4/26/26, 2:57 PM Nursing 110 Physical Assessment Flashcards | Quizlet
Nursing 110 Physical Assessment
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Terms in this set (40)
Steps in an assessment-Use the nursing process to identify patient needs-Gathering data
-Obtain a history:
-Sources of information
-Essential elements
-Establish a baseline
-Provides direction for care
Obtaining a history-Reason for accessing health care-Past Medical problems-
PMH-Past Surgeries- PSH
-Medications
-Prescription
-OTC
-Supplements
Health history-Family History- diseases - especially heart disease, cancer, diabetes-Mother, father, siblings
-Social History- living arrangements, smoke, drink alcohol, occupation-Activities of daily living. How does the client
usually care for themselves?-How do they perceive their health? Changes?
-Type of diet usually consumed
Physical assessment-Head to Toe approach vs. system approach
-Positioning/draping
-Minimize patient movement
-Compare one side to the other
-Remember developmental issues, children will be approached differently than adults
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, 4/26/26, 2:57 PM Nursing 110 Physical Assessment Flashcards |
Quizlet
Physical assessment techniques-Inspection-Auscultation-Percussion-
Palpation
Physical assessment instruments-Inspection
-Otoscope
-Ophthalmoscope
-Penlight
-Snellen Chart
-Auscultation
-Stethoscope
-Miscellaneous:
-Tongue blade, Reflex hammer, Tuning fork, Sharp/dull objects
Overall assessment-Observe patient
-General looks
-Gait
-Hygiene
-Manner, affect
-Odors
-General state of health
-Vital Signs, height and weight
-Posture, physical mobility
-How do they talk? Make sense, confused, disjointed?
-Awake and alert
-Oriented to person, place and time?
-Memory intact?
-Is their speech appropriate for their age?
-Language skills intact?
Skin assessment-Using inspection and palpation check for:
-Color, Moisture, Temperature
-Pallor, assess conjunctiva of eye, palms, soles of feet and "acral" areas-elbows, knees for underlying "pink or red" color.
-Inspect for wounds, lesions, discolorations
-Turgor
Assessing hair and nails-Look at hair on scalp and overall body hair. Note presence of infections, inflammation
-Nails - Inspect shape of nail plate, texture, surrounding nail tissue, nail bed color, perform capillary blanch test
Assessing skull and face-Size, shape and symmetry, palpate skull for nodules, masses or depressions.-Inspect facial features -
eyes for hollowness or edema.
-Note facial movements
-Elevate/lower eyebrows
-Close eyes
-Smile/frown, show teeth
Eye assessment- Pupil Response-Direct
-Consensual
-Extra-ocular movements-Red Reflex
-General vision
-Peripheral vision
https://quizlet.com/146737280/nursing-110-physical-assessment-flash-cards/ 2/6
Nursing 110 Physical Assessment
Leave the first rating
Save Groups
Students also studied
Flashcard sets Study guides
136 terms 44 terms 39 terms 10
Preview Preview Preview
Terms in this set (40)
Steps in an assessment-Use the nursing process to identify patient needs-Gathering data
-Obtain a history:
-Sources of information
-Essential elements
-Establish a baseline
-Provides direction for care
Obtaining a history-Reason for accessing health care-Past Medical problems-
PMH-Past Surgeries- PSH
-Medications
-Prescription
-OTC
-Supplements
Health history-Family History- diseases - especially heart disease, cancer, diabetes-Mother, father, siblings
-Social History- living arrangements, smoke, drink alcohol, occupation-Activities of daily living. How does the client
usually care for themselves?-How do they perceive their health? Changes?
-Type of diet usually consumed
Physical assessment-Head to Toe approach vs. system approach
-Positioning/draping
-Minimize patient movement
-Compare one side to the other
-Remember developmental issues, children will be approached differently than adults
https://quizlet.com/146737280/nursing-110-physical-assessment-flash-cards/ 1/6
, 4/26/26, 2:57 PM Nursing 110 Physical Assessment Flashcards |
Quizlet
Physical assessment techniques-Inspection-Auscultation-Percussion-
Palpation
Physical assessment instruments-Inspection
-Otoscope
-Ophthalmoscope
-Penlight
-Snellen Chart
-Auscultation
-Stethoscope
-Miscellaneous:
-Tongue blade, Reflex hammer, Tuning fork, Sharp/dull objects
Overall assessment-Observe patient
-General looks
-Gait
-Hygiene
-Manner, affect
-Odors
-General state of health
-Vital Signs, height and weight
-Posture, physical mobility
-How do they talk? Make sense, confused, disjointed?
-Awake and alert
-Oriented to person, place and time?
-Memory intact?
-Is their speech appropriate for their age?
-Language skills intact?
Skin assessment-Using inspection and palpation check for:
-Color, Moisture, Temperature
-Pallor, assess conjunctiva of eye, palms, soles of feet and "acral" areas-elbows, knees for underlying "pink or red" color.
-Inspect for wounds, lesions, discolorations
-Turgor
Assessing hair and nails-Look at hair on scalp and overall body hair. Note presence of infections, inflammation
-Nails - Inspect shape of nail plate, texture, surrounding nail tissue, nail bed color, perform capillary blanch test
Assessing skull and face-Size, shape and symmetry, palpate skull for nodules, masses or depressions.-Inspect facial features -
eyes for hollowness or edema.
-Note facial movements
-Elevate/lower eyebrows
-Close eyes
-Smile/frown, show teeth
Eye assessment- Pupil Response-Direct
-Consensual
-Extra-ocular movements-Red Reflex
-General vision
-Peripheral vision
https://quizlet.com/146737280/nursing-110-physical-assessment-flash-cards/ 2/6
