Exam (elaborations)
02_13_24 HEAD TO TOE ASSESSMENTS = VNSG SKILLS _1570.510 -Q&A.
- Course
- Nursing 2024
- Institution
- Nursing 2024
02_13_24 HEAD TO TOE ASSESSMENTS = VNSG SKILLS _1570.510 -Q&A.
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2/13/24 HEAD TO TOE ASSESSMENTS =0
VNSG SKILLS /1570.510
physical assessment
A+
s ystematic examination of the patient for objective data to better define the patient's condition and
to help the nurse in planning care, usually performed in a head-to-toe format; a collection of
objective data about changes in the patient's body systems
comprehensive health assessment
n in-depth assessment of the whole person, including physical, mental, emotional, cultural, and
A
spiritual aspects of a patient's health
focused assessment
an assessment that involves an examination and an interview regarding a specific body system
Initial head-to-toe shift assessment
performed at the beginning of the shift when the nurse first sees the patient
When is an assessment performed?
-On admission
-at start of a shift
-when a patient condition changes
-nurse intuition
-when evaluating effectiveness of nursing care
Abnormal Assessment Findings
when the assessment findings are outside the normal range for the specific patient
When should abnormal findings be reassessed?
within at least 4 hours (may be sooner depending on the severity of the abnormality
, Assessment Techniques
-looking at signs and symptoms
-subjective data (interview)
A+
-objective data (inspection or observations)
palpitation
touch examination
percussion
diagnostic procedure designed to determine the density of a body part by the sound produced by
a
tapping the surface with the fingers
auscultation
listening to sounds within the body
olfaction
sense of smell
neurological components assessments
-vitals
-orientation
-facial symmetry
-pupillary size
-hand grip
-feet flexion
-ability to comprehend commands
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