Study guides, Class notes & Summaries

order of assessment during cardiovascular : inspection palpation percussion ascultation what two organs work together and should both be assessed when one is abnormal? : heart and lungs Blood flow through the heart : SVC --> Rt atria --> Tricuspid --> Rt ventricle --> Pulmonic valve --> Lungs --> Lt atria --> Mitral valve --> Lt ventricle --> aortic valve --> aorta --> Body cardiovascular system consists of... 2 : heart and blood vessels muscular pu...

Health History is : subjective data Chest Pain : Angina; is not fatal could be idiopathic and chronic, or develop from cold weather difficulty breathing : dyspnea blue skin : cyanosis edema : generally in the legs 2 nocturia : frequent urination at night why is nocturia under cardiac? : there is a lot of fluid around the heart, indicator for heart disease CHF : congestive heart failure Why would they have a cough if they have CHF? : because there is fluid around the heart Card...

abduction : moving a body part away from the midline of the body abrasion : the wearing away of a substance/structure, such as skin or teeth, through some unusual or abnormal process (ex: friction) -scraping away adduction : moving a body part toward the midline of the body afebrile : without fever 2 affect : physical expression of mood alopecia : partial or complete loss of hair to an area amneorrhea : absence of menstruation anasarce : generalized massive edema

What are the different parts of The Nursing Process? : Assessment, Diagnosis/Analysis, Planning, Implementation, and Evaluation What happens in the "Assessment" portion of The Nursing Process? (This is the first step) : Nurse collects data, and health assessment data is characterized as either subjective or objective What is subjective data? : Data that includes interpretations and information provided by an individual about himself or herself - typically gathered from health history...

Where does knowledge for nursing practice come from? : From one generation to the next based on clinical experience, trial and error, tradition, and expert opinion. which source of evidence should nurses use when determining best practices? : Disciplined research is considered the best method of acquiring reliable knowledge that humans have developed. what is clinical nursing research : research designed to guide nursing practice and to improve health and quality of life of nurses' c...

The ability to recognize a number or letter drawn on the palm with a blunt instrument is : graphesthesia Parathesia is defined as : abnormal sensation Bimanual palpation during the breast exam is : recommended for examination of large breasts Presbyopia refers to : far-sightedness 2 Inspection of the oral cavity reveals white, curdlike patches widely distributed over the oral mucosa. This most likely represents : candida albicans Health screening activities that are directed as dete...

Advanced Directive : *a written expression of a person's wishes about medical care during terminal illness *written instructions for use in making medical decisions if a patient is rendered incompetent or is otherwise unable to express consent *congress passed the Patient Self-Determination Act in 1990 to address the difficult issues many people were having in making health care decisions, especially decisions about the determination of treatment. -Under this act health care organizat...

Match the intellectual standard with the scenario that represents it. 1. The nurse completely understands the complexities of the issue. 2. The nurse's perspective has been confirmed as factual. 3. Others understand the nurse's point of view. 4. The nurse focuses on the most important aspects of the situation. : 1. Depth 2. Accuracy 3. Clarity 4. Significance Which actions demonstrate a nurse using the Clinical Judgment Measurement Model (CJMM) and critical thinking when a patient r...

1-Assessment : Nurse collects data about the patient Subjective Data : Interpretations and information provided by the patient Ex: Pain, headache, nausea Objective Data : Measurable and observable data Ex: Diaphoretic, Red scabs, lab results 2-Diagnosis/Analysis : Nurse analyzes the data collected using clinical judgement 2 3-Planning : Nurse will establish priorities based on patient outcomes to identify interventions that will allow outcomes to be met in a specific timeframe 4-...

what are the 6 steps of the nursing process? : 1. assessment 2. diagnosis 3. outcome identification 4. planning 5. implementation 6. evaluation what is the standards of practice of nursing? : the nursing process what is assessment? : *collecting data 2 *using evidence based techniques *using relevant document data what is diagnosis? : *comparing critical findings *abnormal v.s normal findings *interpret data *validate and document the diagnosis what is outcome identifica...