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Study sets matching "term:general survey = general appearance, vitals, weight and height"

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Study sets matching "term:general survey = general appearance, vitals, weight and height"

78 terms
Describing people's appearance (general features, body n build, height, weight, hair)
beautiful
pretty
good-looking
attractive
gyönyörű
csinos
jól néz ki
vonzó
beautiful
gyönyörű
pretty
csinos
12 terms
PA- General Survey and Vitals
What are the five things you observe d…
What do you look for, when observing t…
What do you look for when observing ha…
Height and weight
1- Age... 2-Posture... 3-Sexual development ... 4-appearance... 5-Nutriti…
1-Rashes... 2-Lesions... 3-Color... 4-Moisture... 5-Temperature... 6-Turgor
1-Cyanosis... 2-Clubbing... 3-Deformities (pitting, meas lines)... 4-D…
"I Will check patients heigh and weight and consult table for…
What are the five things you observe d…
1- Age... 2-Posture... 3-Sexual development ... 4-appearance... 5-Nutriti…
What do you look for, when observing t…
1-Rashes... 2-Lesions... 3-Color... 4-Moisture... 5-Temperature... 6-Turgor
General Survey
General survey
Assessment technique
Palpation
Percussion
Physical appearance... Mental status (orientation, alertness)... Mo…
Head to toe... Compare sides
Using touch to determine characteristics of the body (Positio…
Strike through a body part to elicit a sound or action... Direct…
General survey
Physical appearance... Mental status (orientation, alertness)... Mo…
Assessment technique
Head to toe... Compare sides
79 terms
Chapter 9: General survey, measurements and vital signs
General survey characteristics
general survey encounter
Areas to consider in general survey
Objective data: physical appearance
- the study of the whole person ... - covers general heath state…
- the moment you first encounter person ... - looking for immedi…
- physical appearance ... - body structure ... - mobility ... - behavior
- age ... - sex ... - level of consciousness ... - skin color ... - facia…
General survey characteristics
- the study of the whole person ... - covers general heath state…
general survey encounter
- the moment you first encounter person ... - looking for immedi…
83 terms
Chapter 9 General Survey, Measurements, Vital Signs
General Survey Characteristics
General Survey Encounter
Objective Data: Physical Appearance
Objective Data: Body Structure
-The general survey is a study of the whole person... -Covers ge…
-Launch a general survey the moment you first encounter perso…
-Age: person appears his or her stated age... Sex: sexual develo…
-Stature: height appears within normal range for age, genetic…
General Survey Characteristics
-The general survey is a study of the whole person... -Covers ge…
General Survey Encounter
-Launch a general survey the moment you first encounter perso…
87 terms
Health Assessment-General Survey and Vitals
physical examination
preparing for the physical examination
approach to assessment
system approach
-Process to collect objective data about the patient... -Purpose…
Reflect on your approach to the patient... -Be straightforward... -…
-Explain as you go... -Share findings with patient and teach... -En…
approach perform all assessments related to one system befo…
physical examination
-Process to collect objective data about the patient... -Purpose…
preparing for the physical examination
Reflect on your approach to the patient... -Be straightforward... -…
10 terms
General Survey and Vital Sign Assessment
Objective Data Collection
General survey...
Physical Appearance
Body Structure
RN will assess the following:... Physical appearance, behavior,…
Begins at the beginning of the first encounter with the patie…
Does the patient's skin match what would be expected for sex…
In general, are features symmetrical?... Are there any physical…
Objective Data Collection
RN will assess the following:... Physical appearance, behavior,…
General survey...
