NU 325 Final Exam Questions with Complete Correct Answers | Grade A+

medical dx Ans: only made by doctors nursing dx Ans: used to evaluate the response of the whole person to actual or potential health problems nursing process Ans: - iterative process allowing practitioners to move back and forth while caring for the needs of complex pts. - Includes six phases: assessment, diagnosis, outcome identification, planning, implementation, evaluation "A Delicious Orange PIE" Ans: Assessment- collect data Diagnosis- interpret data Outcome identification- identify the expected outcomes Planning Implementation- doing what you planned Evaluation- was the outcome we wanted achieved? inspection phase Ans: concentrated watching. Checking for abnormalities before continuing. Inspection begins the moment you first meet a person and develop a "general survey" purpose of percussion Ans: - mapping out the location and size of an organ by exploring where the percussion note changes b/n the borders of an organ and its neighbors - signaling the density (air, fluid, or solid) of a structure by a characteristic note - detecting an abnormal mass if its fairly superficial; the percussion vibrations penetrate a/b 5 cm deep---a deeper mass would give no change in percussion - eliciting a deep tendon reflex using the percussion hammer diaphragm Ans: used for high-pitched sounds → breath, bowel, and normal heart sounds. Hold the diaphragm firmly a/g the person's skin, firm enough to leave a slight ring afterwards bell Ans: used for soft,low-pitched sounds such as extra heart sounds or murmurs. Hold it lightly a/g the person's skin, just enough that it forms a perfect seal 1st level priorities Ans: emergent, life threatening airway, breathing, circulation, vital signs 2nd level priorities Ans: requires prompt intervention to forestall further deterioration acute pain, mental status change, abnormal labs, risk of infection 3rd level priorities Ans: those that are important to the pt's health but can be addressed after more urgent problems. Interventions to treat these problems are more long term, and the response to treatment is expected to take more time subjective data Ans: what the pt says, biased objective data Ans: unbiased, what the pt cannot see, labs how do you prioritize patient problems/diagnosis? Ans: airway → breathing → circulation → perfusion spirituality Ans: broader term focused on a connection to something larger than oneself and a belief in transcendence religion Ans: organized system of beliefs concerning the cause, nature, and purpose of the universe, as well as the attendance of regular services role of nurse with DM Ans: for neglect in the elderly and children, report your suspicions to the proper authorities. No evidence is needed, when in doubt, REPORT