NR 304 Final Exam Worksheet.pdf

1. Define isubjective iand iobjective idata. iGive ithree iexamples iof ieach iand istate iif ithe ifindings iare i documented iin ithe ihistory ior iphysical iexamination ifindings. • Subjective iData iwhat ithe iperson isays iabout ihimself ior iherself iduring ithe iphysical i examination; isymptom iis ia isubjective isensations ithat ithe iperson iis ifeeling; o Examples: iitching, ipain, ifeelings iof iworry, inausea, idepression, ifatigue, ianxiety, loneliness, ietc. • Objective iData iwhat ithe iyou ias ithe ihealth iprofessional iobserve iby iinspecting, ipercussing, ipalpating, iand iauscultating iduring ithe iphysical iexamination; ia isign iis ian iobjective iabnormality ithat iyou ias ithe iexaminer icould idetect ion iphysical iexamination ior i in ilaboratory ireports; iobservable iand imeasurable; o Examples: iblood ipressure, idiscoloration iof ithe iskin, iskin imoisture, ivomiting, i temperature, iweight, ibleeding, iblood icell icount, ietc. 2. List ifive iactions ia inurse ishould itake iwhen iassessing ia ipatient iwith ia ipotentially icritical i hemodynamic istate. iPut iyour iactions iin ipriority iorder iof i1-5. • Hemodynamic iState iinstable iblood ipressure, iwhich ican ilead ito iinadequate iarterial i blood iflow ito iorgans; iheart ifailure. • Priority i Actions: imain igoals ifor inurse iare ito ievaluate ithe icardiac iand icirculatory ifunction, as iwell ias ithe iresponse ito iany iinterventions. i i. 3. What idoes ithe ipriority isetting iABC imean? iHow idoes ithe inurse iuse ithis imnemonic iin ipatient i assessment? iIf ia ipatient ihas ia islow ior irapid irespiratory irate, iis iairway ithe iprimary iconcern? • A: iairway. • B: ibreathing. • C: icirculation.