Reduce environmental noise.
Address the client with the appropriate title and her last name.
Perform the general survey before the examination.
Have the client complete a printed history form.
Use a mix of open- and closed-ended questions.
Plan to allow plenty of time for position changes.
Tell the client to take her time answering questions.
Invite the client to use the bathroom before beginning the examination
Perform the assessments in one continuous session.
Make sure the client has any essential sensory aids in place.
Base of the fingers
Allow the client to shiver to dispel excess heat.
Assist the client with oral hygiene frequently.
Obtain culture specimens before initiating antimicrobials.
Encourage the client to limit activity and rest.
Restrict the client’s oral fluid intake.
“Let the client rest for 5 minutes before you measure her blood pressure.”
“Do not measure the client’s temperature rectally.”
“Count the client’s radial pulse for 30 seconds and multiply it by 2.”
“Do not let the client know you are counting her respirations.”
Have the client rest an arm across the abdomen.
Count and report any sighs the client demonstrates.
Observe one full respiratory cycle before counting the rate.
Count the rate for 1 min if it is regular
Place the client in semi-Fowler’s position.
Return in 30 min to recheck the client’s BP.
Request a prescription for an antihypertensive medication.
Request a prescription for an anti-anxiety medication.
Ask the client if she is having pain.
“Clench your teeth
“Tell me what you can taste.”
“Raise your eyebrows.”
“Close your eyes.”
“Tell me when you feel a touch.”
“Your eyes see at 30 ft what visually unimpaired eyes see at 20 ft.”
Your right eye can see the chart clearly at 20 feet, and your left eye can see the chart clearly at 30 feet.”
“Your eyes see at 20 feet what visually unimpaired eyes see at 30 feet.”
“Your left eye can see the chart clearly at 20 feet, and your right eye can see the chart clearly at 30 feet.”
Feeling the thyroid ascend as the client swallows
Visualizing the thyroid on inspection of the neck
Palpating the thyroid in the lower half of the neck
Hearing a bruit when auscultating the thyroid
Finding symmetric extension of the trachea on both sides of the midline
Offer information and ask the client if he is interested in trying a relaxation technique.
Call the provider and get permission to use relaxation techniques with the client.
Give the client a therapeutic back massage and tell him to try to relax.
Provide the client with reassurance and information about the procedure.
Insert the speculum slightly down and forward.
Use the light to visualize the tympanic membrane in a cone shape.
Pull the auricle down and back.
Insert the speculum 2 to 2.5 cm (0.8 to 1 in).
Make sure the speculum does not touch the ear canal.
“Chiropractors use their hands to manipulate the spine to treat back pain.”
“Chiropractors use herbal remedies to treat back pain.”
“Chiropractors use their hands to balance the energy fields in the back.”
“Chiropractors insert needles or put pressure along meridians in the back.”
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