NURS 3120 Lecture Notes - Lecture 14: Trachea, Flight Controller, Mediastinum
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The differences between comprehensive vs shift nursing assessments. Worse: continue the system exam , (cid:498)next i will listen to your heart & lungs(cid:499, (cid:498)i will be listening to your bowel sounds in your abdomen. I will also press lightly please let me know if you are feeling any discomfort or tenderness(cid:499: (cid:498) i need to assess your iv site. Any tenderness or pain at site(cid:499: (cid:498)i am going to assess your pulses in your arms & feet(cid:499, testing now for your muscle strength , (cid:498)can you push against my hands? (cid:499) If you are caring for a surgical patient you would also assess the incision for : healing, redness, drainage expected or not, odor, skin edge approximation does the tissue look healthy. Application of data and clinical judgment: after data is collected as nurses we take that data to formulate diagnosis and interventions for, document all abnormal findings patient care.
