11/14/2024 12:19 PM
Head-to-Toe Assessment - Checklist Only
Intro - 6 [2] - answer✔•Introduces self
•Addresses pt by surname
•Assembles equip & materials needed in advance
•Washes hands before & after exam
•Ensures pt comfort & privacy
•Uses equip correctly
Vital Signs - 6 [2] - answer✔•BP
•Ht
•Wt
•RR
•HR
•Temp
Visual Acuity - 1 [2] - answer✔Rosenbaum
(CN II)
General - 3 [2] - answer✔Inspection:
•Skin
•Hair distribution
•Nails -- hands and feet
Head - 2 [2] - answer✔Inspect and Palpate:
--Hair
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, ©BRIGHTSTARS EXAM SOLUTIONS
11/14/2024 12:19 PM
--Scalp
Ears - 6 [4] - answer✔•Inspection: External
--Alignment
•Palpation: tug test
•Gross hearing (Whisper test) (CN 8)
•Otoscopic Exam
•Rinne (CN 8)
•Weber (CN 8)
Eyes - 6 [2] - answer✔•External Inspection: sclera, conjunctiva, lens
•Pupillary reflexes
--Consensual Constriction; --Accommodation (focus distant & near)
•Corneal Light Reflex (strabismus)
•EOM's: (big H) (CN 3, 4, 6) nystagmus
•Visual Fields - Confrontation test
•Ophthalmoscopic Exam
Nose - 4 [2] - answer✔•Inspection
•Palpation
•Patency - right and left
•Otoscopy
---Septum
---Turbinates
---Nasal Mucosa
Mouth/Pharynx - 4 [6] - answer✔•Inspection
---Lips/Teeth/Gingiva
---Buccal Mucosa/Tonsils
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