Answers Graded A+.
Types of Assessment - Answer comprehensive, episodic or problem-focused, emergency
comprehensive assessment - Answer (initial) results in baseline data for problem identification and
care planning, time consuming, complete, all aspects of preventive health/physical disease
episodic/problem-focused assessment - Answer based on the patient's health issues, involves one or
two body systems. smaller scope, but more in depth
What is the nursing process? - Answer systematic problem-solving approach to identifying and treating
human responses to actual or potential health difficulties. patient centered and focuses on problem
solving and inhaling strengths. uses ADPIE
emergency assessment - Answer involves life threatening or unstable situation, traumatic injury, uses
ABCDE
ABCDE - Answer airway, breathing, circulation, disability, and exposure
ADPIE - Answer assessment of patient, nursing diagnosis, planning care, implementing and then
evaluating patients status
implementation - Answer collaboration with other team members, involvement of patient and family,
actually doing the phase
evaluation - Answer how effective is nursing care and each phases affects the other
nursing diagnosis vs medical diagnosis - Answer medical focuses on diagnosis and treatment of disease
whereas nursing focuses on the human response to actual or potential health problems
, assessment - Answer establish baseline, review history, physical assessment
diagnosis - Answer clustering of data to make a judgement or statement about the patient's difficulties
or condition
Nanda diagnosis for nursing - Answer a clinical judgement about individual, family, or community
responses to actual or potential health difficulties/life processes. Provides the basis for selection of
nursing interventions to achieve outcomes for which the nurse is accountable
Normal range of blood pressure - Answer 120/80
normal range of pulse - Answer 60-100 bpm
scale of pulse strength - Answer 0-4+
scale of 0 pulse - Answer non palpable or absent
1+ of pulse - Answer weak, diminished, and barely palpable
2+ of pulse - Answer normal, expected
3+ of pulse - Answer Full, increased
4+ of pulse - Answer Bounding
normal oral temperature range - Answer 97.7-99.5 F
normal range for Temporal range - Answer 98.7-100.5 F
five ways to take temperature - Answer oral, axillary, rectal, tympanic, and temporal