Exam 3 (Hours 9-13) Flashcards
What is a physical examination used for?
- Gather baseline data about a patient’s health status
- Compare assessment to previous assessment to determine if change has occurred
- Supplement, confirm, or refute subjective data obtained
- Identify and confirm nursing diagnoses
- Make clinical decisions about a patient’s changing health status and management
- Evaluate the outcomes of care
- Better understand patient’s educational needs
- Better understand patient’s physical, mental, and emotional needs
How can a nurse be culturally sensitive?
- Respect cultural differences
2. Be culturally aware and avoid stereotyping
When meeting a patient for the first time, it is important to establish a baseline assessment that the will enable a nurse to refer back to:
A. Physiological outcomes of care
B. The normal range of physical findings
C. A pattern of findings identified when the patient is first assessed
D. Clinical judgements made about a patient’s changing health status
C. A pattern of findings identified when the patient is first assessed.
How does a nurse ensure infection control is maintained?
- Hand hygiene
- Clean equipment
- PPE
How does a nurse ensure the environment is adequate for an exam?
- Safe
- Quiet
- Well-lit
- Tidy
Before starting an examination the nurse should ensure that the equipment…
Functions properly
How should a nurse determine what position a patient should be in during an exam?
Ensure easiest access to all areas
What must be done before during and after and examination?
Patient education
Instead of phrasing questions like “is it okay if I…” a nurse should say…
“I am going to do…”
What 9 things must a nurse do in order to prepare for an examination?
- Infection control
- Environment
- Equipment
- Physical preparation of patient
- Psychological preparation of patient
- Assessment of age groups
- Maintain privacy
- Educate and answer all questions before performing a task
- Inform patient what you will be doing before you do it
A physical examination should be…
Systematic and organized
A head to toe examination assesses what?
Each body system
When performing a head to toe examination, when should the nurse perform painful procedures?
At the end of the exam
T/F: during the examination the nurse should complete all documentation as the exam is happening.
F. Quick notes should be taken during the exam, but larger notes should be completed at the end of the exam
Should documentation be subjective or objective?
Objective
