Nursing Assessment: General Survey and Vital Signs

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6 Questions

What is the main source of deep somatic pain?

Blood vessels, joints, tendons, muscles, and bone

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

Skin surface

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

Cutaneous pain

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

It is usually dull and aching

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

The location of the pain

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

Skin surface

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.

Assess patient's overall health and physical condition, including general appearance, body habitus, facial expression, and gait and posture. Calculate Body Mass Index (BMI) to determine weight status.

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