Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
14 Cards in this Set
- Front
- 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?
|
Sensation
|
|
|
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.
|
