Question

Physical Exam General appearance: Integumentary: Inltial Focused Assessment 4 After revlewing the patient background and nursing report, you are ready to assess your patient's current status. Under each category, identify how you would target your asscss- ment, and what you would expect to find for the patient. HEENT: Respiratory: CV Breasts: Abdominal: History Are there any questions you need to ask the patient or family to obtain relevant data? Patient Safety/What's Wrong with This Picture? 21 Neurological: a Musculoskeletal: What are the nursing implications considering the devel- opmental stage of your patient? Reproductive: Developmental Answer:

Answer 1

Physical examination

1. General appearance- see colour of body like blue in cynosis due to respiratory distress and other cvs cause

Yellow in jundice patient

Any pigmention on body

Redness,rash, erythema,papule, macular rash see on body

- see patient are malnutrition, underweight,obese

- patient conciousness

2 integumentary- any sacr , laceration, bruise on skin

See hair are straight or curly or any sign of malnutrition

3.HEENT- examination of head ,eye,ear ,nose ,teeth

See for any trauma , bleeding, wound, swelling etc

4. Respiratory- check respiratory rate, movement of chest,type of breathing, effort on breathing

5cvs- pulse rate,bp, pulse pattern