Portable indicators & Symptoms is a compact powerhouse of scientific details on symptoms, signs, and overview thoughts. Our nurse-experts have taken care of during the mass of medical info and targeted in on what nurses desire 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 1000's of illustrations, charts, diagrams, and photographs.
A full-color overview part deals step by step information on crucial nursing overview suggestions. the second one part offers descriptions and factors for 1000s of signs. Banner headlines point out life-threatening symptoms, and textual content containers spotlight emergency interventions.
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Extra resources for Portable Signs & Symptoms
A patient with cerebellar dysfunction will overshoot his target, and his movements will be jerky. Rapid skilled movements ◆ To further evaluate the patient’s ex- tremity coordination, ask the patient to touch the thumb of his right hand to his right index finger and then to each of his remaining fingers. ◆ Instruct him to increase his speed. ◆ Observe his movements for smoothness and accuracy. ◆ Repeat the test on his left hand. Biceps reflex Assessing reflexes Assessment of the deep tendon and superficial reflexes provides information about the intactness of the sensory re- ◆ Position the patient’s arm so that his elbow is flexed at a 45-degree angle and his arm is relaxed.
Percussion normally produces a tympanic sound. Over a urine-filled bladder, it produces a dull sound. qxd 8/21/08 9:05 PM Page 41 ASSESSI NG TH E U R I NARY SYSTE M Bimanual palpation of the kidneys and bladder may detect tenderness, lumps, and masses. In the normal adult, the kidneys usually can’t be palpated because of their location deep within the abdomen. However, they may be palpable in a thin patient or in a patient with reduced abdominal muscle mass. ) Both kidneys descend with deep inhalation.
Ask about hemorrhoids, rectal bleeding, character of stools (color, odor, and consistency), and changes in bowel habits. Does he have a history of diarrhea, constipation, irritable bowel syndrome, Crohn’s disease, colitis, diverticulitis, or cancer? ◆ Ask whether he has had hernias, gallbladder disease, or liver disease, such as hepatitis or cirrhosis. ◆ Find out whether he has had abdominal swelling or ascites. ◆ If the patient is older than age 50, ask about the date and results of his last Hemoccult test, fecal immunochemical test, or colonoscopy.