, LABORATORY MANUAL b
CAROLYN JARVIS, PhD, APN, CNPb b b b
Professorb ofb Nursing
SchoolbofbNursingb
Illinoisb Wesleyanb Universityb
Bloomington,b Illinois
and
b Family bNurse bPractitioner
b Bloomington,bIllinois
Physical
b Examination b
& Health As b b
sessment
Seventh Edition
7 b
Jarvis,bCarol yn :b PH YSIC AL b EX AMIN ATIO N b AND b H EAL TH b ASSESSM EN T:b Se ven th b Editi on,
Laboratoryb Manual.b Copyrightb © b 2016,b 2012,b 2008,b 2004,b 2000,b 1996 b byb Saunders,b an b imprintb ofb Elsevierb Inc.b Allb rights b reserved.
,3251 bRiverport bLane
St.b Louis,b Missouri b 63043
LABORATORYbMANUAL b FOR bP H YSI C AL bEX AMINA TI ONb AN ISBN:b 978-0-323-26541-6
DbHEALTHb ASSESSMENT, b EDI TI ONb SEVEN
Copyright b©b2016 bby bElsevierbInc.bAllbrightsbreserved.
Copyright b©b2012,b2008,b2004,b2000,b1996,bby bSaunders, banbaffiliatebof bElsevierbInc.bAllbrightsbreserved.
All b rightsbreserved.bNobpart bofbthisbpublicationbmaybbebreproducedborb transmittedbinb anybformb orbbybanyb
means,belectronic borbmechanical,bincludingbphotocopying, brecording,borbanybinformationb storagebandbretriev
al b system,bwithout bpermissionbinb writingbfrombthebpublisher. bDetailsbonbhowbtobseekbpermission,b furtherb i
nformation baboutbthebPublisher’sbpermissionsb policiesbandbourbarrangementsbwithborganizationsbsuchbasbt
he b CopyrightbClearance bCenterbandbthebCopyright bLicensingbAgency,bcanbbeb foundb atbourbwebsite:bwww.el
sevier.b com/permissions.
Thisbbookbandbthebindividual bcontributionsbcontainedbinbitbarebprotectedbunderbcopyright bbybthebPublisherb(other
b than b asb mayb be b noted b herein).
Notices
Knowledge bandbbestbpractice binbthisbfieldbare bconstantlybchanging. bAsbnewbresearchbandbexperiencebbroa
denb ourbunderstanding, bchangesbinbresearchbmethods,bprofessional bpractices,borbmedicalb treatment bmayb
become b necessary.
Practitionersbandbresearchersbmust balwaysbrelybonbtheirbownbexperiencebandbknowledge binbevaluatingb
andb usingbanybinformation, bmethods, bcompounds, borbexperimentsbdescribedbherein.b Inbusingb suchbinfor
mation b orbmethodsbtheyb shouldbbebmindfulbofbtheirbownb safetybandbthe bsafetybofbothers,bincludingbpar
tiesbforb whombtheybhave babprofessional bresponsibility.
Withbrespect btobanybdrugborbpharmaceutical bproductsbidentified,breadersbarebadvisedbtobcheckbthebm
ost b current binformation bprovided b(i)bonbproceduresbfeaturedborb(ii)bbybtheb manufacturerbofbeachbprodu
ct btobbeb administered,btobverifyb theb recommendedbdoseb orbformula, bthe bmethodbandb durationb ofb admi
nistration, b andbcontraindications. bItbisbthebresponsibilitybofb practitioners, brelyingbonbtheirbownbexperien
ce bandb knowledgeb ofbtheirbpatients,btobmake bdiagnoses, btobdeterminebdosagesbandbthebbestbtreatmentb
forbeachb individual bpatient, bandb tob take ball bappropriate b safetybprecautions.
Tobthe bfullest bextent bofbthe blaw,bneitherbthebPublisherbnorbthebauthors,bcontributors,borbeditors,bassum
e b anyb liabilitybforbanybinjuryband/orbdamage btobpersonsb orb propertybasbabmatterb ofb productsb liability,b n
egligenceborbotherwise,b orbfrombanybuseborb operationbofbanybmethods, bproducts, binstructions, b orbideas
b contained b in b the b material b herein.
