Focused Assessment

Question 1

4 main ways that focused assessments differ from complete assessments.

Answer 1

• Collects data about an already identified problem
• More narrow scope leads to a more short time frame
• Helps determine if problem still exists or status has changed
• Appraises any new, overlooked, or misdiagnosed issue

Question 2

What do you try to identify in a focused neurological assessment?

Answer 2

Any impairments that a person has in responding to their environment

Question 3

4 general areas of neuro. assessment.

Answer 3

• LOC
• Sensory and motor function
• Pupillary changes and extra ocular movements
• Vitals and respiration patterns.

Question 4

Why are respirations important to note for neuro assessments?

Answer 4

The resp. system is controlled by the neuro. system

Question 5

In cardiac assessments, what are we listening to and for?

Answer 5

• To heart valves
  For:
• Quality of rate and rhythm
• Any abnormal sounds (murmurs for example)
• apical pulse

Question 6

Who must we ALWAYS do a peripheral neuromuscular assessment on?

Answer 6

Any pt’s with fractures

Question 7

6 components of nerve damage

Answer 7

• Pain
• Pallor
• Paralysis
• Pulselessness
• Poikilothermia (Temp)
• Paresthesia (Tingling)

Question 8

5 components of pain

Answer 8

• Provokes
• Quality (Dull, Sharp, Crushing)
• Radiates?
• Severity (1-10)
• Time (Onset/Duration)

Question 9

For the Modified early warning score (MEWS) what are the ranges?

Answer 9

• Green (0-3): Continue Routine
• Yellow (4): Inform CN so they decide frequency of observation
• Orange (5): Notify MD and consider ICU transfer
• Red (Over or equal to 6): Hourly Vitals check and try to transfer to higher care facility

Question 10

What are the color placements of Telemetry leads?

Answer 10

Clouds over grass (White over Green)
Smoke over Fire (Black over Red)
Love Chocolate (Brown in middle)