ALL ANSWERED GRADED A+ 2025.
Introduction - Answer Hi my name is Alanah and I'll be your student nurse from Grand Canyon
University. I would like to complete head to toe assessment. Is that OK with you? Thank you
Identify client - Answer For your safety can you confirm your first and last name? What is your
birthday? And do you have any allergies?
Privacy - Answer Pull curtain for privacy
Alert - Answer The patient is alert and responsive to questions
Oriented - Answer Thank you. Can you identify where we are? What is today's date? Client is
alert and oriented x3 to person place and time
Skin inspection - Answer Skin is warm dry and intact color is consistent throughout there are
no lesions scars or tattoos noted on the exposed skin
Skin turgor - Answer Skin turgor is appropriate bilaterally. No tenting noted
Upper body edema - Answer No upper body edema noted bilaterally
Palpate radial pulse - Answer Pulses are strong equal and palpable bilaterally approximately 2+
Assess CRT - Answer Capillary refill is less than two seconds bilaterally
Inspect structure of head, face, neck, and hair - Answer Head is normocephalic shape, face is
symmetrical, neck is proportionate to the head and face, and hair distribution is normal
Palpate carotid and temporal arteries - Answer Temporal and carotid arteries are palpable
bilaterally