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    Blank Basic Nursing Physical Assessment

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    AmeliaM
    This document contains a basic nursing physical assessment form for a student to complete on a client. It includes sections to record vital signs, integumentary, neurological, EENT, respiratory, cardiovascular, genitourinary, gastrointestinal, musculoskeletal, and intake/output information. The form is used to systematically assess and document the client's physical status.

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    Blank Basic Nursing Physical Assessment

    Uploaded by

    AmeliaM
    9K views1 page
    This document contains a basic nursing physical assessment form for a student to complete on a client. It includes sections to record vital signs, integumentary, neurological, EENT, respiratory, cardiovascular, genitourinary, gastrointestinal, musculoskeletal, and intake/output information. The form is used to systematically assess and document the client's physical status.

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    This document contains a basic nursing physical assessment form for a student to complete on a client. It includes sections to record vital signs, integumentary, neurological, EENT, respiratory, cardiovascular, genitourinary, gastrointestinal, musculoskeletal, and intake/output information. The form is used to systematically assess and document the client's physical status.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    9K views1 page

    Blank Basic Nursing Physical Assessment

    Uploaded by

    AmeliaM
    This document contains a basic nursing physical assessment form for a student to complete on a client. It includes sections to record vital signs, integumentary, neurological, EENT, respiratory, cardiovascular, genitourinary, gastrointestinal, musculoskeletal, and intake/output information. The form is used to systematically assess and document the client's physical status.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    of 1

    Basic Nursing Physical Assessment

    Norwalk Community College NU 120

    Student________________________ Client initials____

    Vital Signs: Temp. ________ Pulse _______ Res._________ BP __________


    Pain scale ___________ Location ____________________ Type ___________________
    Comments:

    Integumentary: Color _______ Temp. ________ Turgor _______Intact: Yes No (explain)


    Comments:

    Neurological:
    Level of consciousness ____________
    Orientation _____________________
    Pupils react to light _______________
    Movement of extremities: Equal Not Equal
    Strength of hand grasp: Equal Not Equal
    Comments:

    EENT: Mucous membranes ____________________


    Presence of drainage ____________________
    Comments:

    Respiratory:Lung Sounds _____________


    Respiratory Rate: ___________ Rhythm: ____________
    Pulse oximetry: ___________O2 ________ Delivery system _______________
    Comments:

    Cardiovascular: Apical Rate: _____________Rhythm: ______________


    Peripheral Pulses: Pedal – Present Absent
    Popliteal – Present Absent
    Capillary refill - ___________ seconds
    Comments:

    Genito-urinary: Difficulty voiding _______________ Type of IV solution:


    Urinary incontinence_____________ Rate ordered (ml/hr):
    Urinary catheter ________________ Drip rate (gtt/min):
    Output (describe) ________________
    Comments: Amount in bag on arrival:
    Appearance of IV site:
    Gastrointestinal: Bowel sounds _____________
    Appearance of abdomen _____________
    Bowel movement (describe) ______________
    Bowel incontinence ______________
    Comments:

    Musculoskeletal: Mobility _______________


    Coordination: Gait __________
    ROM ____________
    Comments:

    Intake: Oral ______________ Parenteral _________________ Appetite (%) ______________


    Output: Other than urine (specify) ___________________

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