comprehensive questions and verified
answers (complete solutions) GRADE
A+!!
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)