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Chapter-01 Health Assessment

BOOK TITLE: Clinical Nursing Procedures: The Art of Nursing Practice
  1. Jacob Annamma
  2. R Rekha
  3. Tarachand Jadhav Sonali
ISBN 9789351525332
DOI 10.5005/jp/books/12418_2
Edition 3/e
Publishing Year 2015
Pages 56
Author Affiliations
  1. Professor, Bhagwan Mahaveer Jain College of Nursing, Bengaluru, Karnataka, India
  2. Registered Nurse, Medical-Surgical Department, Florida Medical Center, Fort Lauderdale, Florida, USA
  3. Professor, MS Ramaiah Institute of Nursing Education and Research, Bengaluru, Karnataka, India
Chapter Keywords Vital signs, Routine test, Sample collection, Body fluids, Temporal pulse, Carotid pulse, Apical pulse, Brachial pulse, Femoral pulse, Sphygmomanometer, Auscultation, Acid-base balance, Urinometer, Creatinine, Culture examination, Anaerobic organism, Triglycerides, Prothrombin time
This chapter contains twenty six basic nursing procedures which are checking of vital signs, collecting and/or testing of samples of body fluids, secretions and discharges and self-examination of body organs that aid in early identification of disease conditions. Procedures of vital signs checking include body temperature, pulse rate, respiration rate and blood pressure. Routine urine examination is done to detect the presence of abnormalities such as red blood cells, white blood cells, casts, glucose and albumin as well as measuring pH and specific gravity. Specific gravity of urine is measured to determine the level of concentration. Culture examination of urine is done to detect the presence of pathogenic microorganisms and to determine the antibiotic sensitivity of the pathogens. Throat swab testing refers to collection of the exudates from throat or tonsils for culture examination in the laboratory. Peripheral smear test of blood is done to detect malarial parasites and blood cell abnormalities. Respiratory pathogens are identified by testing the coughed out sputum. Papanicolau smear test is a cytological examination of desquamated epithelial cells to detect cervical and vaginal carcinoma. Breast self examination is a technique which women use to assess their own breasts to detect breast carcinomas at the earliest.