NUR 101 Exam 1
Handwashing - ✔✔✔Simplest, easiest, cheapest way to prevent spread of disease
Correct hand washing should occur when: - ✔✔✔1. before/after doing a procedure that involves direct
or indirect client contact
2. after contact with wastes
3. after handling food or receptacles
4. between clients
5. after removing gloves
IPPA - ✔✔✔Inspection
Palpation
Percussion
Auscultation
When performing an abdominal exam, is IPPA appropriate? If not, what it? - ✔✔✔No.
IAPP
Inspection, Auscultation, Palpation, Percussion
Inspection - ✔✔✔Use of senses of vision, smell and hearing.
To observe and detect normal and abnormal findings.
Palpation - ✔✔✔Using parts of the hand to touch & feel:
, Texture, Temperature, Moisture, Mobility, Consistency, Strength of pulses, Size, Shape, Pain or
Tenderness
Percussion - ✔✔✔Tapping body parts to produce sound, waves/vibrations to assess underlying
structures.
To know: Location, Size, Shape, Density, Masses, Reflexes
Auscultation - ✔✔✔Use of stethoscope to listen for sounds:
Heart, Lungs, Abdomen, Blood Vessels
Lydia Hall - ✔✔✔1950s: Developed the nursing process (APIE)
What is the Nursing Process - ✔✔✔ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
NANDA - ✔✔✔Developed in 1973 by North American Nursing Diagnosis Association (NANDA)
Nursing Diagnosis - ✔✔✔Used to:
Diagnose and treat human responses to actual or potential health problems.
Handwashing - ✔✔✔Simplest, easiest, cheapest way to prevent spread of disease
Correct hand washing should occur when: - ✔✔✔1. before/after doing a procedure that involves direct
or indirect client contact
2. after contact with wastes
3. after handling food or receptacles
4. between clients
5. after removing gloves
IPPA - ✔✔✔Inspection
Palpation
Percussion
Auscultation
When performing an abdominal exam, is IPPA appropriate? If not, what it? - ✔✔✔No.
IAPP
Inspection, Auscultation, Palpation, Percussion
Inspection - ✔✔✔Use of senses of vision, smell and hearing.
To observe and detect normal and abnormal findings.
Palpation - ✔✔✔Using parts of the hand to touch & feel:
, Texture, Temperature, Moisture, Mobility, Consistency, Strength of pulses, Size, Shape, Pain or
Tenderness
Percussion - ✔✔✔Tapping body parts to produce sound, waves/vibrations to assess underlying
structures.
To know: Location, Size, Shape, Density, Masses, Reflexes
Auscultation - ✔✔✔Use of stethoscope to listen for sounds:
Heart, Lungs, Abdomen, Blood Vessels
Lydia Hall - ✔✔✔1950s: Developed the nursing process (APIE)
What is the Nursing Process - ✔✔✔ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
NANDA - ✔✔✔Developed in 1973 by North American Nursing Diagnosis Association (NANDA)
Nursing Diagnosis - ✔✔✔Used to:
Diagnose and treat human responses to actual or potential health problems.
