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Ethics Study Guide
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Rationales
Included
,subjective data What patient says about himself or herself during history taking
objective data Data from inspecting, percussing, palpating, and auscultating patient during
physical examination
cue piece of information, sign, symptom, or piece of laboratory data; i.e. elevated
temperature, sharp stabbing pain in lower abdomen
hypothesis tentative explanation for cues used as a basis for further investigation
nursing evaluation process did patient meet the outcome?
nursing diagnosis clinical judgments about a person's response to an actual or potential health state
biomedical model of health health is the absence of disease
1: complete health database types of data bases
2: episodic/problem-centered database
3: follow-up database
4: emergency database
inspection close, careful scrutiny, first of individual as a whole and then of each body system
palpation sense of touch to assess
auscultation listening to the sounds produced by the body
percussion assesses for flatness, dullness, tympany, resonance, and hyperresonance
indirect/immediate percussion percussion with only one hand
direct percussion percussion with two hands
96.4º to 99.1º F normal body temperature
, stroke volume amount of blood pumped with each heartbeat
50-95 beats per minute normal heart rate
nonexistent: 0+ scale of pulse force
weak, thready, and hard to palpate: 1+
normal: 2+
bounding: 3+
•Note that some agencies use a four point scale
10-20 respirations per minute normal respiratory rate
>20 breaths per minute tachypnea
<10 breaths per minute bradypnea
blood pressure force exerted by blood on blood vessel walls
systolic blood pressure maximum pressure felt on artery during left ventricular contraction
diastolic blood pressure elastic recoil, or resting, pressure that blood exerts constantly between each
contraction
pulse pressure systolic-diastolic blood pressure that is reflective of stroke volume
mean arterial pressure (MAP) pressure forcing blood into tissues averaged over a cardiac cycle
cardiac output, peripheral vascular resistance, volume of five factors that determine blood pressure
circulating blood, vessel wall elasticity, and blood viscosity
orthostatic hypotension hypotension caused after standing following sitting or laying down
SpO2 arterial oxygen saturation
SpCO2 arterial carbon dioxide saturation