comprehensive assessment - ✅✅(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 - ✅✅based on the patient's health issues, involves one or two
body systems. smaller scope, but more in depth
What is the nursing process? - ✅✅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 - ✅✅involves life threatening or unstable situation, traumatic injury, uses
ABCDE
ABCDE - ✅✅airway, breathing, circulation, disability, and exposure
ADPIE - ✅✅assessment of patient, nursing diagnosis, planning care, implementing and then
evaluating patients status
implementation - ✅✅collaboration with other team members, involvement of patient and family,
actually doing the phase
evaluation - ✅✅how effective is nursing care and each phases affects the other
nursing diagnosis vs medical diagnosis - ✅✅medical focuses on diagnosis and treatment of disease
whereas nursing focuses on the human response to actual or potential health problems
assessment - ✅✅establish baseline, review history, physical assessment
, diagnosis - ✅✅clustering of data to make a judgement or statement about the patient's difficulties or
condition
Nanda diagnosis for nursing - ✅✅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
Pulse Ratings - ✅✅0= absent
+1 = weak, diminished
+2 = normal
+3 = full, increased
+4 = bounding
normal oral temperature range - ✅✅97.7-99.5 F
normal range for Temporal range - ✅✅98.7-100.5 F
COLDERR - ✅✅characteristic, onset, location, duration, exacerbation, relief, radiation
6 stages of infection cycles - ✅✅infectious agent, reservoir, portal of exit, means of transmission,
portal of entry, susceptible host
infectious agent - ✅✅bacteria, viruses, and fungi
reservoir - ✅✅place for growth and multiplication of microorganisms is the natural habitat of the
organism (other people, animals, soil, food, water, milk and inanimate objects)
portal of exit - ✅✅point of escape for the organism from the reservoir (respiratory, gastrointestinal,
and genitourinary tracts, as well as breaks in the skin and blood and tissue