Head to Toe

Question 1

Head Assessment

Answer 1

• Pain/discomfort
• Dizziness/lightheadedness
• Presyncope
• Facial Droop
• Slurred speech

Question 2

Neck Assessment

Answer 2

• Pain or discomfort
• Difficulties swallowing
• Suprasternal retractions
• Trachea positioning
• JVD
• Stridor

Question 3

Chest Assessment

Answer 3

• Pain or discomfort
• Shortness of breathe
• Accessory muscle use
• LUNGS SOUNDS
• MEDICAL PATCHES REMOVED
• Pacemaker scar

Question 4

Abdomen Assessment

Answer 4

• Pain or discomfort
• NEEDLE MARKS
• Nausea/vomiting
• Pulsating mass (no palpitation)

Question 5

Pelvis Assessment

Answer 5

• Pain or discomfort
• Last bowel movement
• Urinary pattern questions
• Polyuria, Hematuria, Dysuria, foul smelling

Question 6

Extremity Assessment

Answer 6

• Pain or discomfort
• Numbness/tingling
• Edema
• CIRCULATORY MOTOR SENSORY EVALUATION (CMS)
• Needle marks
• Wounds