NUR265 FINAL UPDATED ACTUAL Questions and CORRECT Answers
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urgent
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2 second level care
3 percussion 4 primary objective
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Terms in this set (71)
subjective data from the patient
objective data seen or measured
primary data right from patient
secondary data from a family member
, primary objective nurse assessment
secondary objective doctors assessment
physical appearance- alert, errect, awake
body structure-skinny, overweight
general survey
mobility-coordination
behavior- eye contact, mood, speech
a complete health history and full physical examination
complete database
ex physical, initial appt
singular problem
focused database
ex- urgent care, leg pian-focused on leg
follow-up database post-op, results apt, follow up apt
use of sigh to gather data
inspection used throughout physical exam
tools to enhance- otoscope, ophthalmoscope, penlight
palpation warms hands, start light to deep, palpate tender areas last
tapping on patient listening for sounds
flatness- bone, muscle
dullness-heart, liver, spleen
percussion
resonance- air filled(lungs)
hyper resonance- emphysematous lung, hyperinflated
tympany- air-filled stomach=drumlike
auscultation Listening with a stethoscope
emergency/life-threatening
first level care
your client is not breathing
urgent
second level care
acute pain, mental status change, safety risk, RLQ pain=appendix
need attention but not priority
third level care
problems with lack of knowledge, mobility, rest, coping
sexuality x
Asymmetry
Border- rigid border
abnormal lesions ABCDE Colors- not consistent
Diameter- >1/4 get checked
Evolution- if it grows
appear as a direct result of the disease
occur at the onset of disease
primary lesions
macule, measles, freckles, papule, patch, plaque, nodule, wheel, urticaria, pustule,
nestle, bulla
may develop from primary lesions or result from external trauma-scratching,
secondary lesion infection
scales, crust, ulcers, excoriation, erosion, fissure, scar, keloid
circular
ex ring worm
annular lesion
Learn Study with Learn
urgent
Choose an answer
2 second level care
3 percussion 4 primary objective
Don't know?
Terms in this set (71)
subjective data from the patient
objective data seen or measured
primary data right from patient
secondary data from a family member
, primary objective nurse assessment
secondary objective doctors assessment
physical appearance- alert, errect, awake
body structure-skinny, overweight
general survey
mobility-coordination
behavior- eye contact, mood, speech
a complete health history and full physical examination
complete database
ex physical, initial appt
singular problem
focused database
ex- urgent care, leg pian-focused on leg
follow-up database post-op, results apt, follow up apt
use of sigh to gather data
inspection used throughout physical exam
tools to enhance- otoscope, ophthalmoscope, penlight
palpation warms hands, start light to deep, palpate tender areas last
tapping on patient listening for sounds
flatness- bone, muscle
dullness-heart, liver, spleen
percussion
resonance- air filled(lungs)
hyper resonance- emphysematous lung, hyperinflated
tympany- air-filled stomach=drumlike
auscultation Listening with a stethoscope
emergency/life-threatening
first level care
your client is not breathing
urgent
second level care
acute pain, mental status change, safety risk, RLQ pain=appendix
need attention but not priority
third level care
problems with lack of knowledge, mobility, rest, coping
sexuality x
Asymmetry
Border- rigid border
abnormal lesions ABCDE Colors- not consistent
Diameter- >1/4 get checked
Evolution- if it grows
appear as a direct result of the disease
occur at the onset of disease
primary lesions
macule, measles, freckles, papule, patch, plaque, nodule, wheel, urticaria, pustule,
nestle, bulla
may develop from primary lesions or result from external trauma-scratching,
secondary lesion infection
scales, crust, ulcers, excoriation, erosion, fissure, scar, keloid
circular
ex ring worm
annular lesion