Begins at the beginning of the first encounter with the patie…
87 terms
5. General Survey & Vital Signs
The General Survey
{General Survey}... Apparent State of He…
{General Survey}... Level of Consciousness
{General Survey}... Signs of distress
{something that you are OBSERVING on the patient}... 1. State o…
Acute or chronically ill, frail
- Awake, alert, responsive or lethargic, obtunded, comatose... -…
- cardiac or respiratory... - pain... - anxiety/depression
The General Survey
{something that you are OBSERVING on the patient}... 1. State o…
{General Survey}... Apparent State of He…
Acute or chronically ill, frail
81 terms
5. General Survey & Vital Signs
The General Survey
{General Survey}... Apparent State of He…
{General Survey}... Level of Consciousness
{General Survey}... Signs of distress
{something that you are OBSERVING on the patient}... 1. State o…
Acute or chronically ill, frail
- Awake, alert, responsive or lethargic, obtunded, comatose... -…
- cardiac or respiratory... - pain... - anxiety/depression
The General Survey
{something that you are OBSERVING on the patient}... 1. State o…
{General Survey}... Apparent State of He…
Acute or chronically ill, frail
29 terms
General Survey and vital signs
Techniques of examination
Inspection
Palpation
palpation with palmar surface of fingers
1. inspection... 2. palpation... 3. percussion... 4. Ausculation
-observe gait, ease of getting on table, eye contact, demeano…
-using hands and fingers (laying of hands)... - be gentle, warm,…
position, texture, fluid, crepitus, form
Techniques of examination
1. inspection... 2. palpation... 3. percussion... 4. Ausculation
Inspection
-observe gait, ease of getting on table, eye contact, demeano…
20 terms
Chapter 10 - General Survey
General Survey
Components of General Survey
Measuring Height
Measuring Weight
Begins during interview phase of comprehensive health assessm…
Physical appearance: note any unexpected factors... Mental Statu…
Use measuring stick attached to scale or wall. Patient look s…
Standard platform scale or digital scale is used to measure w…
General Survey
Begins during interview phase of comprehensive health assessm…
Components of General Survey
Physical appearance: note any unexpected factors... Mental Statu…
11 terms
Chapter 7 - General Survey
General Appearance - Description
General Appearance - Height and Weight
Vital Signs: Blood Pressure
Vital Signs: Blood Pressure - Ausculta…
State of Health (acute, chronically ill, frail), Level of Con…
Height: short or tall, build, body symmetry... Weight: emaciated…
Avoid smoking or drinking caffeine 30 mins before measurement…
Silent Interval that may be present between systolic and dias…
General Appearance - Description
State of Health (acute, chronically ill, frail), Level of Con…
General Appearance - Height and Weight
Height: short or tall, build, body symmetry... Weight: emaciated…
119 terms
Health Assessment Unit 1 Part 2
Past Health History Last Examination
Drawing Your Family Tree
Review of Systems
Review of Systems
Physical... Dental... Vision... Hearing... Lab and diagnostic tests
Make a list of all your family members... Include grandparents,…
General overall health state... Fatigue... Weakness or Malaise... Fev…
A process of collecting subjective data... about the past and pr…
Past Health History Last Examination
Physical... Dental... Vision... Hearing... Lab and diagnostic tests
Drawing Your Family Tree
Make a list of all your family members... Include grandparents,…
Chapter 9: General Survey, Measurements, Vital Signs
what is general survey
general survey characteristics
when should you start the general surv…
Objective Data: Physical appearance
a study of the whole person
-covers general health state and any obvious physical charact…
the minute you enter the room! Think about wha leaves an imme…
-age... -sexual development (appropriate for gender/age)... -level…
what is general survey
a study of the whole person
general survey characteristics
-covers general health state and any obvious physical charact…
73 terms
General Survey and Vital Signs - Physical Diagnosis I
Universal Precautions
Components of Universal Precautions
Things to Avoid in the Clinic
Proper Waste Disposal
An approach to infection control whereby all blood, body flui…
- Handwashing... - Appropriate use of gloves... - Proper handling a…
- Do not eat, drink, smoke, apply cosmetics... - Do not store fo…
- Red biohazard bags (not for sharps; used for dirty dressing…
Universal Precautions
