Pocket Guide for Nursing Health Assessment: A Best Practice by Sharon Jensen MN RN

By Sharon Jensen MN RN

This full-color spiral-bound pocket consultant presents easy accessibility to all facets of the nursing health and wellbeing heritage and actual exam. It contains key subject matters and questions for overall healthiness promoting, universal signs, and sentinel indicators requiring fast clinical intervention. This medical advisor is an ideal significant other to Jensen's Nursing wellbeing and fitness evaluate: A most sensible perform strategy.

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Indd 37 Survey, Vital Signs, and Pain Assessment 37 7/31/2010 9:08:08 PM Anthropometric Measurements Anthropometric measurements are the various measurements of the human body, including height and weight. They provide critical information about health, nutritional status, fluid gain or loss, medication dosages, and, for children, growth patterns (see Chapter 22). Taking baseline height and weight provides a reference point for weight changes and body mass index (BMI). The BMI is considered a more reliable indicator of health than weight measurement alone (see Chapter 4).

Pulse rhythm refers to the interval between beats and is regular or irregular. A regular pulse occurs at evenly spaced intervals. An irregular pulse has varied intervals. If a pulse is irregular, auscultate an apical pulse for one full minute. Rhythm may vary with respirations, speeding up during inspiration and slowing with expiration. This is common in children and young adults, and it is called a sinus dysrhythmia or sinus arrhythmia. A pulse deficit (difference between apical and radial pulse rates) provides an indirect Pulse deficits are frequently associated with dysrhythmias.

Place used disposable syringes and needles, scalpel blades, and other sharp items in appropriate puncture-resistant containers. Use mouthpieces, resuscitation bags, or other ventilation devices as an alternative to mouth-to-mouth resuscitation methods in areas where the need for resuscitation is predictable. Patient placement Place a patient who contaminates the environment or who does not (or cannot be expected to) assist in maintaining appropriate hygiene or environmental control in a private room.

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