NSG-1173 Study Guide - Final Guide: Constipation, Hypoesthesia, Perception
23 Aug 2018
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Presbyopia- decreased ability to focus on near objects. It establishes a baseline and helps you find priority. All future care is based off health assessment. Types: comprehensive, emergency, focused, functional, head to toe, body systems. Order of assessment: health history, physical exam, pain assessment, documentation. For phone conversations/orders functional head to toe body systems. Noticeable sx: diaphoresis, tachycardia, tachypnea, vomiting, guarding. Acuity scale: 1= bad/need lots of care, 5= good/ independent. Increase resp rate: palmar sweating, chin quiver, eye squeeze. Common sx: sleep disturbances, feeling depressed, decreased concentration, loss of appetite. Neurological assessment: head ache, loss of loc, dizziness, seizures, weakness, numbness, tremors, emotional changes, not intact perrla. Levels of consciousness: alert, drowsy, confused, stuporous, comatose. 3= lowest/worst score categories: eye opening, verbal response, motor response, can help diagnose severity of dementia, tests: (max 30 points, memory, attention, language. Pupillary assessment - perrla: general survey and observations, vital signs, loc, communication, motor, sensory, pupillary reaction.
