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Assessment Nursing Class

Assessment Nursing Class Study Notes and Resources for Students

Assessment Nursing Class

Nursing Assessment Class Notes

Nursing Class Notes Home

Table of Contents

Assessment Class Tool Box

Assessment Class Glossary

  • Common words, terms, and phrases encountered in Nursing Assessment Class
  • Arranged alphabetically

Anatomical Landmarks

  • Anterior, posterior, and lateral lines
  • Thoracic landmarks
  • Cardiac landmarks
  • Abdominal landmarks

Charting Document Example for the Physical Assessment

  • Example form for charting
  • Introductory questions for each section
  • Nurse’s notes

Reflex Assessment

  • Reflex hammer
  • Reflex grading
  • Popliteal and brachial reflexes
  • Corneal reflex
  • Romberg, Weber and Rinne tests
  • Babinski reflex

Nursing Assessment Videos

  • Abdominal nursing assessment
  • EENT nursing assessment
  • Musculoskeletal nursing assessment
  • Neurological nursing assessment

General Physical Assessment

Basics of the Nursing Assessment

  • Purpose and value of the nursing assessment
  • Nursing assessment as a part of the nursing process
  • Steps of the nursing assessment: interview, observation, palpation, percussion, and auscultation
  • Tools of the trade: using a stethoscope, blood pressure cuff, reflex hammer, tuning fork, otoscope, and ophthalmoscope
  • Forms and methods of nursing documentation
  • Common abbreviations and assessment jargon

Head-to-Toe Nursing Assessment

  • Vitals
  • HEENT
  • Cardiovascular system
  • Respiratory system
  • Abdominal/ gastrointestinal system
  • Urogenital system
  • Reproductive system
  • Musculoskeletal system
  • Integumentary system

Focused Physical Assessment

Abdominal Assessment

  • Focused gastrointestinal system interview
  • Abdominal quadrant classification systems
  • Auscultation of bowel sounds
  • Palpation of the abdomen
  • Percussion of the abdomen
  • Stool output grading
  • Stool specimen and fecal occult blood test (FOBT)

Cardiovascular Assessment

  • Focused cardiovascular system interview
  • Normal and abnormal heart sounds

HEENT (Head, Ears, Eyes, Nose, Throat) Assessment

  • Focused HEENT interview
  • Hair distribution patterns and assessing for nits
  • Eye assessment and PERLA
  • Ear assessment: external ear and tympanic membrane
  • Nose assessment: nasal patency and septum symmetry
  • Throat: mouth, teeth, jaw, uvula, palate, tonsils, and thyroid

Skin Assessment

  • Focused integumentary system interview
  • Normal wound healing
  • Skin integrity and skin breakdown
  • Common types of skin lesions
  • Pressure ulcers

Reproductive Assessment

  • Pre-interview data collection: gathering data from the medical record on family and marital status and medications
  • Focused reproductive system interview
  • Clinical breast examination: methods and positioning for the exam
  • Self-breast exam: teaching the patient when and how to examine her breasts monthly
  • Clinical testicular examination: methods and positioning for the exam
  • Self-testicular exam: teaching the patient when and how to examine his testicles monthly

Pulmonary Assessment

  • Focused pulmonary interview
  • Auscultation: normal lung and breath sounds tracheal and bronchial sounds, bronchi-vestibular sounds, basilar or alveoli sounds; adventitious lung sounds: crackles, crepitation, pleural rubs, rhonchi, rales, stridor, and wheezes

Musculoskeletal Assessment

  • Focused musculoskeletal system interview
  • Gait assessment and range of motion (ROM)
  • Neurological cues of dysfunction

Neurological Assessment

  • Focused neurological system interview
  • Orientation to self, place, and time
  • Level of consciousness and the Glasgow Coma Scale
  • Speech patterns
  • Cranial nerves

Nutritional Assessment

  • Focused nutritional interview
  • Dietary patterns and weight changes
  • Indicators of good nutrition

Urogenital Assessment

  • Focused urogenital system interview
  • Prostate assessment
  • Urine color, consistency, and amount
  • Signs of urinary tract infections
  • Measuring intake and output
  • Urine specimen collection

 

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