Holistic Assessment Exam 1 Questions and Answers
Holistic Assessment Exam 1 Questions and Answers What are the steps in the nursing process? assessment, diagnosis, outcome & planning, implementation, evaluation What is the correct way to assess the abdomen? inspection, auscultation, palpation, (percussion?) What is done in assessment? cluster data, gathering data from subjective and objective data. What assessments are done when gathering objective data? Inspection, palpation, percussion, Auscultation What is the highest priority in assessment? Airway, breathing, circulation, vital signs What is the secondary priority when assessing a patient? safety, security, mental status, unrelated emergent, acute pain, infection What is the third priority when assessing a patient? non urgent, long term intervention What is orthostatic hypotension? taking the blood pressure at different positions (laying, sitting, standing). decrease in 20 or greater btw each bp. If the blood pressure continues to drop until last phase, it is a positive test. if negative, may mean the symptoms are from a different cause like vertigo. What happens during a nursing diagnosis? assessment of data- organization and prioritizing. -actual vs potential risk
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