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Examen

NUR 1068C Health Assessment EXAM #1 -

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Subido en
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Escrito en
2025/2026

NUR 1068C Health Assessment EXAM #1 -

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Nursing
Grado
Nursing

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NUR 1068C Health Assessment EXAM #1 -



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NUR 1068C Health Assessment EXAM #1 - (Chp. 1-5,8,9,11&12)
General Survey
The general survey is the first part of the physical examination that begins the
moment the nurse meets the client.
Purpose of the General Survey
The outcome of the general survey provides the nurse with an overall impression of
the client’s whole being.
The general survey includes observation of the client’s:
- Physical development and body build
- Gender and sexual development
- Apparent age as compared to reported age
- Skin condition and color
- Dress and hygiene
- Posture and gait
- Level of consciousness
- Behaviors, body movements, and affect
- Facial expression
- Speech
- Vital signs
General Routine Screening versus Focused specialty Assessment
General Routine Screening (Assessment)
Generally assess the client’s level of consciousness, level of comfort, behavior,
body movements, affect, facial expression, speech, and mental acuities. If you
detect any abnormalities during your general impression examination, you will need
to do a focused speciality assessment (i.e. mental, spirutual, cardiac, pulmonary,
skin/nails etc.)
Focused Specialty Assessment
If you observe abnormalities, you may need to perform an in-depth assessment of
the body area that appears to be affected (e.g., an unusual gait may prompt you to
perform a detailed musculoskeletal assessment).

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Vital signs and order
Vital Signs & Order to do them in:
1st- Temperature
2nd - Pulse
3rd - Respirations
4th - Blood Pressure
Pain is no longer considered the '5th' vital sign in response to the opioid pandemic
but is still always assessed during your nursing eval.
General guidelines for proper use of equipment & how to take VS (b/p cuff,
thermometers, taking pulse & respirations)
Equipment Needed for VS:
- Thermometer: tympanic, temporal, electronic oral and/or axillary or rectal
thermometers as needed.
- Protective, disposable covers for type of thermometer used
- Sphygmomanometer or Electric BP Cuff: Regular / Large / Child Size Cuff as
needed.
- Stethoscope
- Second-Hand Watch
Normal Temp. Ranges (Overall, Oral, Tympanic, Axillary, Temporal, Rectal)
Overall Normal Range: 96.8-100.4 F (36-38 C)
Oral: 96.6F-99.5F
Tympanic: 98.0°F–100.9°F Normally about 1°F higher than Oral Temp.
Axillary: 95.6°F–98.5°F Normally about 1°F lower than Oral Temp.
Temporal: 97.4°F–100.3°F Normally about 1°F higher than Oral Temp.
Rectal: 97.4°F–100.3°F Normally about 1°F higher than Oral Temp.
Pt without a fever is called: Afebrile
Normal heart rate (pulse)
60-100 beats per minute
Normal respiratory rate
12-20 breaths per minute
normal BP range
less than 120/80
abnormal vital signs / terms
Anything outside of these ranges:

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Institución
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Subido en
2 de julio de 2026
Número de páginas
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Escrito en
2025/2026
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