QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS)|ALREADY GRADED A+||BRAND
NEW VERSION!!
"A Delicious Orange PIE" - CORRECT ANSWER- Assessment- collect data
Diagnosis- interpret data
Outcome identification- identify the expected outcomes
Planning
Implementation- doing what you planned
Evaluation- was the outcome we wanted achieved?
inspection phase - CORRECT ANSWER- concentrated watching. Checking for
abnormalities before continuing. Inspection begins the moment you first meet a
person and develop a "general survey"
purpose of percussion - CORRECT ANSWER- - mapping out the location and size of an
organ by exploring where the percussion note changes b/n the borders of an
organ and its neighbors
- signaling the density (air, fluid, or solid) of a structure by a characteristic note
,- detecting an abnormal mass if its fairly superficial; the percussion vibrations
penetrate a/b 5 cm deep---a deeper mass would give no change in percussion
- eliciting a deep tendon reflex using the percussion hammer
diaphragm - CORRECT ANSWER- used for high-pitched sounds → breath, bowel, and
normal heart sounds. Hold the diaphragm firmly a/g the person's skin, firm
enough to leave a slight ring afterwards
bell - CORRECT ANSWER- used for soft,low-pitched sounds such as extra heart sounds
or murmurs. Hold it lightly a/g the person's skin, just enough that it forms a
perfect seal
medical dx - CORRECT ANSWER- only made by doctors
nursing dx - CORRECT ANSWER- used to evaluate the response of the whole person to
actual or potential health problems
nursing process - CORRECT ANSWER- - iterative process allowing practitioners to
move back and forth while caring for the needs of complex pts.
- Includes six phases: assessment, diagnosis, outcome identification, planning,
implementation, evaluation
1st level priorities - CORRECT ANSWER- emergent, life threatening
airway, breathing, circulation, vital signs
2nd level priorities - CORRECT ANSWER- requires prompt intervention to forestall
further deterioration
, acute pain, mental status change, abnormal labs, risk of infection
3rd level priorities - CORRECT ANSWER- those that are important to the pt's health
but can be addressed after more urgent problems. Interventions to treat these
problems are more long term, and the response to treatment is expected to take
more time
subjective data - CORRECT ANSWER- what the pt says, biased
objective data - CORRECT ANSWER- unbiased, what the pt cannot see, labs
how do you prioritize patient problems/diagnosis? - CORRECT ANSWER- airway →
breathing → circulation → perfusion
spirituality - CORRECT ANSWER- broader term focused on a connection to something
larger than oneself and a belief in transcendence
religion - CORRECT ANSWER- organized system of beliefs concerning the cause,
nature, and purpose of the universe, as well as the attendance of regular services
role of nurse with DM - CORRECT ANSWER- for neglect in the elderly and children,
report your suspicions to the proper authorities. No evidence is needed, when in
doubt, REPORT