All issues Nursing offers easy accessibility to crucial info in all components of nursing. assurance comprises evaluate ideas and assistance, abilities, soreness administration, medications, an infection keep watch over, ECGs, laboratory assessments, and affliction profiles. The publication additionally presents well timed info on criminal points of nursing, similar to legal responsibility, organ donation, and documentation, and on profession possibilities in nursing, together with schooling, study, and trip nursing. issues coated contain either normal nursing and all scientific specialties—emergency, severe care, medical-surgical, maternal-neonatal, and pediatric nursing. a variety of illustrations, graphs, and easy-to-follow quick-reference charts supplement the text.
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Qxd:9781582555591_01 8/1/13 9:30 AM Page 35 Deep tendon reflexes 35 Assessing deep tendon reflexes During a neurologic examination, assess the patient’s deep tendon reflexes— the biceps, triceps, brachioradialis, patellar or quadriceps, and Achilles reflexes. Biceps reflex Position the patient’s arm so his elbow is flexed at a 45-degree angle and his arm is relaxed. Place your thumb or index finger over the biceps tendon and your remaining fingers loosely over the triceps muscle. Strike your finger with the pointed end of the reflex hammer, and watch and feel for the contraction of the biceps muscle and flexion of the forearm.
To detect differences in sound, percuss toward the bladder’s base. Percussion normally produces a tympanic sound. qxd:9781582555591_01 8/1/13 9:30 AM Page 48 48 Assessment Palpating the urinary organs In a normal adult, the kidneys usually aren’t palpable because they’re located deep within the abdomen. However, they may be palpable in a thin patient or in one with reduced abdominal muscle mass. The right kidney, slightly lower than the left, may be easier to palpate. Keep in mind that both kidneys descend with deep inhalation.
General knowledge Can you count backward from 20 to 1? qxd:9781582555591_01 8/1/13 9:30 AM Page 31 Mental status 31 Stages of altered arousal This chart highlights the six levels or stages of altered arousal and their manifestations. qxd:9781582555591_01 8/1/13 9:30 AM Page 32 32 Assessment Glasgow Coma Scale The Glasgow Coma Scale provides an easy way to describe the patient’s baseline neurologic status. It can also help detect neurologic changes. A decreased score in one or more categories may signal an impending neurologic crisis.