lOMoAR cPSD| 36357603
lOMoAR cPSD| 36357603
FUNDAMENTALS OF
NURSING (NUR 101)
ASSESSMENT-2-NOTES TO
HELP PREP FOR NURSING
EXAMS
ASSESSMENT PERFOMANCE:
Gather needed equipment (stethoscope, hand hygiene, watch penlight)(5)
"Knock knock, I'm going to wash my hands (5) with the hand sanitizer and close
the curtain for privacy.
Hi my name is Jessica I'm going to be a nurse today I'm
gonna be conducting a health assessment do you have any questions before I get
Started? Are you comfortable in the position you are in?"
{look at the ID bracelet}
* Can you please state your name and DOB?
* Do you have any allergies?
* Are you experiencing any pain 0-10?
* Do you know where you are?
* What month is it?
* Who's the president of the US?
"My patient is a young healthy-appearing Man. He is A&O - X4, Relaxed,
Sitting upright position, Well developed well-nourished and well-groomed with no
signs of distress and denies having any pain."
5. Head, Neck, & Skin Assessment
head:
1. Assess head is normocephalic (feel head with fingers)
2. Note any bumps, bruises, lesions, or scars (look)
3. Observe for distended neck veins (look at JVD)
Face muscles:
1. Assess for symmetry with facial muscles (look)
2. Check trachea is mid-line (Place your index finger on the trachea in
the sternal notch, then, Slip it off to each side Note for symmetric on
both sides.
f. Check Skin temp w/ backs of hands, color, turgor and cap refill, &
edema.
"The patient's skin is warm, dry, and intact with good turgor it is appropriate for ethnicity
& consistent in color. No pitted edema was noted in the lower extremities.
The head is round, normocephalic, and symmetrical, his
skull has no nodules, masses, or depressions when palpated. His face
appears smooth and has uniform consistency with no presence of
lOMoAR cPSD| 36357603
FUNDAMENTALS OF
NURSING (NUR 101)
ASSESSMENT-2-NOTES TO
HELP PREP FOR NURSING
EXAMS
ASSESSMENT PERFOMANCE:
Gather needed equipment (stethoscope, hand hygiene, watch penlight)(5)
"Knock knock, I'm going to wash my hands (5) with the hand sanitizer and close
the curtain for privacy.
Hi my name is Jessica I'm going to be a nurse today I'm
gonna be conducting a health assessment do you have any questions before I get
Started? Are you comfortable in the position you are in?"
{look at the ID bracelet}
* Can you please state your name and DOB?
* Do you have any allergies?
* Are you experiencing any pain 0-10?
* Do you know where you are?
* What month is it?
* Who's the president of the US?
"My patient is a young healthy-appearing Man. He is A&O - X4, Relaxed,
Sitting upright position, Well developed well-nourished and well-groomed with no
signs of distress and denies having any pain."
5. Head, Neck, & Skin Assessment
head:
1. Assess head is normocephalic (feel head with fingers)
2. Note any bumps, bruises, lesions, or scars (look)
3. Observe for distended neck veins (look at JVD)
Face muscles:
1. Assess for symmetry with facial muscles (look)
2. Check trachea is mid-line (Place your index finger on the trachea in
the sternal notch, then, Slip it off to each side Note for symmetric on
both sides.
f. Check Skin temp w/ backs of hands, color, turgor and cap refill, &
edema.
"The patient's skin is warm, dry, and intact with good turgor it is appropriate for ethnicity
& consistent in color. No pitted edema was noted in the lower extremities.
The head is round, normocephalic, and symmetrical, his
skull has no nodules, masses, or depressions when palpated. His face
appears smooth and has uniform consistency with no presence of
