nursing proess - (ANSWER)ADPIE
assessment
diagnose
planning
intervention
evluations
who does the physical exam - (ANSWER)RN APRN(advanced practice nurse)
Physicians assistant
Physician
QSEN - (ANSWER)Quality and safety education for nurses -addressing the preparing of future nurses
with knowledge skills and attitudes
treat the PT like that they matter
nurses with competence
keep PT updated
care process that is efficient (don't waste PT time)
simple health care plans
objective data - (ANSWER)the data you see hear feel touch observed (skin turgor tenting)
subjective data - (ANSWER)info given by the pt (I'm feeling dizzy)
How would you ID PT? - (ANSWER)Two identifiers name and date of birth (can you state you name a
bitday )
secondary data - (ANSWER)data from the family friends other source
comprehensive exam - (ANSWER)Head to toe exam
,NURA 1100 EXAM 1 Health Assessment & Physical Exam Questions With Complete Solutions
General assessment - (ANSWER)Wt, HT, build BMI BP stated age and apparent age, temp, respiratory
rate, pulse, emotional speech emotional state posture allergies CC past medical history surgical history
family medical history-social history (drinking smoking how much? meds) ADLs religion RX OCT (OVER
THE COUNTER)
Where is the assessment done - (ANSWER)In a privet room quiet environment horizontal interaction
(eye level)
Pt is noramlly laying down and may move to disired postion to do assesssment
Why do you assess a PT - (ANSWER)establish a plan of care
data collection
shift report
data collection
to have good baseline data ( need to know if something is different )
when do PT assessment occur - (ANSWER)new job
admission to hospital
birth ( apgar scale)
annual check up (age-related labs)
emergency
new born health assessment - (ANSWER)apgar scale -scor 0-2
activity
pulse
reflex
skin color
respiration
(reassess at five minutes)
, NURA 1100 EXAM 1 Health Assessment & Physical Exam Questions With Complete Solutions
how do you assess Pt - (ANSWER)nurse preparation
solor- sit open posture, relaxed lean forward good eye conact
collection objective- data smell hear look
what if the PT cant speak our Language - (ANSWER)Get an interpreter do not use family members or
children
SOLER - (ANSWER)Sitting
Open
Learning
Eye contact
Relaxed
open ended question - (ANSWER)give the Pt chances to tell you something
Ex what brought you to the hospital today?
close ended question - (ANSWER)one word answer
yes no ...... get focused information
dont offer false reassurance - (ANSWER)only facts , comfort
Assessing children - (ANSWER)play
talk to parent
call child by name
get all or part of histories on baby and kids
Mental status assessment - (ANSWER)folstein mini metal status