Chapter 2. Patient Assessment Show
A comprehensive head-to-toe assessment is done on patient admission, at the beginning of each shift, and when it is determined to be necessary by the patient’s hemodynamic status and the context. The head-to-toe assessment includes all the body systems, and the findings will inform the health care professional on the patient’s overall condition. Any unusual findings should be followed up with a focused assessment specific to the affected body system. A physical examination involves collecting objective data using the techniques of inspection, palpation, percussion, and auscultation as appropriate (Wilson & Giddens, 2013). Checklist 17 outlines the steps to take. Checklist 17: Head-to-Toe Assessment
Which action would the nurse take when assessing the neck area of a patient?The nurse would test muscle strength of the neck against resistance by having the patient bend the head forward and back, turn the head to each side, and shrug the shoulders. The nurse grades tonsil size when examining the mouth and throat, not the neck.
Which assessment with nurse perform during the neurological examination of a patient?A thorough neurologic assessment will include assessing mental status, cranial nerves, motor and sensory function, pupillary response, reflexes, the cerebellum, and vital signs. However, unless you work in a neuro unit, you won't typically need to perform a sensory and cerebellar assessment.
What does the examiner assess While examining the head and face of a patient?Examination of the head
Assess facial sensation and motor function. Trigeminal nerve function: Lightly touch the forehead of the patient on both sides and the upper and lower areas of the cheek with the index finger. Ask the patient whether this feels the same on both sides of the face.
For which lymph nodes would the nurse check while assessing the patients neck?For which lymph nodes would the nurse check while assessing the patient's neck? Cervical lymph nodes are located in the neck region. Therefore the nurse would assess for cervical lymph node enlargement while assessing the patient's neck.
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