NUR7580 Advanced Health Assessment and Differential Diagnosis
NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam
NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam
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NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
Student is to have a non-pregnant volunteer 18-years or older to serve as their “patient” for a recorded video demonstrating proficiency in performing select health assessment techniques. The volunteer must sign the Video Release From located in the course. Additionally, the student is to obtain and properly use the necessary equipment required to perform the assessment. The student must verbalize the assessment technique and exam findings. The faculty must be able to clearly see, hear, and evaluate the examination. Techniques must be performed from memory with no use of notes or supplemental materials during recording. Video head-to-toe exam must be complete within 25 minutes and anything beyond this time frame will not be included in grading. *Students must score > 75% to pass this assignment.* NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
Student: Date: Faculty:
Skin
Color, texture, lesions, wounds, temperature, turgor
Head & Face
-Cranium shape, appearance, hair
-Facial symmetry, scalp, sinuses
-TMJ
-Nasal patency
-Turbinates, nasal mucosa
Eyes
-External eye: eyelids, lashes
-Sclera, conjunctiva
-Six cardinal gazes
-Pupil light reflex & size
– Ophthalmoscopic exam: red reflex, retina, vessels, optic disk and macula
Ears
-External inspection
-Palpate mastoid process
-Otoscope exam: canal appearance or obstruction, TM
-Hearing: whisper test, Rinne or Weber test
Mouth & Pharynx
-Inspect teeth, tongue, uvula, buccal mucosa
-Grade tonsils
Neck
-Trachea
-Palpate thyroid
-Assess for JVD
-Auscultate carotid arteries
-Lymph nodes: Preauricular, postauricular, occipital, tonsillar, submandibular, submental, anterior, & posterior cervical chain NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
Anterior Thorax, Heart and Lung
-Auscultate lung-minimum of 8 places comparing sides
-Assess tactile fremitus
-Assess PMI
-Auscultate heart with bell and diaphragm (Identify areas of auscultation) while sitting or lying
Posterior Thorax, Lungs, & Renal
-Auscultate lung-minimum of 8 places comparing sides
-Assess tactile fremitus
-Bronchophony, egophony, or whispered pectoriloquy
-Percuss over lung fields
-Assess CVA tenderness
Abdomen
· -Inspect abdomen
· -Auscultate bowel sounds in all 4 quadrants
· -Light and deep palpation of abdomen
· -Palpate kidneys, liver, & spleen
· -Percuss at least two points in all four quadrants
· -Perform one specialized abdominal exam test (student’s choice)
Vascular
-Capillary refill
-Clubbing
-Pulses: carotid, brachial, radial, dorsalis pedis, & posterior tibial
-Assess for edema
Neurologic
-Romberg, sensation, gait
– Deep tendon reflexes: brachial, triceps, biceps, patellar
-Cranial nerves:
II optic
III oculomotor
IV trochlear
V trigeminal
VI abducens
VII facial
VIII vestibulocochlear
IX glossopharyngeal
X vagus
XI accessory
XII hypoglossal
Musculoskeletal
-Inspect spine/scoliosis check
-ROM of upper and lower extremities
-Strength test upper and lower extremities
· -Perform one specialized MSK exam technique (student’s choice)
Organization, Quality, & Time
-Exam is well organized
-Provides guidance to the patient
-Maintains patient privacy
-Quality video production
-No supplemental materials used during video
-Accurate verbalization of each exam technique & findings
-Completed exam in 30 minutes
100 Possible Points
Total Points Earned:
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