11 ,13, 14, 44 QUESTIONS WITH COMPLETE
SOLUTIONS.
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Term
What is the purpose of Health History?
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Subjective Data- what the pt feels/ selfs report
Objective Data- what you can observe and measure PAIN
WILL ALWAYS BE SUBJECTIVE
PT COMPLAINT WILL ALWAYS BE SUBJECTIVE
, The purpose and importance of a complete health history is to obtain a
complete picture of the patient's health. It is detailed and in chronological
order.
A stethoscope, & sphygmomanometer aneroid
electronic health record containing a patient's lifelong medical records.
accessible to the patient via the internet and is transferable to other providers
the records are stored must be secure from intrusion and reliable
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Term
Who is considered an Expert Nurse?
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The expert nurse understands
a patient situation as a whole The expert nurse needs rules to
rather than as a list of tasks. guide performance.
The expert nurse vaults over The expert nurse vaults over these
these steps and arrives at steps and arrives at a clinical
a judgment in one leap.
clinical judgment in one leap.
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3 of 93
, Definition
a decreased stroke volume
e.g., as occurs with hemorrhagic shock
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What is the Nursing Process? What is Inspection?
Weak, thready pulse reflects a What is the 3 point scale?
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Term
The nurse has a "hunch" that the patient's elevated blood pressure is
due to pain level; however, the patient received blood pressure and
pain medication 45 minutes ago. What should the nurse consider in
regard to this hunch?
1. Research supports that the pain and blood pressure medications
will take 30 minutes to become effective. The nurse should wait
until the next prescribed time and reevaluate pain level.
2. The nurse should consider consulting with the pain
management team to evaluate the effectiveness of the pain
medication regimen.
3. The nurse should disregard the hunch because hunches are not
effective at incorporating evidence-based practices.
4. The nurse should administer pain medication based on the hunch.
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#1: The 48-year-old male should be categorized as a level-1 priority—so as to
rule out a cardiac event.
#2: The 68-year-old who had a GLF should be categorized as a level-2 priority
with the potential to emerge also as a level-1 priority. Level 2 in that the
patient should be evaluated for mental status changes and level 1 if there are
circulation/vascular problems associated with the injury.
#3: The 5-year-old should be categorized as a level-2 priority because the
child is not exhibiting any significant distress at this time and is playing with a
toy; the foreign body (toy truck) must be removed before it causes any
damage, so the child should be seen promptly.
#4: The 19-year-old female should be categorized as a level 2, as the nature of
her complaint, frequent headaches, should be assessed but it is not a
priority concern at this time; however, the prudent nurse must still determine
the
etiology or risk factors for “frequent headaches.”
The Brief RCOPE is a short assessment that allows for the healthcare professional
to assess how a person is coping with loss, such as a serious illness. This
questionnaire helps the healthcare professional understand the patient’s
religious coping to enable them to integrate spirituality into treatment. It helps to
identify whether the patient is using positive or negative religious coping
mechanisms.