Internationalb Standardb Bookb Number: b 978-0-323-26541-6
Content b Strategist:b Lee bHenderson
Content b Developmentb Manager:b Laurieb Gowerb Se
niorbContent bDevelopment bSpecialist:bHeatherbBaysb
Publishingb Servicesb Manager:b Deborahb L.bVogelb Se
niorb Project b Manager:b Brandilyn bFlagg
Design b Direction:b JuliabDummitt
Printedbinbthe b UnitedbStatesbofb America
Last bdigit bisbthe bprint bnumber:b b 9 b b 8 b b 7 b b 6 b b 5 b b 4 b b 3 b b 2 b b 1
Jarvis,bCarol yn :b PH YSIC AL b EX AMIN ATIO N b AND b H EAL TH b ASSESSM EN T:b Se ven th b Editi on,
Laboratoryb Manual.b Copyrightb © b 2016,b 2012,b 2008,b 2004,b 2000,b 1996 b byb Saunders,b an b imprintb ofb Elsevierb Inc.b Allb rights b reserved.
, Contributor/Reviewer
CONTRIBU TOR REVIEWER
MariabLauer-Pfrommer,bPhD,bRN,bAPN-C,bCNE Kathrynb Schartz,bMSN,bRN,bPPCPNP-BC
AssistantbProfessorbHol AssistantbProfessorbSch
ybFamilybUniversity oolbofbNursingbBakerbU
Philadelphia, bPennsylvania niversitybTopeka,bKans
Reviewb Questions as
Jarvis,bCarol yn :b PH YSIC AL b EX AMIN ATIO N b AND b H EAL TH b ASSESSM EN T:b Se ven th b Editi on,
Laboratoryb Manual.b Copyrightb © b 2016,b 2012,b 2008,b2004,b 2000,b1996 b bybSaunders,b an b imprintb of b ElsevierbInc.b Allb rights b res iii
erved.
CAROLYN JARVIS, PhD, APN, CNPb b b b
Professorb ofb Nursing
SchoolbofbNursingb
Illinoisb Wesleyanb Universityb
Bloomington,b Illinois
and
b Family bNurse bPractitioner
b Bloomington,bIllinois
Physical
b Examination b
& Health As b b
sessment
Seventh Edition
7 b
Jarvis,bCarol yn :b PH YSIC AL b EX AMIN ATIO N b AND b H EAL TH b ASSESSM EN T:b Se ven th b Editi on,
Laboratoryb Manual.b Copyrightb © b 2016,b 2012,b 2008,b 2004,b 2000,b 1996 b byb Saunders,b an b imprintb ofb Elsevierb Inc.b Allb rights b reserved.
,3251 bRiverport bLane
St.b Louis,b Missouri b 63043
LABORATORYbMANUAL b FOR bP H YSI C AL bEX AMINA TI ONb AN ISBN:b 978-0-323-26541-6
DbHEALTHb ASSESSMENT, b EDI TI ONb SEVEN
Copyright b©b2016 bby bElsevierbInc.bAllbrightsbreserved.
Copyright b©b2012,b2008,b2004,b2000,b1996,bby bSaunders, banbaffiliatebof bElsevierbInc.bAllbrightsbreserved.
All b rightsbreserved.bNobpart bofbthisbpublicationbmaybbebreproducedborb transmittedbinb anybformb orbbybanyb
means,belectronic borbmechanical,bincludingbphotocopying, brecording,borbanybinformationb storagebandbretriev
al b system,bwithout bpermissionbinb writingbfrombthebpublisher. bDetailsbonbhowbtobseekbpermission,b furtherb i
nformation baboutbthebPublisher’sbpermissionsb policiesbandbourbarrangementsbwithborganizationsbsuchbasbt
he b CopyrightbClearance bCenterbandbthebCopyright bLicensingbAgency,bcanbbeb foundb atbourbwebsite:bwww.el
sevier.b com/permissions.
