5 activities needed to preform a systematic assessment Correct
Answers Collect data
Verify data
Organize data
Identify Patterns
Report and record data
abnormal findings in bones may indicate Correct Answers
trauma
degenerative joint disease
musculoskeletal disease
neurologic disease
abnormal findings in muscle may indicate Correct Answers
musculoskeletal disease
trauma
neurologic disease
abnormal findings of the ear Correct Answers Unequal height
and size
Uneven color
Lesions
abnormal findings of the lymph nodes Correct Answers
Enlarged (lymphadenopathy)
pain
,abnormal findings of the nose and sinus Correct Answers
•swelling of the mucosa
•bleeding or discharge
•Pain
•Edema
abnormal findings of the thyroid gland Correct Answers
asymmetry
Enlargement
Lumps
Bulging
abnormal head and face findings Correct Answers Lack of
symmetry
Unusual size or contour of the skull
Tenderness
Edema of face
ESPECIALLY AROUND THE EYE (PERIORBITAL
EDEMA)
Involuntary facial movements (e.g., tics, tremors)
abnormal mouth and pharynx findings Correct Answers
•Mucous membranes-pallor, cyanosis, or redness and swelling
,•Lips and mucosa-lesions
•Tonsils-swollen, red (indicating infection)
•Gums- swollen, red, and bleeding (from nutritional deficits,
inflammation or infection, poorly fitted dentures, or poor oral
hygiene)
•Teeth-poorly aligned, missing, or carious
Tongue-
•White coating-(from poor oral hygiene, irritation, or smoking)
•Fissured (from dehydration)
•Bright-red (seen in deficiencies of iron, vitamin B12, or niacin);
•Black and hairy tongue (from antibiotic use)
abnormal musculoskeletal system findings Correct Answers
pain
enlargement
asymmetry
changes in contour
atrophy (decrease in size)
, tremors (involentary movements
flaccidity
loss of strength and tone
decreased ROM
uncoordinated movements
swelling
crepitation
nodules
Aerobic vs. Anaerobic Correct Answers aerobic requires
oxygen
anaerobic does not require oxygen
afebrile Correct Answers without fever
After a change of shift, you are assigned to care for the
following patients. Which patient should you assess first?A. A
60-year old patient on a ventilator for whom a sterile sputum
specimen must be sent to the lab.
B. A 55-year old with COPD and a pulse oximetry reading from
the previous shift of 92% saturation.