Adult Head-to-Toe Examination

The assessment of financial resources and health insurance is included in which element of the functional examination?

Social situation The assessment of financial resources and health insurance is included in the social situation element of the functional examination.

Place the examination components in order for the adult patient who is supine.

Auscultate heart Inspect abdomen Percuss liver border Palpate for pedal edema

Which examination component should be performed while the adult patient is supine with the legs exposed?

Palpation of popliteal pulse Palpation of the popliteal pulse should be performed while the adult patient is supine with the legs exposed.

Which element is performed after inspection and palpation of the patient's spine while the patient is standing?

Observe the patient walk heel to toe Observing the patient walk heel to toe is the next element that should be performed after inspection and palpation of the patient's spine.

Which element of the assessment should be performed after assessment of the patient's back, posterior chest, and lungs?

Palpation of apical pulse After assessment of the patient's back, posterior chest, and lungs has been performed, the nurse should move to the front of the patient to begin examining the left side of the chest, which includes palpating the apical pulse.

Which element of the functional assessment should be included during the review of systems?

Signs of dementia Assessing for signs of dementia is an element that should be included in the review of systems.

Which element of the assessment should be performed with the patient seated and wearing a gown?

Inspection of facial symmetry Inspection of facial symmetry should be performed after the patient has been assisted onto the examination table in the seated position.

The healthcare provider palpates the prostate gland and seminal vesicles with the patient standing as part of which element of the examination?

Abdominal/Genital Palpating the prostate gland and seminal vesicles is included in the examination of the abdomen/genitalia with the patient standing.

Which elements should be performed after light palpation of all quadrants of the abdomen in the adult patient?

Deep palpation of all quadrants Deep palpation is the element of the abdominal assessment that should be performed after light palpation of all quadrants; deep palpation should be done last because it is the maneuver most likely to cause discomfort or pain.

On which elements should the nurse focus when performing the physical examination component of the functional assessment?

Evaluating coordination and gait Evaluating coordination and gait is an element the nurse should focus on in the physical examination. Correct Assessing for dyspnea with exertion Assessing for dyspnea with exertion is an element the nurse should focus on in the physical examination. Measuring blood pressure while the patient is seated and standing Measuring blood pressure while the patient is seated and standing is an element the nurse should focus on in the physical examination.

Palpation of the thyroid and cervical lymph nodes is included in examination of which part of the body?

Neck Palpation of the thyroid and cervical lymph nodes is included in examination of the neck.

Observing the patient's gait and testing balance are included in which element of the adult head-to-toe examination with patient standing?

Neurologic Observing the patient's gait and testing balance are included in the neurologic element of the adult head-to-toe examination with the patient standing.