NUR5011 Lecture Notes - Lecture 2: Auscultation, Internal Fixation, Hypercholesterolemia
Document Summary
Four techniques of assessment: inspection, palpation, percussion, auscultation (ippa). You should complete these in this order except for the abdomen, where auscultation follows inspection (iapp). Adl= activities of daily life (shopping, showering, dressing, cooking) Documentation/communication: based on the information provided, summarise the primary assessment findings. D blood present so wear gloves and protective gear. A airways are fine because he is screaming. D leg swollen, skin pale, cold, sweating, screaming in pain. High rr - 28bpm paperwork, you"re asked to prepare and isbar handover for theatre. I - my name is breakroom 2 from monash nursing students. S - mr. edward, a male patient aged 57 years old was brought to the theatre due to fracture back from surgery at 13. 45 and he pressed the emergency buzzer at 14. 30. He was found bleeding while entering the room and was screaming in pain. His leg is swollen significantly, and he was alert.