NURS 251 Exam 1 Questions and Correct
Answers | Latest Update
6 phases of nursing process
1. assessment
2. diagnosis
3. outcome identification
3. planning
5. implementation
6. evaluation
Assessment
the first and ongoing essential step requiring the nurse to collect and
analyze information about the whole individual
subjective data
what patients says about themself during health history taking
objective data
what you as the health professional observe by inspecting, percussing,
palpating, and auscultating during the physical examination
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First level priority problems
Emergent, life threatening, and immediate (airway)
Second level priority problems
next in urgency, requiring attention so as to avoid further deterioration
Third level priority problems
important to patients health but can be addresses after more urgent
problems are addressed
collaborative problems
approach to treatment involves multiple discip lines
PQRST
provocative/palliative, quality, region/radiation, severity, timing
health history components
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biographic data, PQRST (history of present illness), reason for seeking
care, past medical history, family history, review of systems, functional
assessment
family history genome
presents 3 generations gathering more health information
review of systems with health promotion activties
evaluate past and present health, do not record physical data, avoid
writing "negative" instead write "denies", "absent", or "present"
funtional assessment
self-esteem, nutrition, rest, coping/stress management
FICA
faith, importance, community, address in care
PPE
personal protective equipment
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Inspection
looking at and examining physical aspects of body, posture, appearance,
behavior, senses
palpation
- using backs of hands to touch and feel surface characteristics and temp
- wear gloves with open wounds, areas or internal structures
light palpation
surface deep
deep palpation
organs, masses, tenderness
percussion
- tapping on different areas of the body to asses underlying structures
- different tones elicited depending on tissue type
- direct vs. indirect
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