Thisbbookbandbthebindividual bcontributionsbcontainedbinbitbarebprotectedbunderbcopyright bbybthebPublisherb(other
b than b asb mayb be b noted b herein).
Notices
Knowledge bandbbestbpractice binbthisbfieldbare bconstantlybchanging. bAsbnewbresearchbandbexperiencebbroa
denb ourbunderstanding, bchangesbinbresearchbmethods,bprofessional bpractices,borbmedicalb treatment bmayb
become b necessary.
Practitionersbandbresearchersbmust balwaysbrelybonbtheirbownbexperiencebandbknowledge binbevaluatingb
andb usingbanybinformation, bmethods, bcompounds, borbexperimentsbdescribedbherein.b Inbusingb suchbinfor
mation b orbmethodsbtheyb shouldbbebmindfulbofbtheirbownb safetybandbthe bsafetybofbothers,bincludingbpar
tiesbforb whombtheybhave babprofessional bresponsibility.
Withbrespect btobanybdrugborbpharmaceutical bproductsbidentified,breadersbarebadvisedbtobcheckbthebm
ost b current binformation bprovided b(i)bonbproceduresbfeaturedborb(ii)bbybtheb manufacturerbofbeachbprodu
ct btobbeb administered,btobverifyb theb recommendedbdoseb orbformula, bthe bmethodbandb durationb ofb admi
nistration, b andbcontraindications. bItbisbthebresponsibilitybofb practitioners, brelyingbonbtheirbownbexperien
ce bandb knowledgeb ofbtheirbpatients,btobmake bdiagnoses, btobdeterminebdosagesbandbthebbestbtreatmentb
forbeachb individual bpatient, bandb tob take ball bappropriate b safetybprecautions.
Tobthe bfullest bextent bofbthe blaw,bneitherbthebPublisherbnorbthebauthors,bcontributors,borbeditors,bassum
e b anyb liabilitybforbanybinjuryband/orbdamage btobpersonsb orb propertybasbabmatterb ofb productsb liability,b n
egligenceborbotherwise,b orbfrombanybuseborb operationbofbanybmethods, bproducts, binstructions, b orbideas
b contained b in b the b material b herein.
Internationalb Standardb Bookb Number: b 978-0-323-26541-6
Content b Strategist:b Lee bHenderson
Content b Developmentb Manager:b Laurieb Gowerb Se
niorbContent bDevelopment bSpecialist:bHeatherbBaysb
Publishingb Servicesb Manager:b Deborahb L.bVogelb Se
niorb Project b Manager:b Brandilyn bFlagg
Design b Direction:b JuliabDummitt
Printedbinbthe b UnitedbStatesbofb America
Last bdigit bisbthe bprint bnumber:b b 9 b b 8 b b 7 b b 6 b b 5 b b 4 b b 3 b b 2 b b 1
Jarvis,bCarol yn :b PH YSIC AL b EX AMIN ATIO N b AND b H EAL TH b ASSESSM EN T:b Se ven th b Editi on,
Laboratoryb Manual.b Copyrightb © b 2016,b 2012,b 2008,b 2004,b 2000,b 1996 b byb Saunders,b an b imprintb ofb Elsevierb Inc.b Allb rights b reserved.
, Contributor/Reviewer
CONTRIBU TOR REVIEWER
MariabLauer-Pfrommer,bPhD,bRN,bAPN-C,bCNE Kathrynb Schartz,bMSN,bRN,bPPCPNP-BC
AssistantbProfessorbHol AssistantbProfessorbSch
ybFamilybUniversity oolbofbNursingbBakerbU
Philadelphia, bPennsylvania niversitybTopeka,bKans
Reviewb Questions as
Jarvis,bCarol yn :b PH YSIC AL b EX AMIN ATIO N b AND b H EAL TH b ASSESSM EN T:b Se ven th b Editi on,
Laboratoryb Manual.b Copyrightb © b 2016,b 2012,b 2008,b2004,b 2000,b1996 b bybSaunders,b an b imprintb of b ElsevierbInc.b Allb rights b res iii
erved.
