Nursing 230 Final Exam Study Guide TCTC Questions with Complete Solutions

Objective data Correct Answer-Observed when inspecting, percussing, palpating, and auscultating patient during a physical exam Subjective data Correct Answer-what patient says about themself First-level priority problem Correct Answer-those that are emergent, life threatening, and immediate, such as establishing an airway or supporting breathing Second-level priority problems Correct Answer-*Second-level priority problems* are next in urgency. They require prompt intervention to prevent deterioration, and may include a mental status change or acute pain. Evidence-based clinical decision making Correct Answer--Evidence based theories/evidence from research -Patient preferences and values -Clinical expertise -Physical exam and assessment -best evidence from literature review Follow-up database Correct Answer--status of all identified problems should be evaluated at regular and