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14 Cards in this Set

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  • Back
Before beginning assessment, what should you tell pt?
I'm going to check your feet now. I'm going to check your hands now.
After telling pt what you are going to do, what should you do before beginning assessement?
Put on gloves if there is open sores on feet/hands or if cellulites on legs or any infection.
Before touching pt, and after putting on gloves, what should you do?
VISUALLY compare both sides of either lower or upper extremities.
What are you visually looking for?
Edema, color, sores, discoloration of nails, etc. AND COMPARE EVERYTHING ELSE.
After visually looking at hands/feet, what should you check for next?
Locate pulses on both feet/hands and check temperature.
What are you checking for in pulses?
Strength and presence of pedal/radial pulses.
If you can't find pedal pulse, what can you do?
You may go to posterior tibial pulses; if not palpable, then go to popliteal pulses, or request doppler.
After checking pulses, what do you do next?
Check for skin perfusion; color or capillary refill, or clubbing.
What do you check after perfusion?
What do you tell pt before checking for sensation?
Can you look up at the ceiling and tell me by feel which foot and which toe I am touching?
What are you checking for?
See if sensation is intact in both feet/hands or diminished.
What is the last thing you check for?
Motor reflexes.
How do you check motor reflexes?
Can you wiggle toes.fingers and move your ankles/wrists for me?
How do you check motor reflexes in child <3 and non-communicating pts?
Note spontaneous movements if present.