AND ANSWERS GRADED A+
◉ 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
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,PREMIUM STUDY GUIDE
◉ implementation. Answer: collaboration with other team members,
involvement of patient and family, 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
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, ◉ 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
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