An approach to infection control whereby all blood, body flui…
Components of Universal Precautions
- Handwashing... - Appropriate use of gloves... - Proper handling a…
11 terms
Chapter 7 - General Survey 2
General Appearance - Description
General Appearance - Height and Weight
Vital Signs: Blood Pressure
Vital Signs: Blood Pressure - Ausculta…
State of Health (acute, chronically ill, frail), Level of Con…
Height: short or tall, build, body symmetry... Weight: emaciated…
Avoid smoking or drinking caffeine 30 mins before measurement…
Silent Interval that may be present between systolic and dias…
General Appearance - Description
State of Health (acute, chronically ill, frail), Level of Con…
General Appearance - Height and Weight
Height: short or tall, build, body symmetry... Weight: emaciated…
330 terms
Chapter 9 General Survey, Measurement, Vital Signs
GENERAL SURVEY
Components of General Survey
Physical Appearance
age
launched at moment you first encounter pt; immediate impressi…
Physical Appearance, Body Structure, Mobility, Behavior, Meas…
Age, Sex, LOC, Skin Color, Facial Features
pt appears to be his/her stated age
GENERAL SURVEY
launched at moment you first encounter pt; immediate impressi…
Components of General Survey
Physical Appearance, Body Structure, Mobility, Behavior, Meas…
14 terms
General Survey
Components of General Appearance
Height and Weight
Classifications of BMI
Caclulate BMI
LOC, Signs of Distress/Anxiety, Skin color/lesions, dress/gro…
Height: ... -No shoes... -Is stature short/tall? Build? ... -Body symm…
Underweight: <18.5... Normal: <25... Overweight: <30... Obesity I: <35…
(Weight in Lbs x 700... ----------------------------... Height in i…
Components of General Appearance
LOC, Signs of Distress/Anxiety, Skin color/lesions, dress/gro…
Height and Weight
Height: ... -No shoes... -Is stature short/tall? Build? ... -Body symm…
133 terms
gnur 238 general survey and vital signs
sequence for physical exam
when does general inspection/survey be…
physical appearance, mental status, mo…
grooming status of physical appearance…
general survey, appearance and mental status, vital signs, he…
when the patient walks into the room
general survey/inspection
hygiene, lack of concern, appearance
sequence for physical exam
general survey, appearance and mental status, vital signs, he…
when does general inspection/survey be…
when the patient walks into the room
41 terms
Jarvis General Survey, Measurement, Vital Signs
General Survey
physical appearance: age
physical appearance: sex
physical appearance: level of consciou…
physical appearance, body structure, mobility, behavior
N: appears states age... A: appears older than stated age, chron…
N: sexual development appropriate for gender and age. transge…
N: A&O x 4 (alert and oriented to person, place, time, situat…
General Survey
physical appearance, body structure, mobility, behavior
physical appearance: age
N: appears states age... A: appears older than stated age, chron…
9 terms
general survey
HIPE
Assess patients physical appearance
Assess patients body structure
assess the patients mobility
hand hygiene, identify patient, Privacy, explain
lOC, distress, SOA, pain, anxiety, General appearance, hygien…
height & weight r/t age, genetic heritage, and standard range…
posture, gait, ROM, involuntary movements
HIPE
hand hygiene, identify patient, Privacy, explain
Assess patients physical appearance
lOC, distress, SOA, pain, anxiety, General appearance, hygien…
23 terms
General survey
Begining procedure
General survey
Posture, gait, motor skills terms
Appearance, dress, grooming terms
Greet patient... Introduce yourself... Wash hands... PPE... Disrope patient
Posture, gait, motor skills... Appearance, dress, hygiene, groom…
agile, straight posture,
Cachectic/Cachexia, obese, slender, well groomed, well dressed
Begining procedure
Greet patient... Introduce yourself... Wash hands... PPE... Disrope patient
General survey
Posture, gait, motor skills... Appearance, dress, hygiene, groom…
19 terms
General Survey, Measurements, Vitals
A general survey includes what (2) ins…
physical appearance inspection includes?
body structure inspection includes?
mobility includes?
appearance... body structure
Age : person looks older than stated ... Sex: appropriate for ge…
Stature: normal, short, tall... Nutrition: obese... Symmetry : body…
How they walk (gait) : shuffling
A general survey includes what (2) ins…
appearance... body structure
physical appearance inspection includes?
