ANSWERS VERIFIED 100% CORRECT!!
/. Types of Assessment - Answer-✅comprehensive, episodic or problem-focused,
emergency
/.comprehensive assessment - Answer-✅(initial) results in baseline data for problem
identification and care planning, time consuming, complete, all aspects of preventive
health/physical disease
/.episodic/problem-focused assessment - Answer-✅based on the patient's health
issues, involves one or two body systems. smaller scope, but more in depth
/.What is the nursing process? - Answer-✅systematic problem-solving approach to
identifying and treating human responses to actual or potential health difficulties. patient
centered and focuses on problem solving and inhaling strengths. uses ADPIE
/.emergency assessment - Answer-✅involves life threatening or unstable situation,
traumatic injury, uses ABCDE
/.ABCDE - Answer-✅airway, breathing, circulation, disability, and exposure
/.ADPIE - Answer-✅assessment of patient, nursing diagnosis, planning care,
implementing and then evaluating patients status
/.implementation - Answer-✅collaboration with other team members, involvement of
patient and family, actually doing the phase
/.evaluation - Answer-✅how effective is nursing care and each phases affects the other
/.nursing diagnosis vs medical diagnosis - Answer-✅medical focuses on diagnosis and
treatment of disease whereas nursing focuses on the human response to actual or
potential health problems
/.assessment - Answer-✅establish baseline, review history, physical assessment
/.diagnosis - Answer-✅clustering of data to make a judgement or statement about the
patient's difficulties or condition
, /.Nanda diagnosis for nursing - Answer-✅a clinical judgement about individual, family,
or community responses to actual or potential health difficulties/life processes. Provides
the basis for selection of nursing interventions to achieve outcomes for which the nurse
is accountable
/.Normal range of blood pressure - Answer-✅120/80
/.normal range of pulse - Answer-✅60-100 bpm
/.scale of pulse strength - Answer-✅0-4+
/.scale of 0 pulse - Answer-✅non palpable or absent
/.1+ of pulse - Answer-✅weak, diminished, and barely palpable
/.2+ of pulse - Answer-✅normal, expected
/.3+ of pulse - Answer-✅Full, increased
/.4+ of pulse - Answer-✅Bounding
/.normal oral temperature range - Answer-✅97.7-99.5 F
/.normal range for Temporal range - Answer-✅98.7-100.5 F
/.five ways to take temperature - Answer-✅oral, axillary, rectal, tympanic, and temporal
/.normal respirations - Answer-✅12-20
/.normal O2 saturation - Answer-✅95-100%
/.Pain scale - Answer-✅1-10
/.COLDERR - Answer-✅characteristic, onset, location, duration, exacerbation, relief,
radiation
/.6 stages of infection cycles - Answer-✅infectious agent, reservoir, portal of exit,
means of transmission, portal of entry, susceptible host
/.infectious agent - Answer-✅bacteria, viruses, and fungi