IN
LOVING
MEMORY
OF
CHADWICK
BOSEMAN
Health
Assessment
NURSING SCHOOL CHEAT SHEET
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Head-to-toe
Assessment
VITAL SIGNS
Blood pressure
Pulse
Temperature
RR
Oxygen saturation
Ht/Wt
Neurological
Reflexes
Visual acuity
PERRLA (pupils are equally
round & reactive to light &
accomodation)
Cranial nerves
CARDIOVASCULAR
Heart rate/rhythm
Auscultate S1 and S2
Inspect lower
extremities for edema
Capillary refill time
gastrointestinal
RESPIRATORY
Last BM? color?
formed/loose?
Diet?
Inspect abdominal
contour
Auscultate Bowel
sounds in all 4 quadrants
Palpate for distention,
tenderness, and masses
Respiratory rate, depth,
& rhythm
Inspect for equal bilateral
chest movements
Auscultate Lung sounds
INTEGUMENTARY
GENITOURINARY
Urine color & amount
Inspect & palpate for
distended bladder
Continent or incontinent?
Foley? Condom Cath?
Any vaginal/penile
discharge?
LMP (women of
childbearing age)
Inspect skin color,
turgor, moisture,
temperature
Any wounds? Rashes?
Abrasions?
IV site
Safety
MUSCULOSKELETAL
Call bell within reach
Personal items within
reach
Side rails up
Bed in lowest position &
locked
Assess ROM & muscle
strength
Any issues with
mobility/gait?
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Physical exam techniques
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REST IN WAKANDA FOREVER, CHAD
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