Age : person looks older than stated ... Sex: appropriate for ge…
10 terms
General Survey, Measurement, and Vital Signs
General Survery
Age (Appear age), sex (appropriate for…
Stature (normal range for age), nutrit…
Gait (Foot placement and ROM), well-ba…
Study of whole person (general health state and physical char…
Physical Appearance
Body Structure
Mobility
General Survery
Study of whole person (general health state and physical char…
Age (Appear age), sex (appropriate for…
Physical Appearance
71 terms
General Survey & Vital Signs
Common Chief Concerns
Pain Types
Nociceptive Pain
Neuropathic Pain
- Fatigue... - Fever, chills, night sweats... - Weight Change... - Pain
- Nociceptive (Somatic)... - Neuropathic... - Central Sensitization…
Damage/injury to tissues other than the nervous system... - link…
Damage to the central or peripheral nervous system... - a direct…
Common Chief Concerns
- Fatigue... - Fever, chills, night sweats... - Weight Change... - Pain
Pain Types
- Nociceptive (Somatic)... - Neuropathic... - Central Sensitization…
13 terms
OMM 5-General Survey and SOAP Note
SOAP Note
SOAP Note Format
Subjective
HPI-History of Present Illness
An approach to organizing your patient encounter in written f…
Subjective History only, chief complaint, history of presen…
-What the patient tells you; the patient's story... -The history…
O-onset... L-location... D-duration... C-characteristics... A-aggravating…
SOAP Note
An approach to organizing your patient encounter in written f…
SOAP Note Format
Subjective History only, chief complaint, history of presen…
18 terms
General Survey
General Survey
WHAT IS A GENERAL SURVEY?
4 categories of assessment to the Gene…
1. Physical Appearance
-Begins upon entering room​... -See​, Hear​, Smell​... -Will Guide…
- 1st Component of Assessment - Begins at first sight... - Conti…
Physical appearance​​... Body Structure​​... Behaviour​​... Mobility
Stated age versus apparent age​​... Facial features​... LOC... ​Skin p…
General Survey
-Begins upon entering room​... -See​, Hear​, Smell​... -Will Guide…
WHAT IS A GENERAL SURVEY?
- 1st Component of Assessment - Begins at first sight... - Conti…
90 terms
jarvis CH 9 General Survey, measurement and Vital signs
general survey
physical appearance
body structure
mobility
a survey taken of the whole person, covering the general heal…
includes everything you notice about a person, including degr…
addresses stature, nutrition, symmetry, posture, position, an…
state of having normal movement of all body parts
general survey
a survey taken of the whole person, covering the general heal…
physical appearance
includes everything you notice about a person, including degr…
119 terms
General Survey and Vital Signs Lecture
Constitutional ROS and general survey…
Components of Constitutional ROS
How can you tell the patient has chang…
What should you think if you see pitti…
FALSE. ... Constitutional ROS= patient hx= subjective/symptom ba…
weight change (fluid vs. tissue)... F/C (fever, chills) night sw…
how do clothes fit
fluid retention... ex. nephrotic syndrome
Constitutional ROS and general survey…
FALSE. ... Constitutional ROS= patient hx= subjective/symptom ba…
Components of Constitutional ROS
weight change (fluid vs. tissue)... F/C (fever, chills) night sw…
Measuring Vital Signs, Weight and height (Chapter 9)
Vital Signs
Fever
hypothermia
Stethoscope
measurements of physiological functioning that can tell us ab…
increased body temperature that occurs in response to infecti…
A condition in which the internal body temperature falls belo…
a medical instrument for listening to the sounds generated in…
Vital Signs
measurements of physiological functioning that can tell us ab…
Fever
increased body temperature that occurs in response to infecti…
48 terms
Health Assessment- Chapters 4 (General survey, measurement, vital signs and Pain assessment)
General Survey
4 parts of General Survey
Physical Appearance
Body structure
overall impression of the patient and begins when you first e…
physical appearance, body structure, mobility, and behavior
assessment of the person's age, sex, level of consciousness,…
stature, nutrition, symmetry, posture, position, and body bui…
General Survey
overall impression of the patient and begins when you first e…
4 parts of General Survey
physical appearance, body structure, mobility, and behavior
57 terms
(Jarvis) Chapter 9: General Survey, Measurement, Vital Signs
Explain the contribution of a general…
General Survey
physical appearance: age
physical appearance: sex
...
physical appearance, body structure, mobility, behavior
N: appears states age... A: appears older than stated age, chron…
N: sexual development appropriate for gender and age. transge…
Explain the contribution of a general…
...
