nr 304 the health history and physical examination
Attached you can find the guideline of the assignment and the rubric of how is going to be graded. Below I did a breakdown of the systems review of what needs to be touched. You can make up anything about this patient she is 21 Y.O, initials are A.W, African American, the other details or family history you can make it up. Please follow the guidelines and rubric.
Thank you!
o HEENT (head, eyes, ears, nose, and throat)
head – Inspect and palpate scalp, hair and skull (normocephalic, no lesions, or infestation) c Inspect the face (assess expression, symmetry, facial structures, skin, tattoos, and piercings) c Palpate lymph nodes (verbalize location {preauricular, posteriorauricular, occipital, submental, submandibular, jugulodigastric} assess for lymphadenopathy
eyes – Inspect external ocular structures (assess symmetry, lesions, discharge, and infestation of: eyebrows, eyelids, and eyelashes) c Inspect Conjunctiva and Sclera (assess color change, swelling, or lesions; conjunctiva: pink and sclera: white) c Test PERRLA (Pupils Equal, Round, Reactive to Light, and Accommodation)
ears- Inspect external ear (assess symmetry, position, alignment, lesions, and piercings) c Inspect external auditory meatus (no swelling, redness, or discharge) c Assess for hearing loss, hearing aid use, any exposure to environmental noise, and method of cleaning c Assess for skin breakdown behind the ear (assess tenderness) c Palpate Tragus (assess tenderness)
nose- inspect external structure (assess symmetry, midline position, proportional to other facial features, and lesions) c Inspect internal structures (assess for foreign bodies and deviated septum) c Assess bilateral patency c Assess for drainage
mouth and throat- Inspect the lips, teeth and gums (assess color, moisture, cracking, lesions, and alignment) c Inspect the oral mucosa (tongue, buccal mucosa, palate: assess odor, color, moisture, and lesions) c Inspect posterior pharyngeal and uvula
o Neck (including thyroid and lymph chains)
c Inspect the neck (inspect symmetry, ROM, head position midline, pulsations, and masses) c Palpate cervical lymph nodes (verbalize location {superficial, posterior, deep} assess for lymphadenopathy) c Palpate supraclavicular lymph nodes (assess for lymphadenopathy)
o Respiratory system
c Inspect the anterior chest (respirations and accessory muscle use) c Palpate anterior chest (masses and tenderness) c Auscultate anterior lung fields (6-8 positions, verbalizes lobe at each location and sounds heard at each location)
o Cardiovascular system
Inspect Jugular Venous pulse c Inspect Carotid pulse c Palpate each carotid pulse (may verbalize to first auscultate for bruit if older than middle age or signs and symptoms of cardiovascular disease) c Inspect the anterior chest (symmetry and apical impulse if visible) c Auscultate apical impulse (verbalize location: fourth or fifth intercostal space, left midclavicular line) c Auscultate 5 cardiac areas with diaphragm and bell (verbalize areas and location) c Palpate radial pulse (verbalize findings)
o Neurological system
Assess mental status
o Gastrointestinal system
c Inspect abdomen (color, contour, symmetry, skin, and pulsations) c Assess abdominal aorta, listen for bruits c Auscultate bowel sounds in all 4 quadrants c Light palpation of all quadrants (assess for muscle guarding, rigidity, large masses, tenderness)
o Musculoskeletalsystem o peripheral vascular system
c Test Range of Motion (ROM) c Insect size and contour c Inspect skin color and characteristics c Palpate c Test muscle strength of upper and lower extremities c Palpate dorsalis pedis pulses (verbalize finding)
#write essay #research paper #blog writing #article writing #academic writer #reflective paper #essay pro #types of essays #write my essay #reflective essay #paper writer #essay writing service #essay writer free #essay helper #write my paper #assignment writer #write my essay for me #write an essay for me #uk essay #thesis writer #dissertation writing services #writing a research paper #academic essay #dissertation help #easy essay #do my essay #paper writing service #buy essay #essay writing help #essay service #dissertation writing #online essay writer #write my paper for me #types of essay writing #essay writing website #write my essay for free #reflective report #type my essay #thesis writing services #write paper for me #research paper writing service #essay paper #professional essay writers #write my essay online #essay help online #write my research paper #dissertation writing help #websites that write papers for you for free #write my essay for me cheap #pay someone to write my paper #pay someone to write my research paper
#Essaywriting #Academicwriting #Assignmenthelp #Nursingassignment #Nursinghomework #Psychologyassignment #Physicsassignment #Philosophyassignment #Religionassignment #History #Writing #writingtips #Students #universityassignment #onlinewriting #savvyessaywriters #onlineprowriters #assignmentcollection #excelsiorwriters #writinghub #study #exclusivewritings #myassignmentgeek #expertwriters #art #transcription #grammer #college #highschool #StudentsHelpingStudents #studentshirt #StudentShoe #StudentShoes #studentshoponline #studentshopping #studentshouse #StudentShoutout #studentshowcase2017 #StudentsHub #studentsieuczy #StudentsIn #studentsinberlin #studentsinbusiness #StudentsInDubai #studentsininternational
