Questions, to Prepare for the Simulated ciinical Epeuence 1. What are the steps
ID: 239960 • Letter: Q
Question
Questions, to Prepare for the Simulated ciinical Epeuence 1. What are the steps to complete a physical assessment? 2. What assessments are highest priority for a patient who has had an Open Reduction Internal Fixation of the hip two days ago? 3. Describe normal and abnormal lung sounds. 2 ounos a. What are common causes for each abnormal sound? b. What is the pathophysiology causing each of these abnormal sounds? 4. Describe normal and abnormal heart sounds. a. What are common causes for each abnormal sound? b. What is the pathophysiology causing each of these abnormal sounds? 5. Prioritize five assessments you believe would be most important for this patient. Why did you choose these and prioritize them in this way? 6. What is the difference between abnormal and significant findings? 7. What supportive emotional measures can the nurse provide a hospitalized patient? 8. What are the components of a functional assessment? Why is this important for this patient? 9. Do you think this patient will be able to return home and care for herself? Why or why not?
Explanation / Answer
1) The simple assessment includes mainly 4 methods ie
*Inspection
*Auscultation
*Palpation
*Percussion
System wise examination
a) Vital signs
b) Head/ ENT
Eyes, ears, nose, throat ,mouth( nodes,color, discharges, any abnormalities)
c) Skin ( tone, turgor, color , abnormalities)
d)Chest / Thoracic region
Heart sounds, lung sounds , any abnormalities
e)Abdomen
Draw imaginary quadrant assess for tenderness, bowel sounds, any tumors etc
f) Extremities
Assessment of limbs for any obvious abnormalities
g)Genetalia if required
Neurological examination
Assessment of cranial nerve functioning
General questions.
2) Important assessment for ORIF
Pain assessment
Signs of infection
3)Normal lung sounds
Tracheal sounds heard over the trachea
Bronchial sounds heard over chest in the 3rd intercoastal space
Abnormal sounds
Crackles: This is due to presence of fluid in the lung due to pulmonary edema or heart failure which is heard as popping air sounds .
Wheezing: This is high pitched sounds due to narrowing of airway passage due to obstruction.
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