and
suicide. How would you construct your interview? What measures would you take
with the information you have gathered? Why?
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You are admitting a 12-year-old child to your unit. The mother
states that the child has a history of unexplained blackout episodes,
headaches, sleep disturbances, and is presently exhibiting tremors. What is the
most likely cause of these symptoms? What actions would you take during the
interview process? Explain.
A young 33-year-old man is admitted to your unit with a
chief complaint of “tiredness and morning headaches” even after
sleeping. How you would perform a comprehensive analysis of symptoms? What are
the possible causes of the symptoms? What examinations would be crucial to
determine the cause of his problems? Why?
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Baseline observations are recorded as part of an admission assessment and documented on the patient’s observation flowsheet. Ongoing assessment of vital signs are completed as indicated for your patient. It is mandatory to review the ViCTOR graph at least every 2 hours or as patient condition dictates to observe trending of vital signs and to support your clinical decision making process.
nsg 3012 Discussions Physical AssessmentTemperature: tympanic temperatures for children older than 6 months. Less than 6 months use digital thermometer per axilla.
Respiratory Rate: count the child’s breaths for one full minute. Assess any respiratory distress.
Heart Rate: Palpate brachial pulse (preferred in neonates) or femoral pulse in infant and radial pulse in older children. To ensure accuracy, count pulse for a full minute.
Blood Pressure: Baseline measurement should be obtained for every patient. Selection of the cuff size is an important consideration. A rough guide to appropriate cuff size is to ensure it fits a 2/3 width of upper arm. For neonates without previous hospital admissions do a blood pressure on all 4 limbs.
nsg 3012 Discussions Physical AssessmentOxygen Saturation: Monitor as clinically indicated. Note oxygen requirement and delivery mode.
Pain: Use FLACC, Faces, numeric scale, Neonatal Pain Assessment Tool as appropriate to the age group. Areas such as PICU and NICU use specialised pain scales for intubated and sedated patients. E.g. Modified Pain Assessment Tool (MPAT), Comfort B. Review current pain relief medications/practices.