NUR 216 Exam 1 WITH CORRECT ANSWERS

NUR 216 Exam 1 WITH CORRECT
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ANSWERS
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comprehensive assessment - CORRECT ANSWERS ✔✔An |/ |/ |/ |/ |/


assessment that includes a complete health history and physical
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assessment; Usually brand new patients
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focused assessment - CORRECT ANSWERS ✔✔assessment
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conducted to assess a specific problem; focuses on pertinent
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history and body regions
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HIPAA - CORRECT ANSWERS ✔✔Health Insurance Portability and
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Accountability Act
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The nursing process - CORRECT ANSWERS ✔✔Assessment
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Diagnosis |/




Planning
Implementation
Evaluation


Assessment (ADPIE) - CORRECT ANSWERS ✔✔Data collection
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(objective/subjective)
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Prioritize Data: Primary (life threatening), Secondary (requires
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prompt attention), Tertiary (not urgent)
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,Planning (ADPIE) - CORRECT ANSWERS ✔✔Develop SMART goals,
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plan nursing interventions
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Implementation (ADPIE) - CORRECT ANSWERS ✔✔Perform |/ |/ |/ |/ |/


planned nursing interventions
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Evaluation (ADPIE) - CORRECT ANSWERS ✔✔Were the goals met?
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If not, re-assess
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assessment skills - CORRECT ANSWERS ✔✔Inspection|/ |/ |/ |/ |/




Palpation
Percussion |/




Auscultation


(Bowels: Inspection, Auscultation, Percussion. Auscultation) Do
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not want to alter the bowel sounds
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Inspection - CORRECT ANSWERS ✔✔Observe for Symmetry, size,
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color, shape
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Direct: Visualize with our eyes
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Indirect: Use and instrument |/ |/ |/




Fingertips/pads: Palpation - CORRECT ANSWERS ✔✔Fine sensation
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(texture, swelling, pulsation. lumps)
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, Dorsa of hands: Palpation - CORRECT ANSWERS ✔✔Best for
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determining temperature
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Base of fingers or ulnar surface: - CORRECT ANSWERS
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✔✔vibrations
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Palpation - CORRECT ANSWERS ✔✔Light: surface characteristics
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Deep: Organs, masses, tenderness (use intermittent pressure)
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Ballpottement: Size/Shape of free floating objects |/ |/ |/ |/ |/




- Always palpate tender areas last
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Percussion - CORRECT ANSWERS ✔✔tapping on a surface to
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determine the difference in the density of the underlying
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structure
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Ausculation - CORRECT ANSWERS ✔✔listening to sounds within
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the body
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Bell - CORRECT ANSWERS ✔✔low pitched sounds
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(mummers)