Nursing:

A Concept-Based Approach to Learning

Volume Two

CONCEPT

32

Assessment

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

TABLE 323 (continued) Client Positions and Body Areas Assessed

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Figure 32-1 The position of the hand for light palpation.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Figure 32-2 The position of the hands for deep bimanual palpation.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Figure 32-3 Deep palpation using the lower hand to support the body while the upper hand palpates the organ.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Figure 32-4 Direct percussion. Using one hand to strike the surface of the body.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Figure 32-5 Indirect percussion. Using the finger of one hand to tap the finger of the other hand.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

TABLE 325 (continued) Tools Used for a Health Examination

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Figure 32-6 It is often helpful to have a young child sit on his or her mothers lap when possible during the
assessment.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Figure 32-7 A nurse allows her client to play with with her stethoscope before using it to assess his heart.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

TABLE 326 (continued) Instruments to Assess Growth and Development

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Figure 32-8 This mother is interacting with her baby while the nurse performs the examination.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Figure 32-9 Toddlers can generally feed themselves.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Box 323 (continued) Health Considerations: Birth to 10 Years

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Figure 32-10 This school-age child enjoys sorting his collection of action figures.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Figure 32-11 Young adults, meeting in a casual office, strive to advance their careers.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Box 324 (continued) Health Considerations: Ages 1124 Years

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Box 325 (continued) Health Considerations: Ages 2564 Years

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.

Box 326 (continued) Health Considerations: Ages 65 and Older

Nursing: A Concept-Based Approach to Learning, Volume Two

North Carolina Concept-Based Learning Editorial Board

Copyright 2011 by Pearson Education, Inc.

All rights reserved.