NURS 3100 Final Exam Questions And
Answers 100% Pass
Nursing - ANS protection, promotion, and optimization of health and abilities
- prevention of illness and injury
- alleviation of suffering through the diagnosis and treatment of human responses
- advocacy in the care of individuals, families, communities, and populations
nursing process - ANS Assessment
Diagnosis
Planning
Implementation
Evaluation
nursing tests - ANS - GCS = measures LOC
- mini mental status exam
- CAGE = alcoholism
- AUDIT = alcoholism
- depression questionnaire
basic types of assessment - ANS initial comprehensive (complete) = subj, and obj. data
ongoing (partial) = mini overview as a follow up
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focused (problem-oriented) = specific concern
emergency (rapid) = immediate and prompt
resonance sound from percussion - ANS normal lung sound (hollow)
hyperresonance sound from percussion - ANS lung with COPD (booming sound)
tympany sound from resonance - ANS puffed cheek, gastric bubble (drum-like sound)
dullness sound from percussion - ANS diaphragm, effusion, liver (thud-like sound)
flatness sound from percussion - ANS muscle, bone (flat sound)
SBAR - ANS situation, background, assessment, recommendation
erikson's stages of psychological development - ANS infant > basic trust vs basic mistrust
toddler > autonomy vs shame and doubt
preschooler > initiative vs guilt
school age > industry vs inferiority
adolescent > identity vs role confusion
young adult > intimacy vs isolation
middle adult > generativity vs stagnation
older adult > ego integrity vs despair
COLDSPA - ANS Character
Onset
Location
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Duration
Severity
Pattern
Associated factors
IWIPE - ANS added into AIDET
- introduce yourself
- wash hands
- identify the client
- provide for privacy
- explain assessment and procedure
stethoscope sounds - ANS diaphragm - high pitched sounds > normal heart, breath, and
bowel sounds
bell - low pitched sounds > abnormal heart sounds/murmurs
- bruits (loud, blowing sounds over the major arteries)
height - ANS adult height reached 18-20 years old
- begin to shrink around 50 years old because vertebral discs shrink
1 kg - ANS 2.2 lbs
BMI - ANS normal = 18.5-24.9
underweight < 18.5
overweight = 25.0-29.9
obese > 30