Summary NR 304 Final Exam Worksheet.pdf
1. Defineisubjectiveiandiobjectiveidata. iGiveithreeiexamplesiofieachiandistateiifitheifindingsiare idocumentediinitheihistoryioriphysicaliexaminationifindings. • SubjectiveiData iwhatitheipersonisaysiaboutihimselfioriherselfiduringitheiphysical iexamination;isymptomiisiaisubjectiveisensationsithatitheipersoniisifeeling; o Examples:iitching, ipain, ifeelingsiofiworry, inausea, idepression, ifatigue, ianxiety, loneliness, ietc. • ObjectiveiData iwhatitheiyouiasitheihealthiprofessionaliobserveibyiinspecting, ipercussing, ipalpating, iandiauscultatingiduringitheiphysicaliexamination;iaisigniisian iobjectiveiabnormalityithatiyouiasitheiexaminericouldidetectioniphysicaliexaminationior inilaboratoryireports;iobservableiandimeasurable; o Examples:ibloodipressure, idiscolorationiofitheiskin, iskinimoisture, ivomiting, itemperature, iweight, ibleeding, ibloodicellicount, ietc. 2. Listifiveiactionsiainurseishoulditakeiwheniassessingiaipatientiwithiaipotentiallyicritical ihemodynamicistate. iPutiyouriactionsiinipriorityiorderiofi1-5. • HemodynamiciState iinstableibloodipressure, iwhichicanileaditoiinadequateiarterial ibloodiflowitoiorgans;iheartifailure. • PriorityiActions:imainigoalsiforinurseiareitoievaluate itheicardiaciandicirculatoryifunction, asiwelliasitheiresponseitoianyiinterventions.
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