Questions and Answers
Which components would the nurse assess during the general survey? (Select all that apply)
How should the nurse document the client's reason for seeking care?
Client states, 'I feel winded all of the time and yesterday I started spitting up a lot of phlegm.'
How would the nurse assess the client's orientation? (Select all that apply)
What should the nurse do first when conducting a general survey?
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Which biographical data should the nurse plan to collect? (Select all that apply)
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Which senses are used when performing the inspection phase of assessment? (Select all that apply)
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What equipment would the nurse require to perform a general survey? (Select all that apply)
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What components would the nurse include in the general survey after identifying the client? (Select all that apply)
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Study Notes
General Survey Components
- Assess client's vital signs to gather initial health information.
- Evaluate overall demeanor, orientation, appearance, gait, and behavior for further assessments.
- Specific assessments like bowel patterns and abdominal palpation are conducted later.
Documentation of Client Responses
- Document client’s own words accurately, e.g., "I feel winded all of the time and yesterday I started spitting up a lot of phlegm."
Orientation Assessment
- Assess client’s orientation by asking for personal details such as name and location.
- Inquire about the current date and season to establish time orientation.
- Orientation consists of person, place, time, and situation recognition.
Identification Before Assessment
- Identify the client using two methods before starting the health assessment.
- Begin general survey by observing appearance, orientation, behavior, height, weight, and vital signs afterward.
Biographical Data Collection
- Collect essential biographical data including:
- Name
- Date of birth
- Gender
- Occupation
Sensory Assessment Techniques
- Utilize sight, hearing, and smell during the inspection phase of assessment.
- Touch is reserved for palpation; taste is not used.
Equipment Required for General Survey
- Necessary equipment includes:
- Sphygmomanometer for vital signs.
- Stethoscope for auscultation.
- Tape measure for height assessment.
- Standing scale for weight and BMI calculation.
Comprehensive General Survey Details
- After identification, observe if body structure corresponds with stated age.
- Look for any tubes, lines, or drains present on the client.
- Assess whether the client appears alert and if skin color is appropriate for their ethnicity.
- General surveys lead into targeted physical assessments as needed.
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Description
This quiz focuses on the components of a general survey in nursing, particularly for clients in medical settings. You will assess vital signs and other important factors during an initial evaluation. Test your understanding of the essential elements of a general survey in nursing practice.
