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Summar of a Comprehensive Physical Assessment
Different Components of a Physical Assessment
7
Nursing
Undergraduate 1
09/04/2013

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Cards

Term
General Survey
Definition

Equipment (as needed):

  • -scales
  • -spygmomanometer
  • -stethoscope

Assessment Parameters:

  • observe general appearance, hygiene, posture, gait, thought processes, and speech patterns
  • evaluate height and weight
  • take vital signs
Term
Integument Assessment
Definition

Equipment (as needed):

  • gloves

Assessment Parameters:

  • skin: inspect for color and lesions; palpate for temperature, texture, and moisture
  • hair: inspect for texture, loss, unusual growth, and infestations
  • nails: inspect for color and condition
Term
Head and Neck Assessment
Definition

Equipment (as needed):

  • gloves
  • snellen chart
  • ophthalmoscope
  • otoscope
  • tongue depressor

Assessment Parameters:

  • skull and face: inspect for shape and symmetry
  • neck: palpate trachea and thyroid gland
  • lymph nodes: palpate for size, shape, consistency, and tenderness
  • eyes: test visual acuity, extraocular movements, and peripheral vision; inspect for discharge, alignment, and internal structures
  • ears: test hearing acuity; inspect position, external ear, tympanic membrane, and for cerumen
  • nose, mouth, and throat: inspect for color, consistency, condition of teeth, exudate, and condition of tonsils; palpate for tenderness
Term
Thorax and Lungs Assessment
Definition

Equipment (as needed):

  • gloves
  • stethoscope
  • tape measure

Assessment Parameters:

  • thorax: inspect posture and respiratory rate; palpate for crepitus and expansion; percuss for tones; auscultate breath sounds
  • breasts: inspect size, shape, symmetry, color, areolas, nipple (discharge), retraction, and dimpling; palpate for masses or tenderness
  • axillary lymph nodes: palpate for size, shape, consistency, and tenderness
Term
Cardiovascular Assessment
Definition

Equipment (as needed):

  • stethoscope
  • watch with second hand

Assessment Parameters:

  • carotid arteries: auscultate for bruit; palpate pulse strength
  • jugular vein: inspect for pulsations and sitention
  • precordium: inspect for pulsations; palpate apical impulse, pulsations, and heart rate and rhytm; auscultate heart sounds and murmurs
Term
Peripheral Vascular Assessment
Definition

Equipment (as needed):

  • stethoscope
  • doppler (if needed)

Assessment Parameters:

  • peripheral pulses: palpate for symmetry, character, strength, rate, and patency
  • arms and legs: inspect for color, hair pattern, veins, lesions, and edema; palpate for temperature
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