Health assessment demystified

337 Pages·2014·4.564 MB·English

by  DiGiulio, Mary, Napierkowski, Daria

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Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, p
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changes in treatment and drug therapy are required. The authors and the publisher of this work have rig
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checked with sources believed to be reliable in their efforts to provide information that is complete and t ©
generally in accord with the standard accepted at the time of publication. However, in view of the possibil- M
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ity of human error or changes in medical sciences, neither the editors nor the publisher nor any other party ra
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tained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or ill G
omissions or for the results obtained from use of the information contained in this work. Readers are lo
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encouraged to confirm the information contained herein with other sources. For example and in particular, al E
readers are advised to check the product information sheet included in the package of each drug they plan du
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to administer to be certain that the information contained in this work is accurate and that changes have atio
not been made in the recommended dose or in the contraindications for administration. This recommenda- n H
tion is of particular importance in connection with new or infrequently used drugs. old
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Mary DiGiulio, DNP, RN, ANP-BC ba
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Rutgers, The State University of New Jersey c
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Bergen Volunteer Medical Initiative H
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Daria Napierkowski, DNP, RN, ANP-BC, CNE s, LL
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William Paterson University o
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In memory of Jim, Rose & Margot rsing
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To my family who supports me and to Jesus Christ who strengthens me rsity
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—Daria Napierkowski .1
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Contents 2.1
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Contributors xiii /16
Introduction/Preface xv ]. Co
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About the Authors xxi rig
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CHAPTER 1 Communication Techniques and Collecting -H
Subjective Information 1 ill G
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Communication Skills 2 ba
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Review Questions 7 d
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Answers 9 tio
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CHAPTER 2 Collecting Objective Information and Documentation 11 ld
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Collecting Objective Information 12 gs, L
Review Questions 16 LC
Answers 18 . No
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CHAPTER 3 Assessment of Vital Signs 21 e re
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ITnetmropdeurcattiuorne 2222 istribu
te
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Pulse 24 o
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Respirations 27 o
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Blood Pressure 28 ifie
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Review Questions 31 in a
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Answers 33 y w
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viii CONTENTS ow
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CHAPTER 4 Assessment of Mental Status 35 [ F
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Introduction 36 cu
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Review of Anatomy and Physiology 36 o
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Subjective Information 37 u
Objective Information 40 rsing
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Expected Findings 46 h
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Abnormal Findings 46 g
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Age-Related Changes 47 i U
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Cultural Considerations 48 iv
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Case Study 48 rsity
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Review Questions 48 .6
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Answers 50 5
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CHAPTER 5 Assessment of the Skin, Hair, and Nails 51 ] a
Review of Anatomy and Physiology 52 t [07
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Subjective Information 53 /1
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Objective Information 55 ]. C
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Expected Findings 56 py
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Abnormal Findings 57 ht ©
Age-Related Changes 65 M
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Cultural Considerations 68 ra
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Case Study 69 -H
Review Questions 69 ill G
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Answers 71 ba
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CHAPTER 6 Assessment of the Head, Eyes, Ears, Nose, ca
tio
and Throat (HEENT) 73 n H
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Introduction 74 ld
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Review of Anatomy and Physiology 74 s, L
Subjective Information 82 LC
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Risk Factors Related to the System 85 o
Risk Evaluation 86 t to b
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Objective Information 87 re
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Expected Findings 93 istrib
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Abnormal Findings 94 te
d
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Age-Related Changes 95 r m
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Cultural Considerations 98 d
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Case Study 98 d
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Review Questions 98 an
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Answers 100 w
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CONTENTS ix ow
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CHAPTER 7 Assessment of the Respiratory System 103 [ F
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Introduction 104 cu
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Review of Anatomy and Physiology 104 o
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Subjective Information 109 u
Objective Information 110 rsing
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Physical Examination 111 h
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Palpation 112 g
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Percussion 112 i U
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Auscultation 113 iv
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Expected Findings 114 rsity
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Abnormal Findings 114 .6
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Age-Related Changes 115 5
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Cultural Considerations 115 17
Case Study 116 ] at [0
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Review Questions 116 /1
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Answers 118 /16
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CHAPTER 8 Assessment of the Cardiovascular and Peripheral py
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Vascular System 119 ht ©
Review of Anatomy and Physiology 120 M
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Subjective Information 126 ra
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Associated Symptoms 127 -H
Objective Information 129 ill G
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Physical Examination 130 ba
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Expected Findings of Palpation of the du
c
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Peripheral Arteries 131 tio
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Abnormal Findings 131 H
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Age-Related Changes 133 in
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Cultural Considerations 134 s, L
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Case Study 134 C. N
Review Questions 135 ot to
Answers 136 be
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CHAPTER 9 Assessment of the Abdomen, Pelvis, Anus, and Rectum 139 istrib
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Introduction 140 te
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Review of Anatomy and Physiology 140 r m
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Structure and Function of Main Organs 142 d
Subjective Information 145 ified
in
Associated Symptoms 146 an
y
Objective Information 148 w
a
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Physical Examination 148 w
ith
Expected Findings 150 ou
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