objective data - correct answerswhat is measured
(Vital Signs, pale face, ect.)
Subjective data - correct answerswhat the patient says
(pain in abdomen, sore throat, ect.)
diagnostic reasoning - correct answers-using clues or what you notice to form a hypothesis
- gathering data relative to tentative hypothesis
- evaluating the hypothesis with new data to form diagnosis
nursing process - correct answersAssessment
Diagnosis
Outcome Identification
Planning
Implementation
Evaluation
clinical judgement - correct answers-identify problems and make decisions using nursing process
- ability to solve problems based on experience
- novice to expert model
Analyzing cues - correct answers-cluster data and cues
- identify patterns
- identify missing information
- validate
prioritization - correct answersABCs (airway, breathing, circulation)
vital signs and lab values
2nd priority
-change in mental state
-untreated medical problems
-pain
- urinary elimination problems
3rd priority
- activity, rest, family coping, lack of knowledge
evidence-based practice - correct answerssupports nursing interventions
Complete (total health assessment)
- primary
- admission assessment - correct answersPrimary care - wellness visit