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UTA Assessment Exam 1 Objectives Questions And Answers 100% Solved

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UTA Assessment Exam 1 Objectives Questions And Answers 100% Solved What does COLDSPA mean? Character Onset Location Duration Severity Pattern Associated factors

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UTA Assessment Exam 1 Objectives Questions
And Answers 100% Solved

What does COLDSPA mean? Character


Onset

Location

Duration

Severity

Pattern

Associated factors




Used to ensure that you collect enough information regarding pain




Normal body temperature (oral) 96 - 98 Deg F (35.8-37.3 C)




Temperature vs. Route Auxillary will result in the lowest temp (-1 degree)


Rectum will result in +1 F degree (should only be used if client can't cooperate, or others are not

available)

, UTA Assessment Exam 1 Objectives Questions
And Answers 100% Solved
Tempanic will result in the highest temperature (+3 to +6)




lower for older adults




Normal pulse rate 60-100 bpm


arteries of older pts may feel rigid, hard or bent




Normal respiration rate 12-20 breaths per minute


older adult can range from 15-22 breaths/min




normal oxygen saturation 95-100%




normal blood pressure 120/80 mmHg


no nicotine or caffeine 30 mins prior

client should empty bladder

older adults usually have high bp due rigid arteries

, UTA Assessment Exam 1 Objectives Questions
And Answers 100% Solved

hypertension= over 140, under 90

othostatic hypotension= drop over more than 20 mmHg




Phases of the interview process pre-interaction phase- Review medical records before

meeting client

working phase- gathering subjective and objective data

closing phase- validates findings and sets goals




Phases of collecting objective data inspection- use of vision, smelling and learning


Palpitations- using fingers and hands to feel abnormalities

Percussion- the use of tapping to find superficial abnormalities

Auscultation- use of the stethoscope




Steps of the Nursing Process ADPIE


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