AND CORRECT ANSWERS.
Nurse's role in health assessment - Answer 1. promote health
2. prevent illness
3. treat human responses to health or illness
4. advocate for individuals, families, communities, and populations.
OLDCARTS - Answer onset
location
duration
characteristics
aggravating/alleviating factors
relieving factors
timing severity
prevention techniques - Answer primary prevention: preventing problems, educating
secondary: early diagnosis, screenings
tertiary: focuses on preventing further complications
Documentation techniques - Answer subjective: what the patient says
objective: part of the physical exam, what you observe
Vitals - Answer Temperature: 96.4-99.1
pulse: 60-100 bpm
respiration: 12-20 bpm
blood pressure: 110-139/60-79
pain (5th vital)
what causes a false-high BP reading - Answer legs crossed
arm below heart
narrow cuff too small
wrapping cuff too loosely
what causes a false lo reading? - Answer too wide cuff
, not inflated enough
deflate too rapidly
arm above the heart
types of pain - Answer acute: lasts less than 6 months, caused by tissue damage
chronic: lasts more than 6 months
nociceptive: damage to somatic structures
neuropathic: result of abnormal processing of sensory input
referred: pain felt in a location away from injury
phantom: felt in an amputated extremity
pain threshold: point at which stimulus is perceived as pain
pain tolerance: the duration or intensity of pain
Standard Precautions - Answer Mask, eye protection, face shield
Gown
Patient care equipment
Environmental control
Linen
Occupational health and bloodborne pathogens
Patient placement
hand hygiene
subjective data is referred to as a - Answer symptom
objective data is referred to as a - Answer sign
name the steps of the nursing process - Answer Assessment
diagnose
planning
implement
evaluation
phases of an interview? - Answer 1. pre-interaction phase: look @ record before
2. beginning: introduce yourself
3. working phase: collecting data, actual interview