NURS 204 Exam 1
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Terms in this set (79)
Senses:
Sight
hearing
smell
In nursing assessment, the nurse touch
uses their _____ to assess the patients feel
logical order- Cassandra's example was "don't make the patient take
their shirt off, then back on, then off, then stand up, then sit down, then
stand up again"
Clean
What are the 4 requirements for a Quiet
proper assessment setting? Private
Safe
True or false? An assessment setting False; Do that shit in private
should be public, so that other
nurses can verify your findings
What is OBJECTIVE data? data collected using the nurse's senses
data collected from the patients description.
What is subjective data? "My arm hurts"
"I'm feeling nauseous"
Baseline is the patient's "normal" results (pulse, respirations, etc."
Define baseline and why it is
necessary to establish a baseline It is necessary for detecting abnormal findings for patients, since their
vitals are individualized
Normal vs. Abnormal
What are you looking for during the
Color, shape, and symmetry
inspection aspect of assessment?
Movement, pulsation, texture
, Using fingertips and palms:
size, shape, underlying structures of body parts
What are you looking for during the body temp, skin moisture, turgor
palpation aspect of assessment?
tenderness
outlines and masses
various sounds are emitted by striking different body parts
What are you looking for during the
indicate location, size, and density of tissues
Percussion aspect of assessment?
abnormal air or fluid
Body sounds (we don't need to know specifics, these are examples)
cardiovascular- blood sounds
Respiratory- air movement
What are you looking for during the
Gastrointestinal- bowel sounds
Auscultation aspect of assessment?
Stethoscope:
Diaphragm= high pitched sounds
Bell= Low pitched sounds
Cleanliness
Fresh air
List the 5 aspects of the best
possible environment for healing Fresh water
according to Florence Nightingale
Nutrition
Light
What is the acronym for the nursing ADPIE
process?
What does ADPIE stand for? Assessment, Diagnosis, Planning, Implementation, Evaluation
Save
Terms in this set (79)
Senses:
Sight
hearing
smell
In nursing assessment, the nurse touch
uses their _____ to assess the patients feel
logical order- Cassandra's example was "don't make the patient take
their shirt off, then back on, then off, then stand up, then sit down, then
stand up again"
Clean
What are the 4 requirements for a Quiet
proper assessment setting? Private
Safe
True or false? An assessment setting False; Do that shit in private
should be public, so that other
nurses can verify your findings
What is OBJECTIVE data? data collected using the nurse's senses
data collected from the patients description.
What is subjective data? "My arm hurts"
"I'm feeling nauseous"
Baseline is the patient's "normal" results (pulse, respirations, etc."
Define baseline and why it is
necessary to establish a baseline It is necessary for detecting abnormal findings for patients, since their
vitals are individualized
Normal vs. Abnormal
What are you looking for during the
Color, shape, and symmetry
inspection aspect of assessment?
Movement, pulsation, texture
, Using fingertips and palms:
size, shape, underlying structures of body parts
What are you looking for during the body temp, skin moisture, turgor
palpation aspect of assessment?
tenderness
outlines and masses
various sounds are emitted by striking different body parts
What are you looking for during the
indicate location, size, and density of tissues
Percussion aspect of assessment?
abnormal air or fluid
Body sounds (we don't need to know specifics, these are examples)
cardiovascular- blood sounds
Respiratory- air movement
What are you looking for during the
Gastrointestinal- bowel sounds
Auscultation aspect of assessment?
Stethoscope:
Diaphragm= high pitched sounds
Bell= Low pitched sounds
Cleanliness
Fresh air
List the 5 aspects of the best
possible environment for healing Fresh water
according to Florence Nightingale
Nutrition
Light
What is the acronym for the nursing ADPIE
process?
What does ADPIE stand for? Assessment, Diagnosis, Planning, Implementation, Evaluation
