NUR 205 - Exam 1 with correct
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answers
Subjective data ||\\||\\
Things a person tells you about that you cannot observe
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
through your senses; symptoms ||\\||\\ ||\\||\\ ||\\||\\
Objective data ||\\||\\
Information that is seen, heard, felt, or smelled by an ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
observer; signs ||\\||\\
Head-to-toe assessment ||\\||\\
Complete assessment of the patient, one that includes all ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
systems
What do you look for in a skin exam?
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- Moisture
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- Texture
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- Color
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- Temperature
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- Turgor
||\\||\\
- Edema
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- Hair Distribution
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What causes crackling during a lung exam?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,Excess moisture in the lungs & air sacs ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
What causes wheezing during a lung exam?
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Narrowing & constriction of airways ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
What causes stridor during a lung exam?
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Constriction or blockage causes high-pitched sounds ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
What is a focused assessment?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Performed to assess a specific problem/body system ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Clinical judgement ||\\||\\
- An interpretation or conclusion about a patient's needs,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
concerns, or health problems, and/or the decision to take ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
action (or not), use or modify standard approaches, or
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
improvise new ones as deemed appropriate by the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient's response ||\\||\\
- Thinking like a nurse
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- RN decides what data is to be collected, interprets data,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
arrives at a nursing diagnosis and identifies appropriate
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nursing actions ||\\||\\
Primary prevention ||\\||\\
Efforts to prevent an injury or illness from ever occurring
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Examples of primary prevention ||\\||\\ ||\\||\\ ||\\||\\
, - Braden scale
||\\||\\ ||\\||\\
- Exercise
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- Nutrition
||\\||\\
- Hydration
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Secondary prevention ||\\||\\
Screening to reduce the impact of a disease or injury ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
that's already occurred
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Examples of secondary prevention ||\\||\\ ||\\||\\ ||\\||\\
- ABCDE skin exam
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- Mammogram
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- Colonoscopy
||\\||\\
Braden scale ||\\||\\
Tool for predicting pressure ulcer risk
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Ethics
Principles of right and wrong that guide an individual in ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
making decisions which is influenced by families, beliefs,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
values and ideas ||\\||\\ ||\\||\\
Cultural awareness ||\\||\\
Knowledge, experience with, and respect for various ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
cultural beliefs and values ||\\||\\ ||\\||\\ ||\\||\\
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers
Subjective data ||\\||\\
Things a person tells you about that you cannot observe
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
through your senses; symptoms ||\\||\\ ||\\||\\ ||\\||\\
Objective data ||\\||\\
Information that is seen, heard, felt, or smelled by an ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
observer; signs ||\\||\\
Head-to-toe assessment ||\\||\\
Complete assessment of the patient, one that includes all ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
systems
What do you look for in a skin exam?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- Moisture
||\\||\\
- Texture
||\\||\\
- Color
||\\||\\
- Temperature
||\\||\\
- Turgor
||\\||\\
- Edema
||\\||\\
- Hair Distribution
||\\||\\ ||\\||\\
What causes crackling during a lung exam?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,Excess moisture in the lungs & air sacs ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
What causes wheezing during a lung exam?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Narrowing & constriction of airways ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
What causes stridor during a lung exam?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Constriction or blockage causes high-pitched sounds ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
What is a focused assessment?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Performed to assess a specific problem/body system ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Clinical judgement ||\\||\\
- An interpretation or conclusion about a patient's needs,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
concerns, or health problems, and/or the decision to take ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
action (or not), use or modify standard approaches, or
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
improvise new ones as deemed appropriate by the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
patient's response ||\\||\\
- Thinking like a nurse
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
- RN decides what data is to be collected, interprets data,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
arrives at a nursing diagnosis and identifies appropriate
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nursing actions ||\\||\\
Primary prevention ||\\||\\
Efforts to prevent an injury or illness from ever occurring
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Examples of primary prevention ||\\||\\ ||\\||\\ ||\\||\\
, - Braden scale
||\\||\\ ||\\||\\
- Exercise
||\\||\\
- Nutrition
||\\||\\
- Hydration
||\\||\\
Secondary prevention ||\\||\\
Screening to reduce the impact of a disease or injury ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
that's already occurred
||\\||\\ ||\\||\\
Examples of secondary prevention ||\\||\\ ||\\||\\ ||\\||\\
- ABCDE skin exam
||\\||\\ ||\\||\\ ||\\||\\
- Mammogram
||\\||\\
- Colonoscopy
||\\||\\
Braden scale ||\\||\\
Tool for predicting pressure ulcer risk
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Ethics
Principles of right and wrong that guide an individual in ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
making decisions which is influenced by families, beliefs,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
values and ideas ||\\||\\ ||\\||\\
Cultural awareness ||\\||\\
Knowledge, experience with, and respect for various ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
cultural beliefs and values ||\\||\\ ||\\||\\ ||\\||\\