NR 305 Week 6 Assignment: Physical Examination Video Demonstration Outline
PHYSICAL EXAMINATION VIDEO DEMONSTRATION (200 points)
This is an
... [Show More] outline of techniques you must include in your physical examination video. Do not document your findings here. State your findings in your video as you complete the exam on your adult participant.
Refer to the assignment guidelines and your Weber & Kelley textbook (see Chapter 28) as needed to prepare for this assignment. Remember that you may not use notes textbook, or any other study materials during the video recording.
(Note: You are not required to measure vital signs as you would in an actual patient assessment.)
Preparation:
Be sure to check volume and ensure that the camera will be recording so that instructor can view all assessment techniques. Student states in front of camera: “My name is [First and Last Name of Student] and this is my physical examination assignment for NR 305.”
Participant states in front of camera: “My name is [First and Last Name of Adult Participant] and I give my permission for this assessment to be recorded and submitted to Chamberlain College of Nursing for grading purposes.”
Introductions: Student introduces self to patient; Explains purpose of the exam; Ensures comfort
General Appearance: Facial expression; Body position, Level of Consciousness (LOC); Nutritional status; Hearing; Hygiene
Head and Face: Inspect and palpate head.
Note consistency, distribution, color of hair.
Observe face for symmetry, features, expressions, condition of skin.
Palpate temporomandibular joint.
Eyes, Ears, Nose, Mouth:
Inspect external eye.
PERRLA
Inspect auricle, tragus, and lobule.
Inspect external nose.
Palpate external nose for tenderness.
Check patency of airflow through nostrils.
Inspect lips teeth, gums, buccal mucosa tonsils, tongue.
Neck: Inspect appearance of neck.
Test ROM of neck.
Palpate preauricular, postauricular, occipital, tonsillar, submandibular, and submental nodes.
Upper Body:
Inspect upper extremities, note condition of skin.
Palpate brachial, ulnar, radial, pulses bilaterally.
Assess capillary refill.
Test sensation bilaterally.
Posterior Chest: Auscultate posterior lung sounds and describe what you are listening for/what you hear
Note: be sure the evaluator can see placement of your stethoscope at all times.
Anterior Chest:
Note quality and pattern of respirations, and use of accessory muscles.
Auscultate lung sounds (anterior, lateral), describe what you hear and what you are listening for.
Note: be sure the evaluator can see placement of your stethoscope at all times.
Heart:
Inspect and palpate for apical impulse.
Auscultate over aortic area, pulmonic area, Erb point, tricuspid area, and apex.
State the landmarks as you auscultate and remember to describe findings.
Abdomen: Inspect abdomen (describe contour).
Auscultate abdomen in all 4 quadrants.
Percuss abdomen in 4 quadrants.
Palpate abdomen in all 4 quadrants (light palpation only).
Note: be sure evaluator can view assessment technique.
Lower Body:
Inspect lower extremities, note condition of skin.
Assess capillary refill.
Palpate dorsalis-pedis and posterior tibial pulses bilaterally.
Test sensation bilaterally.
Musculoskeletal/Neurological: Observe gait.
Perform Romberg test.
Perform finger-to-nose test.
End of Assessment: Student states assessment has been concluded; Thanks adult participant for volunteering [Show Less]