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Exam (elaborations)

Foundations of Nursing

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Foundations of Nursing

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Foundations of Nursing
PQRSTU

P: Provocative or Palliative

Q: Quality/Quantity

R: Region or Radiation

S: Severity Scale

T: Timing/ Onset

U: Understand Patient's Perception of the problem

Inspection

Concentrated watching

Percussion

Taping with fingers to hear different body noises

Characteristics of Percussion

Resonant- Lungs

Tympani- Stomach/Bowel

Dull- Organ/Liver, Full Bladder

Flat- Bones

Palpation

Using different parts of the hand to press on body for abnormalities

Auscultation

,Listening to body noises with use of stethoscope

SOAPIE

Subjective

Objective

Assessment

Plan

Implementation

Evaluation

Pallor

Paleness of the skin

Erythema

Redness of the skin

Cyanosis

Blueness of the skin, caused blue lack of O2

Jaundice

Yellowness of the skin

Edema

Swelling

Measuring Edema

,2mm = 1+

4mm = 2+

6mm = 3+

8mm = 4+

Annular/Circular

Annular/Circular

Confluent

Confluent

Discrete

Discrete

Grouped

Grouped

Gyrate

Target

Linear

Linear

Polycyclic

Zosterform

Zosterform

, Macule

Papules

Nodule

Wheal

Vesicle/Bulla

Cyst

Pustule

Crust

Scale

Fissure

Erosion

Ulcer

Excoriation

Scar

Atrophic Scar

Lichenification

Keloid

Lesions caused by abuse

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