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