Download All Things Nursing by Springhouse PDF

By Springhouse

All issues Nursing presents easy accessibility to crucial details in all parts of nursing. insurance comprises review options and advice, abilities, discomfort administration, medications, an infection regulate, ECGs, laboratory assessments, and illness profiles. The e-book additionally offers well timed details on criminal features of nursing, equivalent to legal responsibility, organ donation, and documentation, and on occupation possibilities in nursing, together with schooling, study, and commute nursing. subject matters lined comprise either normal nursing and all scientific specialties—emergency, serious care, medical-surgical, maternal-neonatal, and pediatric nursing. quite a few illustrations, graphs, and easy-to-follow quick-reference charts supplement the text.

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Palpate for tenderness, alignment, bulging, and retractions of the chest and intercostal spaces. Assess the patient for crepitus, especially around drainage sites. Repeat this procedure on the patient’s back. Next, use the pads of your fingers, as shown, to palpate the front and back of the thorax. Pass your fingers over the ribs and any scars, lumps, lesions, or ulcerations. Note the skin temperature, turgor, and moisture. Also note tenderness and bony or subcutaneous crepitus. The muscles should feel firm and smooth.

Patient can purse his lips and puff out his cheeks, a sign of an adequately functioning cranial nerve VII (facial nerve). • Tongue moves easily and without tremor, a sign of a properly functioning cranial nerve XII (hypoglossal nerve). • Voice is clear and strong; uvula moves upward when the patient says “ah”; gag reflex occurs when the tongue blade touches the posterior pharynx, signs of properly functioning cranial nerves IX and X. • No involuntary movements are detectable. • Gait is smooth.

Note the skin temperature, turgor, and moisture. Also note tenderness and bony or subcutaneous crepitus. 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.

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