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General Survey in Nursing Assessment

This document provides guidelines for conducting a general survey of a client. The purpose is to obtain baseline data on their functional abilities, assess general health status, and identify nursing diagnoses to plan care. The survey involves examining physical appearance, body structure, mobility, behavior, taking measurements like weight and height, and vital signs. Explaining the procedure to the client and ensuring privacy are important to build rapport and protect dignity.

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456 views3 pages

General Survey in Nursing Assessment

This document provides guidelines for conducting a general survey of a client. The purpose is to obtain baseline data on their functional abilities, assess general health status, and identify nursing diagnoses to plan care. The survey involves examining physical appearance, body structure, mobility, behavior, taking measurements like weight and height, and vital signs. Explaining the procedure to the client and ensuring privacy are important to build rapport and protect dignity.

Uploaded by

wmaximoff426
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • General Survey

GENERAL SURVEY

Definition:

Purpose:
-To obtain baseline data of the client’s functional abilities
-To assess the general health status of the client
-To obtain data that will enable the nurse to establish nursing diagnoses and plan client care
Equipment:
Weighing Scale, Height Chart, Pen Light, Neurologic Hammer / Reflex Hammer

PROCEDURE RATIONALE

Preliminaries
1. Explain to the client what you are going to do. To build rapport and for the patient to cooperate
Why it is necessary, and how he can cooperate with the procedure.

2. Assemble necessary equipment and supplies

3. Wash hands and observe appropriate infection To prevent the spread of microorganism.
control procedures.

4. Provide for client privacy. provide privacy to clients by keeping the


windows close or the door closed, to protect the
client's dignity and have the client’s safe
environment.

Physical Appearance
1. The person appears his or her stated age.
2. Sexual development is appropriate for sex and
age.
3. Level of consciousness

4. Skin color
5. Facial features

Body Structure
1. Stature
2. Nutrition
3. Symmetry
4. Posture
5. Position
6. Body build, contour
Mobility
1. Gait
2. Range of motion
Behavior
1. Facial expression
2. Mood and affect
3. Speech/Speech pattern
4. Clothing/Personal Hygiene
Measurement
1. Weight
2. Height
3. Body Mass Index
4. Waist Circumference
Vital Signs
Documentation

Clinical Instructor Student’s Signature

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