NUR 2220- final exam
subjective data vs objective data
-subjective data- what the patient tells you
-objective data- what you test/observe as the nurse
functional assessment tool- Katz
-scoring; 6= independent 0= dependent
-includes bathing, dressing, toileting, trasnfering, continence,
feeding
functional assessment tool- Lawton
-scoring ranges from 0= low/ dependent to 8=high/ independent
for women and 0-5 for men
-includes able to use phone, shopping, food preparation,
housekeeping, laundry, mode of transport, responsibility for own
meds, able to handle finances
physical assessment
-order- inspection, palpation,
percussion, auscultation
,-except for abdomen: because you don't want to create false
bowel sounds- inspection, auscultation, palpation, percussion
general survey
physical appearance, body structure, mobility, posture and gait,
assistive devices, general mood and behavior, conversational
hearing and speech, measurements, vital signs/pain/weight/BMI
ethical principles;
caring
compassion
veracity
justice
autonomy
nonmaleficence
beneficence
-caring- kindness and concern
-compassion- concern for the suffering of others
-veracity- being truthful
-justice- equal care for all
-autonomy- making own decisions
-nonmaleficence- avoiding harm
, -beneficence- promoting well-being of others
skin terms:
cyanosis
jaundice
pallor
erythema
-cyanosis- blue; increased amount of nonoxygenated
hemoglobin
-jaundice- yellow; excess bilirubin in the blood
-pallor- pale
-erythema- redness; excess blood in dilated superficial
capillaries
skin variations:
macules
vitiligo
striae
solar lentigens
moles
-macules- dark spot
-vitiligo- light spots
-striae- stretch marks
subjective data vs objective data
-subjective data- what the patient tells you
-objective data- what you test/observe as the nurse
functional assessment tool- Katz
-scoring; 6= independent 0= dependent
-includes bathing, dressing, toileting, trasnfering, continence,
feeding
functional assessment tool- Lawton
-scoring ranges from 0= low/ dependent to 8=high/ independent
for women and 0-5 for men
-includes able to use phone, shopping, food preparation,
housekeeping, laundry, mode of transport, responsibility for own
meds, able to handle finances
physical assessment
-order- inspection, palpation,
percussion, auscultation
,-except for abdomen: because you don't want to create false
bowel sounds- inspection, auscultation, palpation, percussion
general survey
physical appearance, body structure, mobility, posture and gait,
assistive devices, general mood and behavior, conversational
hearing and speech, measurements, vital signs/pain/weight/BMI
ethical principles;
caring
compassion
veracity
justice
autonomy
nonmaleficence
beneficence
-caring- kindness and concern
-compassion- concern for the suffering of others
-veracity- being truthful
-justice- equal care for all
-autonomy- making own decisions
-nonmaleficence- avoiding harm
, -beneficence- promoting well-being of others
skin terms:
cyanosis
jaundice
pallor
erythema
-cyanosis- blue; increased amount of nonoxygenated
hemoglobin
-jaundice- yellow; excess bilirubin in the blood
-pallor- pale
-erythema- redness; excess blood in dilated superficial
capillaries
skin variations:
macules
vitiligo
striae
solar lentigens
moles
-macules- dark spot
-vitiligo- light spots
-striae- stretch marks
