Nursing Assessment Techniques

The video features a nurse named Lisa conducting a comprehensive head-to-toe assessment of a patient named Elizabeth. Lisa begins by gathering basic patient information and assessing Elizabeth's alertness and orientation. She then proceeds to check vital signs and observe the patient's general appearance. The assessment continues with a detailed examination of the head, neck, chest, heart, skin, and extremities. Throughout the process, Lisa ensures the patient's comfort and concludes the session by preparing for the doctor's visit.

What information does the nurse confirm with the patient during the initial interaction?

• Patient's emergency contact

• Patient's name and date of birth

• Patient's insurance details

• Patient's favorite color and hobby

How does the nurse assess the patient's orientation?

• By checking the patient's pulse

• By asking the patient to identify the current month and location

• By observing the patient's facial expressions

• By asking the patient to solve a math problem

Which vital signs are checked by the nurse?

• Height, weight, and BMI

• Blood sugar, cholesterol, and triglycerides

• Temperature, heart rate, and blood pressure

• Vision, hearing, and reflexes

What does the nurse observe about the patient's general appearance?

• The patient's skin color is even and appropriate for ethnicity

• The patient is wearing a hat

• The patient is wearing a wristwatch

• The patient has a visible tattoo

During the head and neck examination, what does the nurse check regarding the patient's eyes?

• The color of the patient's eyes

• The patient's ability to read small print

• The reaction of the pupils to light

• The presence of contact lenses

What does the nurse assess when examining the patient's ears?

• The size of the ears

• The patient's ability to hear whispers

• The presence of ear piercings

• The presence of earwax

What is the nurse looking for when listening to the patient's lung sounds?

• The rhythm of the heartbeat

• The presence of adventitious sounds

• The temperature of the chest

• The patient's ability to hold their breath

What does the nurse check for during the heart examination?

• The presence of heart murmurs

• The size of the heart

• The color of the patient's skin

• The patient's blood type

During the abdominal examination, what does the nurse assess?

• The patient's ability to do sit-ups

• The patient's dietary preferences

• The color of the patient's clothing

• The presence of bowel sounds in all four quadrants

What is checked in the extremities examination?

• The length of the patient's arms

• The patient's ability to dance

• The presence of tattoos

• The muscle strength and presence of edema