In nursing assessment, the nurse uses their _____ to assess the patients - Senses:
Sight
hearing
smell
touch
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"
What are the 4 requirements for a proper assessment setting? - Clean
Quiet
Private
Safe
True or false? An assessment setting should be public, so that other nurses can verify your findings -
False; Do that shit in private
What is OBJECTIVE data? - data collected using the nurse's senses
What is subjective data? - data collected from the patients description.
"My arm hurts"
"I'm feeling nauseous"
, Define baseline and why it is necessary to establish a baseline - Baseline is the patient's "normal" results
(pulse, respirations, etc."
It is necessary for detecting abnormal findings for patients, since their vitals are individualized
What are you looking for during the inspection aspect of assessment? - Normal vs. Abnormal
Color, shape, and symmetry
Movement, pulsation, texture
What are you looking for during the palpation aspect of assessment? - Using fingertips and palms:
size, shape, underlying structures of body parts
body temp, skin moisture, turgor
tenderness
outlines and masses
What are you looking for during the Percussion aspect of assessment? - various sounds are emitted by
striking different body parts
indicate location, size, and density of tissues
abnormal air or fluid
What are you looking for during the Auscultation aspect of assessment? - Body sounds (we don't need
to know specifics, these are examples)
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