University:
West Coast University
Course:
NURS 100 | Fundamentals of Nursing
Academic year:

2021
Views:

145

Pages:

3
Author:

Ryann Brock

PHYSICAL EXAMINATION Vital Signs: Temperature: 97.6°F Blood Pressure: 110/70 mmHg Heart Rate: 120 bpm Respiration: 38 breaths/min SPO2: 91% General Appearance: Body Build: Well-nourished Weight: 73 kg Height: 60" Health Status: Unhealthy Activity: Good Mental Status: Consciousness: Conscious Look: Normal Body Curvet: Normal Movements: Normal Integumentary System: Skin Color: Yellow, Pink Texture: Normal Lesions: Normal Turges: Normal Temperature: Cold (Normal) Head: Shape of skull: Normal Hair distribution: No dandruff Color of hair: Black & white Scalp: Normal Eye: Eye brows: No inflammation, normal Eye lashes: Normal Eye lids: Normal Eye balls: Normal Conjunctiva: White in color Pupil reaction: Proper reaction to light Vision: Proper reaction Ear: External Ear: Normal Tympanic membrane: Normal Hearing: Normal Nose: External nose: Normal Nostrils: Normal Mouth & Pharynx: Odor of mouth: Normal, cylindrical Teeth: Normal, clean Gums: Normal Tongue: Normal Abdomen: Observation: Swelling Palpation: Distension Auscultation: Sluggish bowel sound Percussion: Abnormal, fluid & gases are present Supine Neck: Extremities: Normal Upper extremities: Normal Lower extremities: Normal Chest: Inspection: Inspiration & expiration Palpation: Each breath normal Percussion: Sound like drum Auscultation: To check pitch sound, normal. Genitalia & Rectum: Normal No any perineal disease