Nursing Diagnosis

Nursing Cardiovascular Assessment

Admin — Thu, 17 May 2012 19:34:53 +0000

The Heart One day the heart beats 100,000 times , Heart pumps about 2,000 gallons In 70 years the heart beats more than 2.5 billion times Extends from the 2nd to the 5th intercostal space Between the right boarder of the sternum to the lift midclavicular Beats against chest wall to produce apical impulse [...]

Nursing Assessment of the Eyes

Admin — Thu, 17 May 2012 18:41:30 +0000

Eyelids & Eyelashes Skin intact/no discharge Blinking /complete/ bilaterally Edema Color and hair distribution Eyebrows Symmetrical Real or tattoos Match hair color Assessment of vision Distance vision test Assessment of the Eyes extra ocular movements Eye injury CN III dysfunction Conjunctivitis Cranial Nerve V Trigeminal Corneal reflex Cranial Nerve II Optic [...]

Nursing Assessment of Ear

Admin — Thu, 17 May 2012 01:40:02 +0000

Assessment of the Ear Color of ears must be the same as of the face. Redness: sign of inflammation or fever. Pallor: indicate frost bite. If client complains of pain Inspection of ear canal for size and discharge. deeper structure and middle ear can be observed only by otoscope. Assessment of hearing acuity done [...]

Nursing Assessment of Head and Neck

Admin — Thu, 17 May 2012 01:30:12 +0000

The Head and Neck Head and neck assessment focuses on cranium , face ,thyroid gland , lymph node structure. 1. Cranium : ( frontal , parietal, temporal , occiptial , ethmiod , spheniod) 2. Face : ( maxilla, zygomatic, lacrimal , mandible , nasal ) 3. Neck 4. Muscles and cervical vertebrae 5. Blood [...]

Nursing Documentation: Sleep-Rest Pattern

Admin — Sat, 05 May 2012 13:27:10 +0000

Subjective data Sleep Habits: How would you rate the quality of your sleep? Special Problems Do you ever experience difficulty with falling asleep? Remaining asleep? Do you ever feel fatigued after a sleep period? Sleep Aids What helps you to fall asleep? medications? reading? relaxation technique? Watching TV? Listening to music? Objective Data 1. [...]