Nursing Assessment: General Survey and Vital Signs

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Questions and Answers

What is the main source of deep somatic pain?

  • Subcutaneous tissues
  • Blood vessels, joints, tendons, muscles, and bone (correct)
  • Skin surface
  • Muscle fascia

Which of the following is NOT a source of deep somatic pain?

  • Muscles
  • Tendons
  • Blood vessels
  • Skin surface (correct)

What is the term for pain originating from the skin surface and subcutaneous tissues?

  • Musculoskeletal pain
  • Cutaneous pain (correct)
  • Deep somatic pain
  • Visceral pain

Which of the following is a common characteristic of deep somatic pain?

<p>It is usually dull and aching (B)</p> Signup and view all the answers

What is the main difference between deep somatic pain and cutaneous pain?

<p>The location of the pain (D)</p> Signup and view all the answers

Which of the following is an example of a source of cutaneous pain?

<p>Skin surface (A)</p> Signup and view all the answers

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Study Notes

General Survey and Vital Signs

  • The general survey involves gathering information about a patient's overall health and physical condition.
  • This assessment focuses on four key areas: • General appearance and behavior • Body habitus and build • Facial expression and eye contact • Gait and posture

Body Mass Index (BMI)

  • BMI is calculated to assess a patient's weight in relation to their height.
  • BMI results are interpreted as follows: • Underweight: BMI < 18.5 • Normal weight: BMI = 18.5-24.9 • Overweight: BMI = 25-29.9 • Obese: BMI ≥ 30

Mental Health Status Assessment

  • This assessment involves evaluating a patient's emotional and psychological well-being.
  • Factors considered include: • Food preferences and dislikes • Ability to feed oneself • Changes in appetite, chewing, or swallowing • Food allergies or intolerance

Pain Assessment

  • Pain is a subjective experience that cannot be directly measured.
  • Two types of pain are: • Deep somatic pain: originates from sources such as blood vessels, joints, tendons, muscles, and bone • Cutaneous pain: originates from the skin surface and subcutaneous tissues
  • A series of questions helps the examiner assess the subjective report of pain.

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