NUR 134 physical assessment
Alert - ANS Fully awake, attends to environment responds and questions with minimal
stimulation
\assess eyes for - ANS size shape , vision, and PERRLA
\assessing the head and neck includes - ANS Skull, face, eyes, ears, nose, sinuses,
mouth, and pharynx, trachea, thyroid gland, and lymph nodes
\Auscultation - ANS assessing the four characteristices of sound that is pitch, loudness,
quality, and duration
\bradypnea - ANS decreased respiratory rate
\Bronchial Sounds - ANS those heard over the trachea; high in pitch and intensity, with
expiration being longer than inspiration
\bronchovesicular sounds - ANS *heard in 1st and 2nd interspaces anteriorly
*heard between the scapulae posteriorly
* have intermediate pitch and intensity
* inspiratory and expiratory sounds equal in duration and sounds separated by silent
interval
\comatose - ANS Cannnt be aroused even with painful stimuli
\comprehensive Health Assessment - ANS Is broad and includes a complete health
history and physical assessment. Usually conducted when the patient first enters the
health care setting, if appropriate, to establish a base line
\Conversation, Listening, Silence,Touch, Humor, are forms of ? - ANS Therapeutic
communication skills
\crackles (rales) - ANS popping sounds heard on auscultation of the lung when air enters
diseased airways
\Cyanosis - ANS a bluish discoloration of the skin
\ecchymosis - ANS deep burises , bleeding underneath skin
\Edema - ANS is excess fluid in the tissues and is characterized by swelling, with taut
and shiny skin over the edematous area
\Emergency Health Assessment - ANS a rapid focused assessment conducted to
determine life-threatening or unstable conditions
\Erythema - ANS Redness of skin usually in patches
\Establish an effective nurse-patient
relationship
Gather data to identify actual and potential
health problems.
Identify patient's strengths/weakness
Establish a base for the nursing process. - ANS purpose of a nursing health assessment
\Examples of Lesions - ANS Bruises
Alert - ANS Fully awake, attends to environment responds and questions with minimal
stimulation
\assess eyes for - ANS size shape , vision, and PERRLA
\assessing the head and neck includes - ANS Skull, face, eyes, ears, nose, sinuses,
mouth, and pharynx, trachea, thyroid gland, and lymph nodes
\Auscultation - ANS assessing the four characteristices of sound that is pitch, loudness,
quality, and duration
\bradypnea - ANS decreased respiratory rate
\Bronchial Sounds - ANS those heard over the trachea; high in pitch and intensity, with
expiration being longer than inspiration
\bronchovesicular sounds - ANS *heard in 1st and 2nd interspaces anteriorly
*heard between the scapulae posteriorly
* have intermediate pitch and intensity
* inspiratory and expiratory sounds equal in duration and sounds separated by silent
interval
\comatose - ANS Cannnt be aroused even with painful stimuli
\comprehensive Health Assessment - ANS Is broad and includes a complete health
history and physical assessment. Usually conducted when the patient first enters the
health care setting, if appropriate, to establish a base line
\Conversation, Listening, Silence,Touch, Humor, are forms of ? - ANS Therapeutic
communication skills
\crackles (rales) - ANS popping sounds heard on auscultation of the lung when air enters
diseased airways
\Cyanosis - ANS a bluish discoloration of the skin
\ecchymosis - ANS deep burises , bleeding underneath skin
\Edema - ANS is excess fluid in the tissues and is characterized by swelling, with taut
and shiny skin over the edematous area
\Emergency Health Assessment - ANS a rapid focused assessment conducted to
determine life-threatening or unstable conditions
\Erythema - ANS Redness of skin usually in patches
\Establish an effective nurse-patient
relationship
Gather data to identify actual and potential
health problems.
Identify patient's strengths/weakness
Establish a base for the nursing process. - ANS purpose of a nursing health assessment
\Examples of Lesions - ANS Bruises
