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8 Cards in this Set
- Front
- Back
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what are the general steps of the head to toe assessment?
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obtain and interpret vital signs
obtain and interpret SpO2 perform neurological assessment perform pulmonary assessment perform cardiac assessment perform abdominal assessment Upper extremities assessment Lower extremities assessment |
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what are the steps to the neurological assessment in the head to toe
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Level of consciousness (current event?) and orientation to person, place, and time
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what are the steps to the pulmonary assessment in the head to toe?
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INSPECT respiratory pattern for labored breathing
Auscultate breat sounds in anterior (4-6 sites), posterior and lateral lung fields (8-10 sites total |
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what are the steps tot the cardiac assessment in the head to toe?
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auscultate apical impulse site noting S1, S2, rhythm, presence or absence of a murmur
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what are the steps to the abdominal assessment in the head to toe?
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INSPECT abdomen for distention
Auscultate for bowel sounds X4 quadrants Palpate abdomen for tenderness, firmness/softness |
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what are the steps to the upper extremities assessment in the head to toe
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assess radial pulses for rate, rhythm, strength, and symmetry
assess extremities for temperature and color assess capillary refill on fingers assess gross motor mvmt with bilateral hand grasp inspect skin for intactness rashes color and temperature |
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what are the steps to the lower extremities assessment in the head to toe
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assess pedal pulses for strenght and symmetry
assess extremities for edema, termperature and color assess gross motor mvmt with plantar flexion and extension inspect skin for intactness rashes, color, and temperature |
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what are the 5 steps in the focused head and neck exam?
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1. inspect face for symmetry, shape, general appearance, facial features.
2. inspect and palpate cranium/scalp for symmetry, shape, massess, lesions, tenderness ****using universal precautions**** 3. inspect and palpate anterior and posterior lymphatic chains in neck area 4. inspect and palpate the position of the trachea 5. inspect and palpate thyroid |
