RN Fundamentals Proctored ATI Final Exam 2024 with 100% guaranteed pass graded

RN Fundamentals Proctored ATI Final Exam 2024 with 100% guaranteed pass graded Describe percussion - taps body with fingertips to produce a vibration. Can evaluate size, borders and consistency of body organs. Can detect fluid in body cavities Describe Auscultation - listening with a stethoscope (Indirect auscultation)- directly on skin listening with your ears (direct auscultation) What type of patient data does the nurse collect during ass essment? - 1 . Biologi c al 2. Psychologi c 3. Psychosocia l 4. Socioeconomi c 5. Spiritu la What is a medical diagnosis? - Identification of a disease condition (diabetes mellitus, osteoarthritis) What is a nursing diagnosis? - A clinical judgement about individual, family or community responses to actual and potential health problems or life processes. e.g. pain, impaired airway clearance, spiritual distress, ineffective coping, impaired perfusion. Client/pt centered Prioritize nursing diagnoses What are the three components of a nursing diagnosis? - 1. Diagnostic label-Identify the focus or subject of the problem. 2. Etiology-The source or origin of the problem 3. Defining characteristics-what does it look like? what is the evidence that the patient has this problem? What are the types of nursing diagnoses? - -Problemfocused -Riskfor -Health Promotion (Readiness for) -Syndrome (cluster of individual nursing diagnoses) Example of a one-part diagnosis - Rape-trauma syndrome Example of a two-part diagnosis - Risk for infection related to indwelling lines (urinary catheter) Example of a three-part diagnosis - Constipation related to medication side effects (slow peristalsis) as evidenced by abdominal distention, report of feeling "full", report of no bowel movement x5 days, palpated stool mass What are some ways to avoid errors in diagnosing? - 1. Verify-verify assessment data, especially if it is out of the normal for the patient. 2. Building good knowledge and experience 3. Have a good working knowledge of normal-know what is typically normal for patients 4. Consult resources 5. Diagnose according to patterns, not one isolated incident 6. Improve critical thinking skills What is happening during the diagnosing phase of the nursing process? - Analyze data Identify health strengths risks, problems, and Formulate statements diagnostic What is a SMART goal -? S - Specific single ac n tio M- Measurabl e A- Attainabl e R- Relevant T- Time limited/time fra med What is happening during the planning phase of the nursing process? - Prioritize problems/diagnoses Formulate goals/desired outcomes Select nursing interventions Write nursing intervent ions Written goals should always start with what two words? - Patient Will