Exam (elaborations) NUR 3029 Final EXAM Study Guide W2017 Foundations of Health Assessment (NUR3029)
Susset H. Alcover - Health Assessment Final Exam:
... [Show More] Study Guide
The comprehensive examination will contain 100 multiple questions. Always ask yourself: What are the normal expected assessment findings? Abnormal assessment findings? (How would I know?) What am I going to do about it? Be prepared to describe the assessment (findings, technique and procedure). Please include the assessment of the ‘Older Adult’ within each of the body systems. Use the Nursing Process to guide you!
Health History, Assessment Techniques, General Survey, Pain
o Older adult *
o Communication, Safety: physical & psychological
o VS (including orthostatic changes), Pain, Functional/ADL assessment(s)
o Purpose & techniques (inspection, auscultation, percussion, palpation) (*What would you see, hear, and feel with each body system?), Use of equipment: (stethoscope: bell & diaphragm, otoscope, ophthalmoscope)
o Health History: Parts of the health history, comprehensive vs. focused assessments
Integumentary
• Older adult (expected changes vs. abnormal changes)
• Primary/secondary lesions (names/descriptions)
Head, Neck, Lymph; Face, Nares, Nails
• Older adult
• Lymph assessment/techniques (normal/abnormal findings)
• Nares- inspection, patency, smell
• Nails, Clubbing
Eyes and Ears
• Older adult
• Eyes: CN testing, Confrontation test, pupillary constriction: direct/consensual constriction, PERRLA, Extraocular muscle
function, cover/uncover test, glaucoma, macular degeneration, cataracts, handheld eye chart testing vs. Snellen Chart, Corneal Light Reflex, peripheral vision testing, etc…
• Ears: Hearing loss (testing), Otoscope assessment
Respiratory, Cardiac, Peripheral Vascular, and Abdomen
• Older adult
• Breath sounds/anatomical locations, A/P diameter, Adventitious breath sounds: wheezing, rhonchi, rales, crackles, etc…;
Respiratory distress signs/symptoms
• Asthma, emphysema, COPD, atelectasis, pneumonia, chest expansion, pulse oximetry
• Anatomical location of organs, Bruits (all areas), peripheral vascular disease, circulation, arterial/venous insufficiency, S1, S2,
S3, S4 heart sounds; Murmurs: (assessment/etiology/locations); Doppler use, pulse locations, heart failure
• Assessment of spleen, appendix, liver, Costovertebral testing
• Assessment of pain specific to location,
Musculoskeletal Assessment
• Abduction, adduction, flexion, extension, pronation, circumduction etc…
• Spinal curvature(s)
Neurological Assessment
• Cranial Nerves (1-12) (sensory/motor components), Neurological Assessment, Glascow Coma Scale, Unconscious patient, Aphasia(s): Broca’s/Wernicke’s, objective/subjective vertigo, syncope, seizures/auras, stroke, balance/coordination assessment & testing, anatomical landmarks and structures [Show Less]