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NUR 216 exam 1 (mod 1 - 3) Exam Questions And Answers $9.89   Add to cart

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NUR 216 exam 1 (mod 1 - 3) Exam Questions And Answers

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OLDCARTS - ANS For pain assessment O: Onset L: Location D: Duration C: Character A: aggravating/relieving R: radiation T: timing S: severity ADPIE - ANS for Critical Thinking + Clinical Judgement Assess: 1st step, subjective and objective data Diagnosis: analys...

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  • August 8, 2024
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  • 2024/2025
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NUR 216 exam 1 (mod 1 - 3) Exam
Questions And Answers





OLDCARTS - ANS For pain assessment
O: Onset
L: Location
D: Duration
C: Character
A: aggravating/relieving
R: radiation
T: timing
S: severity

ADPIE - ANS for Critical Thinking + Clinical Judgement

Assess: 1st step, subjective and objective data

Diagnosis: analysis, formulation of nursing diagnosis

Planning: prioritize problems, determine goals, plan of care

Intervention: nursing action (rather than medical action)

Evaluate: compare outcomes, communicate and document findings

Prioritizing Data - ANS ABC's

Primary = life-threatening problems (ex. airway obstruction)

Secondary = requires prompt attn to prevent further progression (ex. pain)

Tertiary = does not req. immediate attn (ex. D/C education)

Ethical Principles - ANS Nonmaleficence
Beneficence
Autonomy
Justice
Confidentiality
Integrity

, Fidelity

nonmaleficence - ANS do no harm, present self with dignity

ex. stopping a medication that is causing harmful side effects, or discontinuing a treatment
strategy that is not effective and may be harmful.

beneficence - ANS act to promote good of client

ex. sitting beside patient who has no one (covid)

autonomy - ANS client's right to make decision

ex. refusing treatment

justice - ANS treat everyone fairly

ex. providing homeless people with same level of care

confidentiality - ANS keep person info private/protected

ex. HIPAA (health ins. portability + accountability act

fidelity - ANS to keep one's promise - nurse must be faithful truthful to their professional
promises/ responsibilities by providing high quality care in such manner

ex. promising to visit pt after their surgery to make sure they're ok

4 techniques of physical assessment - ANS Inspection
Palpation
Percussion
Auscultation

inspect - ANS always first

indirect: use an object to analyze/indentify

ex. pen light, tape mesure, pulse ox.

direct - ANS observing w/ the naked eye, what the eye sees

ex. look at color, shape, symmetry; odor (breath, skin/wounds); use nursing instincts

palpation - ANS using touch to identify feeling

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