All issues Nursing presents easy accessibility to crucial details in all components of nursing. insurance contains overview concepts and advice, talents, soreness administration, medications, an infection keep watch over, ECGs, laboratory assessments, and illness profiles. The e-book additionally offers well timed details on felony points of nursing, similar to legal responsibility, organ donation, and documentation, and on profession possibilities in nursing, together with schooling, examine, and trip nursing. themes coated contain either common nursing and all scientific specialties—emergency, severe care, medical-surgical, maternal-neonatal, and pediatric nursing. various illustrations, graphs, and easy-to-follow quick-reference charts supplement the text.
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Respirations are quiet and unlabored, with no use of accessory neck, shoulder, or abdominal muscles, and no intercostal, substernal, or supraclavicular retractions. • Chest wall expands symmetrically during respirations. • Adult respiratory rate is normal, at 16 to 20 breaths/minute. Expect some variation depending on your patient’s age. • Respiratory rhythm is regular, with expiration taking about twice as long as inspiration. Men and children breathe diaphragmatically, whereas women breathe thoracically.
Orientation to time Where are you now? Orientation to place How old are you? Memory Where were you born? Remote memory What did you have for breakfast? S. president? General knowledge Can you count backward from 20 to 1? qxd:9781582555591_01 8/1/13 9:30 AM Page 31 Mental status 31 Stages of altered arousal This chart highlights the six levels or stages of altered arousal and their manifestations. qxd:9781582555591_01 8/1/13 9:30 AM Page 32 32 Assessment Glasgow Coma Scale The Glasgow Coma Scale provides an easy way to describe the patient’s baseline neurologic status.
The muscles should feel firm and smooth. Checking for tactile fremitus When you check the back of the thorax for tactile fremitus, ask the patient to fold his arms across his chest. This movement shifts the scapulae out of the way. What to do Check for tactile fremitus by lightly placing your open palms on both sides of the patient’s back, as shown, without touching his back with your fingers. Ask the patient to repeat the phrase “ninety-nine” loud enough to produce palpable vibrations. Then palpate the front of the chest using the same hand positions.
All Things Nursing by Springhouse