Head-to-Toe Assessment in an Outpatient Setting
What should a nurse inspect when performing a general survey of a client during a head-to-toe assessment in an outpatient setting?
A. Hormonal status
B. Posture
C. Range of motion
D. General appearance
Answer:
The correct answers are B. Posture and D. General appearance.
When performing a head-to-toe assessment on a client in an outpatient setting, a nurse should inspect the client's physical appearance, vital signs, and body measurements.
When performing a general survey of a client during a head-to-toe assessment in an outpatient setting, a nurse should inspect several aspects:
Physical appearance:
Assess the client's overall appearance, posture, hygiene, and any visible abnormalities or distress.
Vital signs:
Measure the client's temperature, heart rate, blood pressure, and respiratory rate.
Body measurements:
Observe the client's height, weight, and body mass index (BMI) to assess for any changes or potential health risks.