Portable indicators & Symptoms is a compact powerhouse of medical details on indicators, signs, and evaluation recommendations. Our nurse-experts have taken care of during the mass of scientific details and concentrated in on what nurses want such a lot in day-by-day perform. This need-to-know info is gifted in an easy-to-use, concise layout for time-starved nurses, with bullets, lists, and countless numbers of illustrations, charts, diagrams, and photographs.
A full-color evaluation part bargains step by step info on crucial nursing overview strategies. the second one part provides descriptions and explanations for hundreds of thousands of signs. Banner headlines point out life-threatening signs, and textual content bins spotlight emergency interventions.
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Additional resources for Portable Signs & Symptoms
Ask the patient to lie in the supine position. 1 cm) above the symphysis pubis, as shown below. Percuss the kidneys to elicit pain or tenderness, and percuss the bladder to elicit percussion sounds. Before you start, tell the patient what you’re going to do. Otherwise, he may be startled and you could mistake his reaction for a feeling of acute tenderness. Kidney percussion ◆ With the patient sitting upright, per- cuss each costovertebral angle (the angle over each kidney whose borders are formed by the lateral and downward curve of the lowest rib and the spinal column).
Note guarding that the patient exhibits during deep palpation. You may feel tensing of a small or large area of abdominal musculature directly below your fingers. Eliciting abdominal pain Rebound tenderness and the psoas and obturator signs can indicate conditions consistent with an acute abdomen. These include appendicitis, cholecystitis, acute pancreatitis, diverticulitis, pelvic inflammatory disease, ruptured cyst, ruptured ectopic pregnancy, and peritoneal injury. Rebound tenderness ◆ Place the patient in the supine posi- tion with the knees flexed to relax the abdominal muscles.
To use this scale, evaluate and score your patient’s best eyeopening response, verbal response, and motor response. A total score of 15 indicates that he’s alert; is oriented to time, place, and person; and can follow simple commands. A comatose patient will score 7 points or less. A score of 3 indicates a deep coma and a poor prognosis. qxd ◆ 9:04 PM Page 34 ASSESSI NG TH E G I SYSTE M Assessing the GI system Initial questions ◆ Explore signs and symptoms, such as appetite and weight changes, dysphagia, nausea, vomiting, heartburn, stomach or abdominal pain, frequent belching or flatulence, hematemesis, and jaundice.