Quiz_________________?
ANSWER✅
What are the three layers of the skin
Quiz_________________?
- Triage for emergency care (making clinical judgements)
° Gather baseline data
- routine screening to promote wellness
° Identify nursing diagnosis
- determine eligibility for health insurance, military, new job
° evaluate the outcome of care
- admit patient for long-term care -
ANSWER✅
Reasons for physical examination are:
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(1) Assessment
1
, (2) Nursing Diagnosis
(3) Planning
(4) Implementation
(5) Evaluation
*** All of the above require critical thinking! -
ANSWER✅
What are the 5 steps in the nursing process?
Quiz_________________?
⊗ Disturbed body image = look bad, smell bad, etc
⊗ Risk for fall
⊗ Risk for infection = lab results (WBC 5,000-10,000/mm³), review current meds
⊗ Identify potential sites of infection = IV, catheter
⊗ Imbalanced nutrition = protein needed for healing
⊗ Acute pain
⊗ Impaired skin integrity or tissue integrity
⊗ Social isolation -
2
, ANSWER✅
Nursing process of Infection: Diagnosis
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⊗ Risk for injury
⊗ Risk for aspiration - breathing fluid into lungs
⊗ Ineffective airway clearance related to relaxation of tongue and gag reflex secondary to
muscle innervation
⊗ Anxiety
⊗ High risk of ineffective therapeutic regimen related to insufficient knowledge -
ANSWER✅
Nursing Diagnosis for Seizures
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1 inch -
ANSWER✅
Sterile field must have what size border?
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12-20 per minute -
ANSWER✅
What is normal respiration rate?
3
, Quiz_________________?
90% -
ANSWER✅
What percentage of all communication is nonverbal?
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96.4-100.1 -
ANSWER✅
Body Temp normal range
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A redness or purple color of a leg when it is in the dependent or lowered position. If the leg
blanches on elevation it may be a sign of lower leg ischemia -
ANSWER✅
What is Dependent Rubor?
Quiz_________________?
a.k.a. SELF-TALK -
ANSWER✅
Define Intrapersonal
Quiz_________________?
4