QUESTIONS AND ANSWERS 100%
CORRECT
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
normal respirations - ANSWER-12-20
normal O2 saturation - ANSWER-95-100%
Pain scale - ANSWER-1-10
COLDERR - ANSWER-characteristic, onset, location, duration, exacerbation, relief,
radiation
6 stages of infection cycles - ANSWER-infectious agent, reservoir, portal of exit,
means of transmission, portal of entry, susceptible host
infectious agent - ANSWER-bacteria, viruses, and fungi
reservoir - ANSWER-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 - ANSWER-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
prodromal stage - ANSWER-stage where a person is most infectious and show early
signs and symptoms of the disease, that are often times vague and nonspecific
ranging from fatigue and malaise to low-grade fever (lasts several hours to several
days) patient is often unaware of being contagious and as a result infection spreads