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Full download Health and Physical Assessment In Nursing 3rd Edition DAmico Solutions Manual all chapter 2024 pdf
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D’Amico Chapter 7
Concepts for Lecture
Resource Library
Key Concepts
Documentation
NCLEX-RN® Review
Media Links
Audio Glossary
Toolbox
NY Times
LEARNING OUTCOME 1
Describe the general survey as part of a comprehensive health assessment.
1. The general survey begins during the interview and provides clues to guide the nurse during
later assessment of body regions and systems.
2. The general survey is done during subjective data gathering and includes what is seen, heard,
or smelled during the initial phase of assessment.
• Vision
• Hearing
• Smell
• Ask students to provide examples of how the general survey can lead them to specific
physical assessments for clients.
LEARNING OUTCOME 2
Identify the components of the general survey.
1. The components of the general survey include four major categories of observation: physical
appearance, mental status, mobility, and behavior.
2. Physical appearance includes body shape and build and assessment of function and
symmetry.
5. Client behavior includes grooming, bodily odors, hygiene, facial expression, mood, and level
of anxiety.
6. Measurements of height and weight are taken to establish baseline data and help determine
health status.
7. The chronologic age and developmental stage must be considered when assessing the four
components of the general survey and may require variations in data collection techniques.
• Physical appearance
• Mental status
• Mobility
• Behavior
2. Physical Appearance
• Body shape
• Build
• Assessment of function and symmetry
3. Mental Status
• Orientation
• Affect
• Anxiety
4. Mobility
• Posture
• Gait
• Range of motion
5. Behavior
• Grooming
• Bodily odors
• Hygiene
• Facial expression
• Mood
• Level of anxiety
• Provide students with a list of objective assessments and have them appropriately place
them under one of the four major components of the general survey.
• Have students read the history and physicals on selected hospitalized clients and identify
which assessment data were gathered in the general survey.
LEARNING OUTCOME 3
Measure vital signs.
1. Vital signs include temperature, pulse, respiratory rate, blood pressure, pain, and oxygen
saturation, if applicable. Vital signs are used to obtain baseline data, to detect or monitor a
change in the client’s health status, and to monitor clients at risk for alterations in health.
2. Temperature may be measured using oral, rectal, axillary, tympanic, or temporal artery
routes. The safest method to measure temperature is the axillary route.
3. Pulse rate refers to the measure of heartbeats per minute. Pulse points include the apical and
peripheral sites. When assessing the pulse, consider rate, rhythm, and quality.
4. Respiratory rate refers to the number of breaths per minute. Assessing respiration refers to
counting each respiratory cycle (inspiration and expiration) as one breath.
6. Pain is considered the fifth vital sign. Pain is individual and subjective.
8. Pain scales using numbers or faces and descriptive statements help “quantify” the pain
experience and guide intervention.
9. The site of the pain and the duration of the pain determine physiologic responses to pain.
Responses include sympathetic and parasympathetic nervous system responses.
10. Oxygen saturation is reported as a percentage and represents the light absorbed by
oxygenated and deoxygenated hemoglobin. A value of 95% to 100% is considered normal,
whereas a value of 70% is considered life threatening.
PowerPoint Slides
1. Vital Signs
• Temperature
• Pulse
• Respiratory rate
• Blood pressure
• Pain
• Oxygen saturation
• Use of Vital Signs
2. Temperature Routes
o Rate
o Rhythm
o Quality
4. Respirations
6. Pain
7. Pain Assessment
• Pain history
• Observations of behaviors
• Physiologic changes
• Pain history
• Location
• Intensity (Figures 7.17 and 7.18)
• Quality
• Pattern
• Precipitating factors
• Methods to relieve pain
• Impact on ADLs
• Coping strategies
• Emotional responses
8. Pain Scales
• Sympathetic
• Parasympathetic
LEARNING OUTCOME 4
Discuss the factors that affect vital signs.
1. Temperature is influenced by age, diurnal rhythms, exercise, hormones, stress, illness, and
the ingestion of food and fluids.
2. Pulse rate can be affected by age, gender, exercise, stress, fever, hemorrhage, medications,
and position change.
4. Blood pressure is affected by cardiac output, blood volume, and peripheral vascular
resistance, the last of which is determined by blood viscosity and the elasticity of vessels.
5. Blood pressure is also affected by age, gender, race, obesity, physical activity, stress, diurnal
variations, and medications.
1. Temperature
• Age
• Diurnal rhythms
• Exercise
• Hormones
• Stress
• Illness
• Ingestion of food and fluids
2. Pulse
• Age
• Gender
• Exercise
• Stress
• Fever
• Hemorrhage
• Medications
• Position change
3. Respiratory Rate
• Exercise
• Stress
• Increased temperature
• Increased altitude
• Medications
• Obesity
4. Blood Pressure
• Cardiac output
• Blood volume
• Peripheral vascular resistance
o Blood viscosity
o Elasticity of vessels
• Age
• Gender
• Race
• Obesity
• Physical activity
• Stress
• Diurnal variations
• Medications
• Have students discuss the factors that can affect vital signs by outlining specific
variations that may occur for each of the vital signs. (See Table 7.2.)
LEARNING OUTCOME 5
Apply critical thinking during the initial nurse-client encounter.
1. The nurse uses critical thinking during the general survey to collect and analyze relevant data
in order to plan and implement care for clients.
PowerPoint Slides
• Have students use the chapter case study to collect data during a general survey.