General - Answers Four 360 scan of exam room
This video is for Module 3 comprehensive assessment. Class NURS 5120 Adult Gerontology
Health Assessment Lab Section 509
Present MAV ID
Introduction (Verbalize) - Answers Intro: Hello my name is Jessica Grant and this is the Module
3 Full Head to Toe Assessment for class NURS 5120
Ask for consent from the patient to film
WASH HANDS
Subjective information - Answers Name and DOB
Age
Gender Identity
Reliability
HPI
Social Hx
Family Hx
PMH
ROS
Mental Status
What to verbalize? - Answers General Appearance
Mood and affect
, Level of Consciousness
Communication skills
Skin and Nails - Answers Inspect skin surface throughout exam for color and integrity (1)
Describe lesions according to characteristics (exudates, location, distribution) (0.5)
Palpate for skin turgor (0.5)
Inspect nails for base angle and color, length, symmetry, and cyanosis (1)
Palpate nails for capillary refill (1)
Head and Neck - Answers Head normocephalic, Round, midline upright and still. Facial features
symmetrical bilaterally with no tremors or tics (1)
Inspect for thyromegaly (1)
Palpate thyroid (1)
Auscultate thyroid (1)
Evaluate trachea position (1)
Assess carotid pulses palpate and auscultate (2)
Cranial Nerve 7 Facial Nerve
CN 7 Facial nerve: raise your eye brows and wrinkle your forehead. Smile with/without showing