NR 304 Final Questions With Complete Solutions
Define ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
First-level priority problems
emergent, life-threatening, and immediate, such as establishing
an airway or supporting breathing
Second-level priority problems
those that are next in urgency requiring your prompt
intervention to forestall further deterioration. (mental status
change, acute pain, acute urinary elimination problem, untreated
medical problems, abnormal lab test results
Third-level priority problems
those that are important to the patient's health but can be
addressed after more urgent health problems are addressed.
(Knowledge deficit, altered family processes, and low self
esteem)
cultural competence
,having an awareness and acceptance of cultures and the ability
to interact effectively with people of diverse cultures
SURETY during interviews
Sit.. at an angle facing the patient
Uncross your arms and legs
Relax… appear comfortable
Establish and maintenance intermittent eye contact
Touch… in a respectful manner
Your intuition.. individualize, adapt, apply
PQRSTU Mnemonic
P = Provocative or palliative
Q = Quality or quantity
R = Region or radiation
S = Severity scale: 1 to 10
T = Timing or onset
U = Understand patient's perception of problem
visceral pain
pain originating in the internal organs in the thorax, cranium, or
abdomen
somatic pain
Pain that originates from skeletal muscles, ligaments, or joints.
deep somatic pain
,comes from sources such as blood vessels, joints, tendons,
muscles, and bone
cutaneous pain
pain originating from skin surface or subcutaneous structures
referred pain
pain that is felt in a location other than where the pain originates
acute vs chronic pain
acute: pain that lasts less than 6 months and serves to warn of
impending tissue damage or the need for convalescent rest
chronic: pain lasting longer than 6 months
BMI ranges
underweight: <18.5
normal: 18.5-24.9
overweight: 25-29.9
obese: 30-39.9
extreme obese: >40
BMI formula
weight (lbs) / height (in)^2 x 703
Low protein intake is linked to
, Poor wound healing
Ascites
Loss of fat/muscle
Low Vit D intake is linked to
Rickets
Low iron intake is linked to
Koilonychia nails (Spoon shaped)
Low folic acid intake during pregnancy is linked to
spina bifida
vernix caseosa
cheesy substance covering the skin of the fetus
Melasma (chloasma)
hyperpigmentation, associated with pregnancy (mask of
pregnancy)
Who's highest at risk for keloids
African Americans
ABCDE rule of melanoma
Asymmetry
Border
Color
Diameter
Elevation
Tinea Corporis
Define ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
First-level priority problems
emergent, life-threatening, and immediate, such as establishing
an airway or supporting breathing
Second-level priority problems
those that are next in urgency requiring your prompt
intervention to forestall further deterioration. (mental status
change, acute pain, acute urinary elimination problem, untreated
medical problems, abnormal lab test results
Third-level priority problems
those that are important to the patient's health but can be
addressed after more urgent health problems are addressed.
(Knowledge deficit, altered family processes, and low self
esteem)
cultural competence
,having an awareness and acceptance of cultures and the ability
to interact effectively with people of diverse cultures
SURETY during interviews
Sit.. at an angle facing the patient
Uncross your arms and legs
Relax… appear comfortable
Establish and maintenance intermittent eye contact
Touch… in a respectful manner
Your intuition.. individualize, adapt, apply
PQRSTU Mnemonic
P = Provocative or palliative
Q = Quality or quantity
R = Region or radiation
S = Severity scale: 1 to 10
T = Timing or onset
U = Understand patient's perception of problem
visceral pain
pain originating in the internal organs in the thorax, cranium, or
abdomen
somatic pain
Pain that originates from skeletal muscles, ligaments, or joints.
deep somatic pain
,comes from sources such as blood vessels, joints, tendons,
muscles, and bone
cutaneous pain
pain originating from skin surface or subcutaneous structures
referred pain
pain that is felt in a location other than where the pain originates
acute vs chronic pain
acute: pain that lasts less than 6 months and serves to warn of
impending tissue damage or the need for convalescent rest
chronic: pain lasting longer than 6 months
BMI ranges
underweight: <18.5
normal: 18.5-24.9
overweight: 25-29.9
obese: 30-39.9
extreme obese: >40
BMI formula
weight (lbs) / height (in)^2 x 703
Low protein intake is linked to
, Poor wound healing
Ascites
Loss of fat/muscle
Low Vit D intake is linked to
Rickets
Low iron intake is linked to
Koilonychia nails (Spoon shaped)
Low folic acid intake during pregnancy is linked to
spina bifida
vernix caseosa
cheesy substance covering the skin of the fetus
Melasma (chloasma)
hyperpigmentation, associated with pregnancy (mask of
pregnancy)
Who's highest at risk for keloids
African Americans
ABCDE rule of melanoma
Asymmetry
Border
Color
Diameter
Elevation
Tinea Corporis
