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Exam (elaborations)

NR226 Exam 1 Study Guide (Latest-2021)/ NR 226 Exam 1 Study Guide: Fundamentals – Patient Care: Chamberlain College of Nursing

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NR226 Exam 1 Study Guide (Latest-2021)/ NR 226 Exam 1 Study Guide: Fundamentals – Patient Care: Chamberlain College of Nursing

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1

, 7. *Summarize all information needed regarding patient’s allergies
Ask about what allergies they have and investigate more about the allergy. You will ask
the patient to describe the type of reaction in order to determine if the patient is actually
having an allergy or just experiencing side effects of the medication.

8. How will you correlate the subjective and objective data when assessing a patient?
By checking to see if the subjective data is evidenced by the objective data.
Watch for visual cues when a patient is giving subjective information.
For example, if patient claims she is having back pain, watch for grimacing of the face
when sitting or standing or sudden movement.
Another example, if patient c/o shortness of breath, the subjective would correlate with
the objective if, upon auscultation there is decreased breath sounds or dullness to
percussion.
What would you do if the patient statement is opposite of what you are observing?
Explain your answer
If the patient statement is conflicting with what is being observed, further data collection
needs to be done.
Make sure everything is documented.

9. Identify the elements needed in the ideal environment for a nursing interview (for
example, privacy, lighting, etc)

 Environment is free of distractions, unnecessary noise, and interruptions
 Right lighting
 Privacy (close door or curtains)
 Right temperature

10. What is the role of the patient’s family during the nursing interview?
 Support
 Primary source (for infants, children, mentally handicap, disoriented, or
unconscious) & Secondary source of information



11. Identify all possible nursing diagnosis for a patient with a medical diagnosis of
pneumonia
 Impaired gas exchange (collection of mucus in airways; fluid-filled alveoli)
 Ineffective airway clearance (increased sputum production in response to
respiratory infection)
 Activity intolerance

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