NURSING HEALTH ASSESSMENT EXAM 1
1. Baseline
Answer First set of data we collect abt pt
2. Trend
Answer Are they stable, getting better, or getting worse?
3. Subjective data
Answer information the pt tells you (History/Pt Interview)
4. Objective data
Answer information you observe (Physical exam)
5. Sign
Answer Objective Data
6. Symptom
Answer Subjective Data
7. Vital Signs
Temperature
Answer 96.8F-100.4F (36C-38C)
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, NURSING HEALTH ASSESSMENT EXAM 1
8. Vital Signs
Pulse
Answer 60-100bmp
9. Vital Signs
Respirations
Answer 12-20
10. Vital Signs
O2 Sat
Answer 95-100%
11. Vital Signs
Blood Pressure
Answer 90-120 over 60-80 mmHg
12. Vital Signs
BMI
Answer 18.5-24.9
13. Components of Health History (6)
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, NURSING HEALTH ASSESSMENT EXAM 1
Answer 1. Chief Complaint (CC)
2. History of Present Illness (HPI)
3. Past Medical History (PMH)
4. Family History (Family Hx)
5. Social History (Social Hx)
6. Review of Systems (ROS)
14. How to analyze History of Present Illness (HPI)
Answer (OLD CART) Onset - abrupt/insidious
Location - does it radiate? Duration -
constant/intermittent Characteristics
Aggravating/Associated factors
Relieving factors
Treatment
15. Priorities
Answer 1st
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1. Baseline
Answer First set of data we collect abt pt
2. Trend
Answer Are they stable, getting better, or getting worse?
3. Subjective data
Answer information the pt tells you (History/Pt Interview)
4. Objective data
Answer information you observe (Physical exam)
5. Sign
Answer Objective Data
6. Symptom
Answer Subjective Data
7. Vital Signs
Temperature
Answer 96.8F-100.4F (36C-38C)
1/
18
, NURSING HEALTH ASSESSMENT EXAM 1
8. Vital Signs
Pulse
Answer 60-100bmp
9. Vital Signs
Respirations
Answer 12-20
10. Vital Signs
O2 Sat
Answer 95-100%
11. Vital Signs
Blood Pressure
Answer 90-120 over 60-80 mmHg
12. Vital Signs
BMI
Answer 18.5-24.9
13. Components of Health History (6)
2/
18
, NURSING HEALTH ASSESSMENT EXAM 1
Answer 1. Chief Complaint (CC)
2. History of Present Illness (HPI)
3. Past Medical History (PMH)
4. Family History (Family Hx)
5. Social History (Social Hx)
6. Review of Systems (ROS)
14. How to analyze History of Present Illness (HPI)
Answer (OLD CART) Onset - abrupt/insidious
Location - does it radiate? Duration -
constant/intermittent Characteristics
Aggravating/Associated factors
Relieving factors
Treatment
15. Priorities
Answer 1st
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18
