Assessments

Question 1

Auscultating Heart Sounds

Answer 1

Question 2

Pulses

Answer 2

Question 3

Restraints

Answer 3

• In psych
  
  • need to be evaluated within 1 hour
  • needs constant observation
• not psych
  
  • observe q15 minutes
  • Need pcp order q24H

Question 4

Blood Pressure

Answer 4

• Systole
  
  • Maximal force of blood on artery walls
• Diastole
  
  • Lowest force of blood on artery walls
• Use cuff that has width of ⅔ of the arm
• Brachial artery
• Thigh can be used, but rare
• Pulse pressure
  
  • difference between systolic and diastolic