General Survey
physical appearance, body structure, mobility, behavior
41 terms
Jarvis General Survey, Measurement, Vital Signs
General Survey
physical appearance: age
physical appearance: sex
physical appearance: level of consciou…
physical appearance, body structure, mobility, behavior
N: appears states age... A: appears older than stated age, chron…
N: sexual development appropriate for gender and age. transge…
N: A&O x 4 (alert and oriented to person, place, time, situat…
General Survey
physical appearance, body structure, mobility, behavior
physical appearance: age
N: appears states age... A: appears older than stated age, chron…
33 terms
NUR 307 Chapter 10 General Survey
General Survey
Components of General Survey
Measuring Height
Measuring Weight
Begins during interview phase of comprehensive health assessm…
★Physical appearance: note any unexpected factors... ★Mental Sta…
Use measuring stick attached to scale or wall. Patient look s…
Standard platform scale or digital scale is used to measure w…
General Survey
Begins during interview phase of comprehensive health assessm…
Components of General Survey
★Physical appearance: note any unexpected factors... ★Mental Sta…
10 terms
General Survey - Chapter 9
The general survey should give an over…
Launch a general survey at the moment…
When doing a general survey what are t…
Physical Appearance
Impression, a "gestalt" of the person.
-Figure out what leads an immediate impression
1.Physical apperance ... 2. Body structure ... 3. Mobility ... 4. Beha…
1. Age ... 2. Sex... 3. Level of consciousness (alert/oriented)... 4.…
The general survey should give an over…
Impression, a "gestalt" of the person.
Launch a general survey at the moment…
-Figure out what leads an immediate impression
46 terms
Health Assessment Chapter 7 General Survey
General survey
4 components of general survey
Measuring an infants length
Vital signs
begins during interview phase of a comprehensive health asses…
physical appearance... mental status... mobility... behavior of the cl…
supine position on examining table with ruler, headboard and…
Temperature... pulse... respiratory rate... blood pressure... pain
General survey
begins during interview phase of a comprehensive health asses…
4 components of general survey
physical appearance... mental status... mobility... behavior of the cl…
11 terms
NURS 251: General Survey
Elements of Physical Examination
Approach to physical assessment
general survey objectives
General survey: Physical appearance
-general survey... -vital sign measurement ... -height and weight m…
-introduce self... -ensure your grooming, dress, and behavior re…
-identify parameters of the general survey ... -perform a genera…
-age... -gender... -LOC (level of consciousness) ... -skin color... -faci…
Elements of Physical Examination
-general survey... -vital sign measurement ... -height and weight m…
Approach to physical assessment
-introduce self... -ensure your grooming, dress, and behavior re…
105 terms
General Survey and Vital Signs Assessment
Acute Assessment
Indicator of Acute Situation
Indicator of Acute Situation
Indicator of Acute Situation
Acute situation
Extreme anxiety
Acute distress
Pallor-indicative of incorrect blood flow
Acute Assessment
Acute situation
Indicator of Acute Situation
Extreme anxiety
26 terms
General Survey Ch 7 Health and assessment
The General Survey
Components of the General Survey
Physical appearance (general survey)
Body Structure (General Survey)
Begins while interviewing the patient.... Observations while col…
Physical Appearance... Mental Status... Behavior... Mobility... Age relat…
Physical appearance... Age... Gender... Level of consciousness... Skin co…
Stature... Nutrition (undernourished?)... Symmetry... Posture... Position…
The General Survey
Begins while interviewing the patient.... Observations while col…
Components of the General Survey
Physical Appearance... Mental Status... Behavior... Mobility... Age relat…
41 terms
(Jarvis) Chapter 9: General Survey, Measurement, Vital Signs
General Survey
physical appearance: age
physical appearance: sex
physical appearance: level of consciou…
physical appearance, body structure, mobility, behavior
N: appears states age... A: appears older than stated age, chron…
N: sexual development appropriate for gender and age. transge…
N: A&O x 4 (alert and oriented to person, place, time, situat…
General Survey
physical appearance, body structure, mobility, behavior
physical appearance: age
N: appears states age... A: appears older than stated age, chron…
9 terms
Ch 9 - General Survey, Vitals
Marfan syndrome
Hypopituitary dwarfism
Acromegaly
Cushing syndrome
tall, thin stature with a narrow face, long, thin fingers and…
infantile facial features, chubbiness (due to undersecretion…
