What is step 1 of the n`ursing process?
o Developing a Spirit of Inquiry
Name the three elements of EBP.
o Evidence from the literature. Patient preference. Clinical expertise.
What does PICOT stand for?
o Population
Intervention
Comparison
Outcome
Timing
What are the three types of nursing diagnoses?
o Actual
Risk
Wellness
What is the difference between subjective data and objective data?
o Subjective data are symptoms that the patient describes to the nurse.
o Objective data is information the nurse gathers during the assessment
What are the steps of the nursing process?
o Assessment
Diagnosis
Outcome Identification
Planning
Implementation
Evaluation
What are the components of the mental status exam?
o Appearance
Behavior
Cognition
Thought Process
What is another term for receptive aphasia?
o Wernicke’s aphasia
What are four of the most common assessments for substance abuse?
o AUDIT
CAGE
TWEAK
SMAST-G
What is the legal intoxication level?
o BAC 0.08%
What is moderate drinking for women?
o </= 1 drink per day
What blood test will be elevated by drinking 4+ drinks for 4-8 weeks
o GGT
What are the layers of the skin?
o Epidermis, Dermis, Subcutaneous
What is another term for dry skin?
o Xerosis
What is the normal nail profile?
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, NUR 2100 – SI – Fall 2019 Review for Final Exam – ANSWER KEY
o < 160°
What does ABCDE stand for in skin assessment?
o Asymmetry
Border irregularity
Color variation
Diameter >6mm
Elevation
What is accommodation?
o Eye convergence on object with pupillary constriction when near, and pupillary dilation
when distant.
What vision do you lose with macular degeneration?
o Central vision
What cranial nerve is responsible for you being able to look at your own nose?
o IV Trochlear
Which type of hearing loss is least likely to be improved with hearing aids?
o Sensorineural
What are first level priorities?
o Airway, breathing, cardiac, vital signs
What is a nosocomial infection?
o Now called hospital acquired infection
What is Accountability?
o competence
What is Integrity?
o accountable for actions
What is Social Justice?
o Help for all not a few
What is Acculturation?
o process of adaption to the new culture
What is Assimilation?
o becoming a member of dominant culture
What is normal temperature range?
o 96.4-99.1 F
What is normal BP range?
o <120/80
What is normal O2 range?
o 97-100
What is normal HR range?
o 60-100 BPM
What is normal RR range?
o 10-20 breaths per minute
Glaucoma is an increase in what?
o Intraocular pressure
Describe what vision of 20/40 means?
o “You can see at 20 feet what a person with ‘normal vision’ can see at 40 feet”
What does PERRLA stand for? What are you testing?
o Pupils, equal, round & reactive to light and accommodation, direct and consensual light
reflex
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