NURS 6001 EXAM 1
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 - answerinvolves life threatening or unstable situation,
traumatic injury, uses ABCDE
ABCDE - answerairway, breathing, circulation, disability, and exposure
ADPIE - answerassessment of patient, nursing diagnosis, planning care, implementing
and then evaluating patients status
implementation - answercollaboration with other team members, involvement of patient
and family, actually doing the phase
evaluation - answerhow effective is nursing care and each phases affects the other
nursing diagnosis vs medical diagnosis - answermedical focuses on diagnosis and
treatment of disease whereas nursing focuses on the human response to actual or
potential health problems
assessment - answerestablish baseline, review history, physical assessment
diagnosis - answerclustering of data to make a judgement or statement about the
patient's difficulties or condition
Nanda diagnosis for nursing - answera 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 - answer120/80
normal range of pulse - answer60-100 bpm
scale of pulse strength - answer0-4+
scale of 0 pulse - answernon palpable or absent
1+ of pulse - answerweak, diminished, and barely palpable
2+ of pulse - answernormal, expected
3+ of pulse - answerFull, increased
4+ of pulse - answerBounding
normal oral temperature range - answer97.7-99.5 F
normal range for Temporal range - answer98.7-100.5 F
five ways to take temperature - answeroral, axillary, rectal, tympanic, and temporal
normal respirations - answer12-20
normal O2 saturation - answer95-100%
Pain scale - answer1-10
COLDERR - answercharacteristic, onset, location, duration, exacerbation, relief,
radiation
6 stages of infection cycles - answerinfectious agent, reservoir, portal of exit, means of
transmission, portal of entry, susceptible host
infectious agent - answerbacteria, viruses, and fungi
reservoir - answerplace for growth and multiplication of microorganisms is the natural
habitat of the organism (other people, animals, soil, food, water, milk and inanimate
objects)
portal of exit - answerpoint of escape for the organism from the reservoir (respiratory,
gastrointestinal, and genitourinary tracts, as well as breaks in the skin and blood and
tissue
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 - answerinvolves life threatening or unstable situation,
traumatic injury, uses ABCDE
ABCDE - answerairway, breathing, circulation, disability, and exposure
ADPIE - answerassessment of patient, nursing diagnosis, planning care, implementing
and then evaluating patients status
implementation - answercollaboration with other team members, involvement of patient
and family, actually doing the phase
evaluation - answerhow effective is nursing care and each phases affects the other
nursing diagnosis vs medical diagnosis - answermedical focuses on diagnosis and
treatment of disease whereas nursing focuses on the human response to actual or
potential health problems
assessment - answerestablish baseline, review history, physical assessment
diagnosis - answerclustering of data to make a judgement or statement about the
patient's difficulties or condition
Nanda diagnosis for nursing - answera 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 - answer120/80
normal range of pulse - answer60-100 bpm
scale of pulse strength - answer0-4+
scale of 0 pulse - answernon palpable or absent
1+ of pulse - answerweak, diminished, and barely palpable
2+ of pulse - answernormal, expected
3+ of pulse - answerFull, increased
4+ of pulse - answerBounding
normal oral temperature range - answer97.7-99.5 F
normal range for Temporal range - answer98.7-100.5 F
five ways to take temperature - answeroral, axillary, rectal, tympanic, and temporal
normal respirations - answer12-20
normal O2 saturation - answer95-100%
Pain scale - answer1-10
COLDERR - answercharacteristic, onset, location, duration, exacerbation, relief,
radiation
6 stages of infection cycles - answerinfectious agent, reservoir, portal of exit, means of
transmission, portal of entry, susceptible host
infectious agent - answerbacteria, viruses, and fungi
reservoir - answerplace for growth and multiplication of microorganisms is the natural
habitat of the organism (other people, animals, soil, food, water, milk and inanimate
objects)
portal of exit - answerpoint of escape for the organism from the reservoir (respiratory,
gastrointestinal, and genitourinary tracts, as well as breaks in the skin and blood and
tissue
