NUR 265 Final Exam with correct answers

NUR 265 Final Exam with correct answers
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subjective data ||\\||\\




Things a person tells you about that you cannot observe
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through your senses; symptoms ||\\||\\ ||\\||\\ ||\\||\\




objective data ||\\||\\




information that is seen, heard, felt, or smelled by an observer; ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




signs
Primary data source ||\\||\\ ||\\||\\




patient
Secondary Data Sources ||\\||\\ ||\\||\\




family members, health records, significant others
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General Survey ||\\||\\




physical appearance, body structure, mobility, behavior
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Complete database ||\\||\\




full physical exam
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Focused database ||\\||\\




focuses on 1 or 2 systems ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Follow-up database ||\\||\\

,follow-up after implementation ||\\||\\ ||\\||\\




inspection
use of sight to gather data
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used throughout PE ||\\||\\ ||\\||\\




tools used to enhance inspection (penlight) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




palpation
start light to deep ||\\||\\ ||\\||\\ ||\\||\\




palpate tender areas last ||\\||\\ ||\\||\\ ||\\||\\




dorsum for temp ||\\||\\ ||\\||\\




palms for pulsations ||\\||\\ ||\\||\\




tips of fingers for texture, moisture, mass, edema
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percussion
tapping on a surface to determine the difference in the density ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




of the underlying structure (flatness, dullness, resonance,
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hyperresonance, tympany) ||\\||\\




Auscultation
Diaphragm- BP, lungs, BS, heart ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Bell- vascular sounds, murmur ||\\||\\ ||\\||\\ ||\\||\\




Auscultation
gender role ||\\||\\




a set of expected behaviors for males or for females
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gender

, in psychology, the biologically and socially influenced
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characteristics by which people define male and female ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




gender identity ||\\||\\




one's sense of being male or female
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pressure injuries ||\\||\\




injuries or wounds that result from skin deterioration and
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shearing
Stage 1 Pressure Injury
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non-blanchable erythema of intact skin ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Stage 2 Pressure Injury
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partial-thickness skin loss with exposed dermis ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Stage 3 Pressure Injury
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full-thickness skin loss; not involving underlying fascia ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Stage 4 Pressure Injury
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full-thickness skin and tissue loss ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Unstageable Pressure Injury ||\\||\\ ||\\||\\




obscured full-thickness skin and tissue loss ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Deep Tissue Pressure Injury
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persistent non-blanchable deep red, maroon, or purple ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




discoloration