Health Assessment

After completing this chapter, you will be able to: 1. Identify the purposes of the physical examination. 2. Explain the four techniques used in physical examination: inspection, palpation, percussion, and auscultation. 3. Identify expected findings during health assessment. 4. Verbalize the steps used in performing selected examination procedures: a. Assessing appearance and mental status. b. Assessing the skin. c. Assessing the hair. d. Assessing the nails. e. Assessing the skull and face. f. Assessing the eye structures and visual acuity. g. Assessing the ears and hearing. h. Assessing the nose and sinuses. i. Assessing the mouth and oropharynx. j. Assessing the neck. k. Assessing the thorax and lungs. KEY TERMS adventitious breath sounds, 555 alopecia, 528 angle of Louis, 553 antihelix, 539 aphasia, 580 astigmatism, 533 auricle, 539 auscultation, 519 blanch test, 530 bruit, 562 caries, 546 cataracts, 533 cerumen, 539 clubbing, 530 cochlea, 540 conductive hearing loss, 540 conjunctivitis, 533 cyanosis, 523 dacryocystitis, 533 diastole, 561 dullness, 519 duration, 519 edema, 523 erythema, 523 eustachian tube, 540 exophthalmos, 532 external auditory meatus, 539 extinction, 582 fasciculation, 577 flatness, 519 fremitus, 557 gingivitis, 546 glaucoma, 533 glossitis, 546 goniometer, 579 helix, 539 hernia, 593 hordeolum (sty), 533 hyperopia, 533 hyperresonance, 519 incus, 540 inspection, 517 intensity, 519 intention tremor, 577 jaundice, 523 lift, 560 lobule, 539 malleus, 540 manubrium, 554 mastoid, 539 miosis, 534 mixed hearing loss, 540 mydriasis, 534 myopia, 533 normocephalic, 531 nystagmus, 536 one-point discrimination, 582 ossicles, 540 otoscope, 539 pallor, 523 palpation, 517 parotitis, 546 percussion, 518 perfusion, 566 periodontal disease, 546 PERRLA, 537 pinna, 539 pitch, 519 plaque, 546 pleximeter, 518 plexor, 518 precordium, 560 presbyopia, 533 proprioceptors, 581 pyorrhea, 546 quality, 519 reflex, 581 resonance, 519 resting tremor, 577 S1, 561 S2, 561 semicircular canals, 540 sensorineural hearing loss, 540 sordes, 546 stapes, 540 stereognosis, 582 sternum, 554 strabismus, 536 systole, 561 tartar, 546 thrill, 562 tragus, 539 tremor, 577 triangular fossa, 539 two-point discrimination, 582 tympanic membrane, 539 tympany, 519 vestibule, 540 visual acuity, 533 visual fields, 533 vitiligo, 523 30 Health Assessment # 153613 Cust: Pearson Au: Berman Pg. No. 513 Title: Kozier & Erb’s Fundamentals of Nursing 10e C/M/Y/K Short / Normal DESIGN SERVICES OF S4CARLISLE Publishing Services l. Assessing the heart and central vessels. m. Assessing the peripheral vascular system. n. Assessing the breasts and axillae. o. Assessing the abdomen. p. Assessing the musculoskeletal system. q. Assessing the neurologic system. r. Assessing the female genitals and inguinal area. s. Assessing the male genitals and inguinal area. t. Assessing the anus. 5. Describe suggested sequencing to conduct a physical health examination in an orderly fashion. 6. Discuss variations in examination techniques appropriate for clients of different ages. 7. Recognize when it is appropriate to delegate assessment skills to unlicensed assistive personnel. 8. Demonstrate appropriate documentation and reporting of health assessment