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NURS 3309 Week 2 General Survey, Assessment Skin, Hair, Nails Test With Solution
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NURS 3309 Week 2 General Survey, Assessment Skin, Hair, Nails Test With Solution...
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NURS 3309 Week 2 General Survey, Assessment Skin,Hair, Nails Test With Solution
General survey
This is the study of the whole person, covering the general health state and
any obvious physical characteristics.
When should you begin a general survey?
The moment you first encounter the person
general survey 4 areas
physical appearance, body structure, mobility, behavior
physical appearance
Assessment of the patient's:
- age
- sex (sexual appearance is appropriate for sex and age. if the patient is
transgender, note the stage of transition)
- level of consciousness (LOC)
- facial features
- overall appearance
body structure
stature, nutrition, symmetry, posture, position, body build, contour, obvious
deformities
,mobility
gait, range of motion (ROM), presence of involuntary movement
behavior
facial expression (eye contact), mood and affect (interaction), speech and
speech pattern (ability to articulate words), dress (appropriate or not),
personal hygiene (clean and groomed)
anthropometric measurements
weight, height, BMI
*part of the full picture of the patient
weighing a patient
instruct them to remove his or her shoes and heavy outer clothing before
standing on the scale
unexplained weight loss
may be a sign of a short-term illness (e.g., fever, infection, disease of the
mouth or throat) or a chronic illness (e.g., endocrine disease, malignancy,
depression, anorexia nervosa, bulimia)
unexplained weight gain
may indicate fluid retention (e.g., heart failure)
height
Use a wall-mounted device or the measuring pole on the balance scale. Align
the extended headpiece with the top of the head. The person should be
shoeless, standing straight with gentle traction under the jaw, and looking
, straight ahead. Lower the horizontal bar until it touches the top of the
patient's head.
underweight BMI
<18.5
normal weight BMI
18.5-24.9
overweight BMI
25-29.9
obesity class 1 BMI
30-34.9
obesity class 2 BMI
35-39.9
extreme obesity class 3 BMI
greater than 40
physical examination 4 assessment techniques
inspect, palpation, percussion, auscultation
inspection
Always comes first. Close, careful observation of the individual as a whole
and then of each body system. Concentrated watching.
palpation
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