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  • Food: Environment: Color Blindness: Pupils

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    Justine Joy Solano
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    The document describes the results of a physical assessment of a patient. It notes the patient has no allergies or reactions, normal vision, hearing, skin, mucous membranes, and vital signs. Lung and heart sounds were normal. The patient eats a varied diet including vegetables, fruits, and seafood. Fluid intake is normal at 2-3 liters per day with no IVs or nutrition support needed. Height, weight, and BMI are normal. Tissue turgor is normal and the patient can chew, swallow, tolerate food, and feed independently.

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    Soudjslcz7

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    Son

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    The document describes the results of a physical assessment of a patient. It notes the patient has no allergies or reactions, normal vision, hearing, skin, mucous membranes, and vital signs. Lung and heart sounds were normal. The patient eats a varied diet including vegetables, fruits, and seafood. Fluid intake is normal at 2-3 liters per day with no IVs or nutrition support needed. Height, weight, and BMI are normal. Tissue turgor is normal and the patient can chew, swallow, tolerate food, and feed independently.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    5 views14 pages

    Food: Environment: Color Blindness: Pupils

    Uploaded by

    Justine Joy Solano
    The document describes the results of a physical assessment of a patient. It notes the patient has no allergies or reactions, normal vision, hearing, skin, mucous membranes, and vital signs. Lung and heart sounds were normal. The patient eats a varied diet including vegetables, fruits, and seafood. Fluid intake is normal at 2-3 liters per day with no IVs or nutrition support needed. Height, weight, and BMI are normal. Tissue turgor is normal and the patient can chew, swallow, tolerate food, and feed independently.

    Copyright:

    © All Rights Reserved
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    of 14

    D.

    Safe Environment
    Allergies/ Food: None
    Reaction Environment: Dust
    Eyes/ Color Blindness: None
    Vision Pupils: Pupils are equally
    round and respond to light
    and accommodation
    D. Safe Environment
    Hearing/ Normal; no
    Hearing Aid hearing aid
    Skin Normal (color
    returns within
    2 seconds)
    D. Safe Environment
    Color Skin: Even
    Conjunctiva: clear
    Lips: Pink
    Nailbeds: Pink
    Palms: Pink
    Soles of feet: Pink
    D. Safe Environment
    Mucous Moist and Intact
    Membrane
    Temperature Axillary site – 36.5ᵒC
    Capillary Returned within in less
    Refill than 2 seconds
    D. Safe Environment
    Peripheral Radial Pulse- 65 bpm
    Pulse oPulse Volume/strength
    - Normal
    Apical 70 bpm
    Pulse
    D. Safe Environment
    Blood 120/80mmHg
    Pressure
    Edema No presence of
    edema
    Homan’s Sign No pain felt
    E. Oxygenation
    Results
    Activity Intolerance Normal
    Airway Clearance Normal
    Respiration Normal
    Lung Sounds Normal
    F. Nutrition
    a. She eats vegetables and fruits

    b. She eats clam “binnek”


    F. Nutrition
    1. Fluid Intake:
    a. Drinks 2-3 litters of
    water everyday.
    F. Nutrition
    2. IVF’s
    Blood None
    Transfusion
    Total parenteral None
    nutrition (tpn)
    F. Nutrition
    3. Height and Weight
    Height 5’5”
    Weight 65
    F. Nutrition
    4. Body Mass Index
    Result Normal
    Range
    23.8 18.5 – 24.9
    F. Nutrition
    5. Tissue Turgor/ Skin Turgor
    Result Normal
    Well - Well -
    Hydrated Hydrated
    F. Nutrition
    6. Abilities Yes No
    A. Chew 
    B. Swallow 
    C. Tolerate food 
    D.Feed self 

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