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What is the first thing you do (after hand hygiene) when entering patient’s room?
ask patient & name DOB
After, draping the client what is the FIRST thing you inspect?
general appearance posture, making postive eye contact, in gown dressed for occasion, & sitting upright
What is the SECOND thing you do after inspecting patient’s general apperance?
inspect head & scalp
What things you looking for when inspecting scalp/ hair and head?
hair color, amount (thick, evenly distributed) scalp color, eyebrow/ eyelash hair color and amount (evenly distributed), and its normocephalic.
What is the THIRD step after inspecting the head & scalp?
Inspecting chest and neck
What are you looking for when inspecting chest and neck?
skin color, no chest hair, and neck hair & color and amount
what is the FOURTH step after inspecting neck and chest?
palpating and inspecting arms
After palpating arms and fingers what (4) things are you looking for in the arms?
skin color, hair color, amount (thin hair), & dry/warm to touch
What is the next thing you inspect after stating your inspection of your arms?
your. nails
what 6 things do you look for when inspecting nails?
clean, pink, no grooves/rigdes, smooth & round, firm and CLUBBING
After palpating/inspecting nails & arms what is the FIFTH step?
palpating legs and toes
What 4 things are you looking for when inspecting the legs? (same as arms)
skin color, hair color, thin hair, & dry/warm to touch
What 4 things do you inspect of the toes?
pink, firm/smooth, thick, and round
What two things do you feel in soles/heels of feet?
Pressure ulcers & calluses
What is the SIXTH step after palpating /inspecting legs and toes?
Check for tinting & state, “negative tinting
what A in the ABCD”s of moles?
A is symmetry
what is the B in the ABC’s of moles?
B is Border
what is the C in the ABC’s of moles?
C is. Character & Color
what is the D in the ABC’s of moles? what is the dangerous cm?
D is diameter anything above 6cm is dangerous