bedside assessment 2023 questions and answers
objectives of bedside assessment
obtain hospitalized pt medical history
perform problem based physical assessment on hospitalized pt
recognize normal/abnormal
what is up with my pt
get the scoop on your pt
obtain from: report from off going nurse, what was the last few hours like, from chart:
last few days especially
outside pt room
note signs: correct??
high risk for falls, isolation precaustions, latex allergies?
meet and greet pt
make eye contact
introduce yourself
acknowledge patient first
focus questions on info recieved in report
patient contact guidelines
wash hands, verify armband, equiptment set up, anything missing or incorrect
general appearance
facial expression, body postion, level of consciousness (A/O x 3), skin color, nutritional
status, speech, hearing, hygeine
measurement
vital signs
pulse oximetry: >92% is goal
copd: 88-92% so they can keep drive to breath
pain level and tolerance
pain reassessment
always re-assess pain and document new #/10
give meds time to work
general rule is to reassess in 30 min
IV reassessment
within 15 min (intravenous)
PO
by mouth within 1 hour
neuro
stimuli, motor response, verbal resonse
perrla
muscle strength (grips hands, push your feet into my palms)
ptosis (facial droop)
sensation if indicated
communication
swallowing ability if patient isn't NOP (nothing by mouth : latin)
respiratory
objectives of bedside assessment
obtain hospitalized pt medical history
perform problem based physical assessment on hospitalized pt
recognize normal/abnormal
what is up with my pt
get the scoop on your pt
obtain from: report from off going nurse, what was the last few hours like, from chart:
last few days especially
outside pt room
note signs: correct??
high risk for falls, isolation precaustions, latex allergies?
meet and greet pt
make eye contact
introduce yourself
acknowledge patient first
focus questions on info recieved in report
patient contact guidelines
wash hands, verify armband, equiptment set up, anything missing or incorrect
general appearance
facial expression, body postion, level of consciousness (A/O x 3), skin color, nutritional
status, speech, hearing, hygeine
measurement
vital signs
pulse oximetry: >92% is goal
copd: 88-92% so they can keep drive to breath
pain level and tolerance
pain reassessment
always re-assess pain and document new #/10
give meds time to work
general rule is to reassess in 30 min
IV reassessment
within 15 min (intravenous)
PO
by mouth within 1 hour
neuro
stimuli, motor response, verbal resonse
perrla
muscle strength (grips hands, push your feet into my palms)
ptosis (facial droop)
sensation if indicated
communication
swallowing ability if patient isn't NOP (nothing by mouth : latin)
respiratory