large head, frontal bossing, enlarged heart ... Enlargement of f…
Round, moonlike face, thin arms and legs (due to excess produ…
Marfan syndrome
tall, thin stature with a narrow face, long, thin fingers and…
Hypopituitary dwarfism
infantile facial features, chubbiness (due to undersecretion…
92 terms
Health Assessment: Chapter 9, General Survey, Measurement, Vital Signs
GENERAL SURVEY
Components of General Survey
Physical Appearance
age
launched at moment you first encounter pt; immediate impressi…
Physical Appearance, Body Structure, Mobility, Behavior, Meas…
Age, Sex, LOC, Skin Color, Facial Features
pt appears to be his/her stated age
GENERAL SURVEY
launched at moment you first encounter pt; immediate impressi…
Components of General Survey
Physical Appearance, Body Structure, Mobility, Behavior, Meas…
92 terms
Jarvis Chapter 9: General Survey, Measurement, Vital Signs
GENERAL SURVEY
Components of General Survey
Physical Appearance
age
launched at moment you first encounter pt; immediate impressi…
Physical Appearance, Body Structure, Mobility, Behavior, Meas…
Age, Sex, LOC, Skin Color, Facial Features
pt appears to be his/her stated age
GENERAL SURVEY
launched at moment you first encounter pt; immediate impressi…
Components of General Survey
Physical Appearance, Body Structure, Mobility, Behavior, Meas…
20 terms
Page 378-380- General Survey
Appearance and behavior
Body Type and Posture
Speech
Dress, Grooming, Hygeine
- speech ... - mood... - distress... - facial expressions... - facial smm…
- body size... - gait... - strength ... - mobility
- vocab ... - lang barrier ... - educational level ... - hoarseness
personal hygeine
Appearance and behavior
- speech ... - mood... - distress... - facial expressions... - facial smm…
Body Type and Posture
- body size... - gait... - strength ... - mobility
85 terms
GENERAL SURVEY, MEASUREMENT AND VITAL SIGNS
General approach
general survey
physical appearance
body structure
-measure height, weight, B/P, and TPR ... -provide an exam gown;…
-physical appearance ... -body structure... -mobility... -mental statu…
-age: appears age stated ... -sex: development appropriate for a…
-stature: height within standards... -nutrition: all nourished,…
General approach
-measure height, weight, B/P, and TPR ... -provide an exam gown;…
general survey
-physical appearance ... -body structure... -mobility... -mental statu…
98 terms
HHA: General Survey and Vital Signs
General Survey
Physical Appearance/hygiene
general appearance
age
-begins when first meet client (when you first set eyes on pa…
-general appearance... -age... -skin... -hygiene... -stature... -nutritional…
healthy, obvious conditions
close to stated age
General Survey
-begins when first meet client (when you first set eyes on pa…
Physical Appearance/hygiene
-general appearance... -age... -skin... -hygiene... -stature... -nutritional…
12 terms
General Survey
H
I
P
E
Hand hygiene and PPE if needed
Identify yourself and the pt
Provide privacy
Explain what you'll be doing and ask if it's okay
H
Hand hygiene and PPE if needed
I
Identify yourself and the pt
38 terms
General Survey (appearance/impression)
Health History
Types of Health History
What does Health History include?
General survey
-Subjective... interview... -Objective... Physical exam... Past & presen…
1) Emergency... -Only health history pertaining to the event... -Pa…
-Demographic data... -Chief concern... -Present illness (if any)... -M…
-Looks good vs looks bad... -Fever, chills, diaphoresis, flushed…
Health History
-Subjective... interview... -Objective... Physical exam... Past & presen…
Types of Health History
1) Emergency... -Only health history pertaining to the event... -Pa…
82 terms
PD General Survey and Vitals
Common concering symptoms
Clinical significant weight loss
The physical examination
The general survey
- Changes in weight, fatigue and weakness, fevers chills and…
Defined as >/= 5% usual weight in 6 months
what is recorded here is what is seen not what is said
Reflects pt overall appearance- State of heath, demeanor, pos…
Common concering symptoms
- Changes in weight, fatigue and weakness, fevers chills and…
Clinical significant weight loss
Defined as >/= 5% usual weight in 6 months
43 terms
General Survey, Measurement, Vital Signs
general approach
general survey
physical appearance
body structure
• Measure height, weight, B/P, & TPR ... • Provide an exam gown;…
physical appearance, body structure, mobility, mental status…
• Age (appears stated age)... • Sex (development appropriate fo…
• Stature (height within standards)... • Nutrition (well nouris…
general approach
• Measure height, weight, B/P, & TPR ... • Provide an exam gown;…
general survey
physical appearance, body structure, mobility, mental status…
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