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Physical Assessment (pt. 1)

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Physical Assessment (pt. 1)

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About this activity

Physical assessment steps, order follows the 'NUR 131/170/190: PHYSICAL ASSESSMENT'


Full List / Order for Reference:

General Survey
Introduce self, greet patient, shake hands, observe gait and posture
Ask purpose of visit and confirm appointment time
Assess orientation to person, place, time, and situation
Observe eye contact
(Note that "Observe posture" and "Observe gait" have been removed since they're included in the first step. They would normally appear here on the assessment list.)
Assess general appearance and signs of distress
Observe hygiene of hair, nails, and clothing
Assess speech clarity and appropriateness
Ask about diet and daily water intake
Assess skin during handshake
State skin will be assessed throughout exam
Ask about pain and instruct patient to report discomfort anytime

Head and Face & Eyes and Ears
Inspect hair texture, distribution, and amount
Inspect symmetry and external appearance of eyes and ears
Inspect eyelids, eyelashes, and eyebrows
Inspect sclera and conjunctiva
Assess visual fields / visual acuity
Test pupillary response to light and accommodation
Test extraocular movements in H pattern
Ask patient to open jaw and clench teeth; palpate masseter
Ask patient to raise brows, shut eyes, puff cheeks, and smile
Test hearing by whispered number with one ear covered

Mouth and Pharynx
Inspect lips, mucosa, gums, palate, floor of mouth, teeth, and pharynx
Note uvula, tonsils, posterior pharynx, and mouth odor
Ask patient to swallow, open mouth, and say “ah”
Ask patient to stick out tongue and move it side to side

Neck
Inspect neck and thyroid for symmetry and smoothness
Palpate thyroid while patient swallows
Test head, neck, and shoulder strength against resistance
Inspect right jugular vein at 45° with head turned left
Palpate carotid pulses one side at a time
Auscultate carotids for bruits with bell
Palpate trachea for midline position

Upper Extremities
Inspect and palpate shoulders, arms, and hands
Assess tone, temperature, color, hair distribution, and edema
Check capillary refill on one finger of each hand
Palpate brachial and radial pulses
Assess ROM of wrists, elbows, and shoulders
Assess grip strength and arm resistance

Created by

Alexander Jones
Alexander Jones
United States

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Physical Assessment (pt. 1)
 

Physical Assessment (pt. 1)Online version

Physical assessment steps, order follows the 'NUR 131/170/190: PHYSICAL ASSESSMENT' Full List / Order for Reference: General Survey Introduce self, greet patient, shake hands, observe gait and posture Ask purpose of visit and confirm appointment time Assess orientation to person, place, time, and situation Observe eye contact (Note that "Observe posture" and "Observe gait" have been removed since they're included in the first step. They would normally appear here on the assessment list.) Assess general appearance and signs of distress Observe hygiene of hair, nails, and clothing Assess speech clarity and appropriateness Ask about diet and daily water intake Assess skin during handshake State skin will be assessed throughout exam Ask about pain and instruct patient to report discomfort anytime Head and Face & Eyes and Ears Inspect hair texture, distribution, and amount Inspect symmetry and external appearance of eyes and ears Inspect eyelids, eyelashes, and eyebrows Inspect sclera and conjunctiva Assess visual fields / visual acuity Test pupillary response to light and accommodation Test extraocular movements in H pattern Ask patient to open jaw and clench teeth; palpate masseter Ask patient to raise brows, shut eyes, puff cheeks, and smile Test hearing by whispered number with one ear covered Mouth and Pharynx Inspect lips, mucosa, gums, palate, floor of mouth, teeth, and pharynx Note uvula, tonsils, posterior pharynx, and mouth odor Ask patient to swallow, open mouth, and say “ah” Ask patient to stick out tongue and move it side to side Neck Inspect neck and thyroid for symmetry and smoothness Palpate thyroid while patient swallows Test head, neck, and shoulder strength against resistance Inspect right jugular vein at 45° with head turned left Palpate carotid pulses one side at a time Auscultate carotids for bruits with bell Palpate trachea for midline position Upper Extremities Inspect and palpate shoulders, arms, and hands Assess tone, temperature, color, hair distribution, and edema Check capillary refill on one finger of each hand Palpate brachial and radial pulses Assess ROM of wrists, elbows, and shoulders Assess grip strength and arm resistance

by Alexander Jones
1

General Survey

2

Head and Face & Eyes and Ears

3

Mouth and Pharynx

4

Neck

5

Upper Extremities

 
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