patient with emphysema
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Hyperresonance
Rectal Temp Normal findings
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● 98.7°F to 100.5°For● 37.1°C to 38.1°C
● Rate: <12 breaths and >18 breaths per minute● Depth: deep or shallow respirations●
Rhythm: irregular● Effort: using accessory muscles to breathe
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Respiratory Rate Abnormal FIndings
To assesses core body temperature
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Purpose of rectal Temp
Equipment: Gloves, additional PPE (if needed)● May be done using one or two hands
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Deep Palpation
To assess the pulmonary ventilation
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, purpose of assessing respiratory rate
- body part removed but still feel pain in missing limb- hard to treat
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source of pain- phantom limb syndrome
Quality of Percussion Sounds- _____ is heard over solid organs, fluid collection, or areas
of consolidation (such as a tumor or mass).
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Dullness
Take the thermometer probe out of the holder and attach a ______ probe cover.● Ask
the patient to open their mouth and ______.● Gently place the thermometer probe
______.● Ask patient to firmly ______.● Observe the _____.
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assessing oral temperature- plastic disposable, lift up their tongue,
underneath the tongue, close mouth, calculation
, ● Involves directly tapping the area to be assessed with your finger.● Using one or
two fingertips, directly and lightly tap the area that needs to be assessed.● Listen
carefully to the percussion sound and identify the percussion characteristics.
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DIrect Percussion
Goal of Assessment Techniques- Identify _____ and ____variants.
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normal and abnormal
To assess blood volume with change of positions
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purpose of orthostatic bp
Nurses need to understand that ____ react and treat pain differently
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different cultures