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NR 304 Final Worksheet
Purpose:
This activity provides each student with the opportunity to review some of the main concepts that have
been covered in Health Assessment I and II. This worksheet can help students better understand the
concepts, learn strategies for mastering this content from other students, and more accurately apply the
concepts to future patient care situations.
Due Date: Submit the completed worksheet to the Canvas Module on or before the due date for up to 50
points.
Points Possible: 50 points
Requirements:
1. Please answer these questions. If working on a computer, please use a color font other than
black.
2. You may use any notes that you have taken in this class session.
3. You may use the textbook, any other book or other resource to answer the questions.
Questions:
1. Define subjective and objective data. Give three examples of each and state if the findings are
documented in the history or physical examination findings.
a. Subjective data= things that the patient states
i. Pain
ii. Back hurts
iii. Headache
b. Subjective data= things that can be observed or measured.
i. Lab results
ii. Temperature
iii. Blood pressure
2. List five actions a nurse should take when assessing a patient with a potentially critical
hemodynamic state. Put your actions in priority order of 1-5.
a. LOC
b. Respiratory rate
c. Blood pressure
d. Heart rate
3. What does the priority setting ABC mean? How does the nurse use this mnemonic in patient
assessment? If a patient has a slow or rapid respiratory rate, is airway the primary concern?
a. ABC= Airway, Breathing, Circulation
b. If airway is compromised, then they won’t be able to breath and circulation will then be
affected.
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c. Yes, because if the airway is causing the respiration to change it needs to be addressed or
they’ll eventually not be able to breath
4. What is HIPAA? Describe one situation when the nurse must adhere to HIPAA.
a. Health Insurance Portability and Accountability Act, which establishes policies and
procedures for maintaining the privacy and the security of individually identifiable health
information.
b. A nurse will use it when she has her patient’s information and not talking about the
patient outside the room or using patient’s personal information to other people.
5. Describe the process of taking a pulse. What is a normal pulse? What are qualities of a normal
pulse? What is the first action a nurse should take when the pulse is not as expected?
a. Pulses should be palpable (2+), if not feet should still have good color and be warm.
6. What is dehydration? List three subjective and three objective findings of dehydration. List the
expected vital signs of a patient who is dehydrated.
a. Excessive loss of water from the body tissues accompanied by a disturbance of body
electrolytes
i. Subjective findings: thirsty, headache, lethargic
ii. Objective findings: skin turgor, color of urine (more concentrated) , low blood
pressure
1. HR
2. Fever
3. blood pressure
7. How is fluid volume deficit related to dehydration? How would concentrations of some solutes
(solids) change with dehydration? Why?
a. Body fluids have decreased volume but normal osmolality
b. With dehydration the concentration increases, and urine becomes darker because there’s
not enough water in the urine to dilute it.
8. What is an undesirable response of the body to a fever?
a. Sweating, chills, shivering, headache, muscle aches, loss of appetite, irritable,
dehydration, general weakness
Why is this undesirable? What effect does it have?
a. can cause hypothermia
b. flu or cold that can lead to bed rest and have all the undesirable symptoms
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NR 304 Final Worksheet
Purpose:
This activity provides each student with the opportunity to review some of the main concepts that have
been covered in Health Assessment I and II. This worksheet can help students better understand the
concepts, learn strategies for mastering this content from other students, and more accurately apply the
concepts to future patient care situations.
Due Date: Submit the completed worksheet to the Canvas Module on or before the due date for up to 50
points.
Points Possible: 50 points
Requirements:
1. Please answer these questions. If working on a computer, please use a color font other than
black.
2. You may use any notes that you have taken in this class session.
3. You may use the textbook, any other book or other resource to answer the questions.
Questions:
1. Define subjective and objective data. Give three examples of each and state if the findings are
documented in the history or physical examination findings.
a. Subjective data= things that the patient states
i. Pain
ii. Back hurts
iii. Headache
b. Subjective data= things that can be observed or measured.
i. Lab results
ii. Temperature
iii. Blood pressure
2. List five actions a nurse should take when assessing a patient with a potentially critical
hemodynamic state. Put your actions in priority order of 1-5.
a. LOC
b. Respiratory rate
c. Blood pressure
d. Heart rate
3. What does the priority setting ABC mean? How does the nurse use this mnemonic in patient
assessment? If a patient has a slow or rapid respiratory rate, is airway the primary concern?
a. ABC= Airway, Breathing, Circulation
b. If airway is compromised, then they won’t be able to breath and circulation will then be
affected.
1
, 2
c. Yes, because if the airway is causing the respiration to change it needs to be addressed or
they’ll eventually not be able to breath
4. What is HIPAA? Describe one situation when the nurse must adhere to HIPAA.
a. Health Insurance Portability and Accountability Act, which establishes policies and
procedures for maintaining the privacy and the security of individually identifiable health
information.
b. A nurse will use it when she has her patient’s information and not talking about the
patient outside the room or using patient’s personal information to other people.
5. Describe the process of taking a pulse. What is a normal pulse? What are qualities of a normal
pulse? What is the first action a nurse should take when the pulse is not as expected?
a. Pulses should be palpable (2+), if not feet should still have good color and be warm.
6. What is dehydration? List three subjective and three objective findings of dehydration. List the
expected vital signs of a patient who is dehydrated.
a. Excessive loss of water from the body tissues accompanied by a disturbance of body
electrolytes
i. Subjective findings: thirsty, headache, lethargic
ii. Objective findings: skin turgor, color of urine (more concentrated) , low blood
pressure
1. HR
2. Fever
3. blood pressure
7. How is fluid volume deficit related to dehydration? How would concentrations of some solutes
(solids) change with dehydration? Why?
a. Body fluids have decreased volume but normal osmolality
b. With dehydration the concentration increases, and urine becomes darker because there’s
not enough water in the urine to dilute it.
8. What is an undesirable response of the body to a fever?
a. Sweating, chills, shivering, headache, muscle aches, loss of appetite, irritable,
dehydration, general weakness
Why is this undesirable? What effect does it have?
a. can cause hypothermia
b. flu or cold that can lead to bed rest and have all the undesirable symptoms
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