ANSWERS RATED A+
✔✔SUBJECTIVE INFORMATION - ✔✔Information from the patient's point of view. (
what the Pt SAYS)
"I feel dizzy."
✔✔OBJECTIVE INFORMATION - ✔✔Based on what a person SEES, Hears, Touches,
or Smells.
* Something you FIND " Verifiable" by another Nurse.
✔✔4 Techniques Used in PHYSICAL Assessment are: - ✔✔1. Inspection- VISUAL
Examination
2. Palpation- Touching or Feeling.
3. Auscultation- Listening with you Stethoscope.
4.Percussion- Tapping over a Body Area.
✔✔Dx - ✔✔diagnosis
" Actual dx: Pt has the problem we need to fix it. "
✔✔ABC - ✔✔Airway, Breathing, Circulation
✔✔Potential dx: - ✔✔( RISK for) Pt. Doesn't have Problem but Conditions are
Concerning Enough that they could Develop.
✔✔Deficient Knowledge: - ✔✔Patient not properly educated about medication
✔✔Continuation with Plan: - ✔✔Actions you will take on your SHIFT to HELP Pt.
✔✔Examples of interventions: - ✔✔Monitor- Intake & Output
Encourage- Pt to eat Small Frequent bites of High Calories nutrient dense food.
✔✔Which of the following are examples of activities in which a nurse would need to use
critical thinking? - ✔✔1.Prioritizing patient care.
2.Administering medications.
3.Writing nursing orders.
, 4.Questioning the appropriateness of an order.
5. Starting an IV infusion
✔✔Which of these is considered SUBJECTIVE Data? - ✔✔- The patient complains of a
headache.
-The patient's mother states that he does not eat well.
✔✔Given that all of the following are appropriate nursing diagnoses for your patient,
which would be the priority? - ✔✔Self-care deficit: Bathing
✔✔Which of these nursing diagnoses is correctly written? - ✔✔Risk for injury related to
poor balance when walking.
✔✔Which are examples of independent nursing interventions? - ✔✔- Placing a patient
on intake and output measurement.
- Assessing the abdomen when a patient is constipated.
- Encouraging high-fiber foods for a patient who is constipated.
✔✔Which steps of the nursing process does the LPN/LVN directly participate in? - ✔✔-
Assessment
- Implementation
- Evaluation
✔✔Number in order the steps of the nursing process. - ✔✔1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
✔✔Vital Signs (VS) - ✔✔Give us an idea of How Certain Body Systems are Functoning.
✔✔Why is it important to get a set of BASELINE Vitals on your Patient? - ✔✔Its the
Start Point for Assessment & you can determine if the Pt is getting better or worse
based on how they progress on the Baseline of vitals.
" You can compare the vitals from last time to current"
✔✔At some point in your shift you notice that something just doesn't seem right with
your patient. What would be a good thing to do to give you some objective information
about the status of your patients? - ✔✔Take their VITAL SIGNS