Week 2-physical Assessments With Vital Signs

Question 1

Levels of physical assessment

Answer 1

Comprehensive

Focused

Head to toe

Question 2

When is physical assessment done

Answer 2

Admissions

Beginning of shift

When condition changes

When evaluating effectiveness of care

When things dont feel right

Question 3

Assessment techniques

Answer 3

Interviewing

Observation(visual)

Palpation(touch)

Percussion(tapping body surface)

Direct Auscultation(listening without assisted device)

Indirect ausculation-listening with stethescope

Olfaction-(smell)

Question 4

Nervous system assessment

Answer 4

Vital signs and consciousness

Orientation

Speech

Question 5

Cardio assessment

Answer 5

Blood pressure and pulse

Heart sounds

Question 6

Respiratory

Answer 6

Rate and characteristics

Breath sounds

Shape of chest

Question 7

Integumentary

Answer 7

Skin color, texture moistness and temp

Question 8

GI

Answer 8

Nauseau

Vomitting

Shape if abdomen

Question 9

Urinary

Answer 9

Distention of bladder
Frequency burning or urgency

Question 10

Musculoskeletal

Answer 10

Range if motion in joints

Strength if grip

Foot flexion

Question 11

Initial head to toe assessment

Answer 11

General appearance

Vital signs

Neurological exam

Head and neck

Chest and abs

Question 12

Assessment of head and neck

Answer 12

Eyes-jaundice, ptosis, consensual reflex, accommodation response

Question 13

Dysphagia

Answer 13

Condition that caues difficulty swallowing.

Question 14

Cheilitis

Answer 14

Lip inflammation

Crack in skin that may get to dermis

Question 15

Assessment of chest

Answer 15

Rales-rattling sound

Rhonchi

Wheezes

Stridor-high pitched breathing sounds caused by obstruction

Apical pulse

Question 16

Assessment of lung sounds

Answer 16

Bronchial
Bronchovesicular
Vesicular

Question 17

Assessment of abs

Answer 17

Bowel sound

Peristalsis

Suprapubic assessment

Skin

Dressing and equipment

Question 18

Assessment of extremities

Answer 18

Upper-radial pulse, movement, capillary refill time

Lower-edema, pallor, circulation, pedal pulse

Question 19

Cardiac ausculation sites

Answer 19

Slide 28

Question 20

Basic assessments: skin, head

Answer 20

Skin-color and other characteristics(temp)
Lesions
Hair
Nails

Question 21

Nail assessment

Answer 21

Root
Body
Bed

Question 22

Visual screening

Answer 22

Snellen standard chart

Question 23

Graphestisia

Answer 23

-perform if not able to manipulate objects

-It is a test to identify numbers written in hand

Question 24

Stereognosis

Answer 24

Ability to identify object by feeling jt

Question 25

Consensual reflex

Answer 25

Observing one side of the body while stimulating the other.

Done to eyes. They both dilate.

Question 26

Accommodation response

Answer 26

Is eyes response to focusing on near object