NSG 460 HTT Test out Complete And Study material 9pages LEARNEXAMS

1. Professional Criteria: Answer 1) Wash hands before beginning the exam and at the endof the exam -one pump of hand sanitizer 2) Ensure privacy -close curtain, ask if the person wants who they're with to stay or not, long off ormove computer 3) Properly introduce yourself 4) Properly explain the physical assessment to the patient 2. General: Answer 1) Note affect, appearance, and any notable distress (note if they arehappy, sad, emotion, dressed for the weather) 2) Assess orientation (alert to person, place, time, and situation) Ask for name, DOB,A&O x4, date and time, why they are here 3. Integument: Answer 1) Inspect for abnormal lesions and for overall integrity -skin pigmentation: consistent throughout, use back of hands: temperature is warm,texture is smooth, moisture is moist. Squeeze upper, lower arms, and ankles for pitting edema (no edema noted) (if they have edema, grade it) skin turgor is either good,fair, or poor,find clavicle:pinch skin, ifit flattensimmediately:good, 3 seconds:fair, more than 3 seconds: poor 4. Head and Neck: Answer 1) Inspect and palpate head and scalp for symmetry, shape,involuntary movements -look from front, side, and back. Head is symmetrical, normocephalic, and noinvoluntary movements -no pain/tenderness upon palpation, no masses and lesions 2) Inspect facialsymmetry of eyebrows, eyes, mouth, nasolabial folds(are symmetrical)