NUR 216 Exam 1
### Comprehensive Assessment
️ An assessment that includes a complete health history and physical assessment; usually performed
on brand new patients.
### Focused Assessment
️ Assessment conducted to assess a specific problem; focuses on pertinent history and body regi...
✔️ An assessment that includes a complete health history and physical assessment; usually performed
on brand new patients.
### Focused Assessment
✔️ Assessment conducted to assess a specific problem; focuses on pertinent history and body regions.
### HIPAA
✔️ Health Insurance Portability and Accountability Act.
### The Nursing Process
✔️ Assessment
✔️ Diagnosis
✔️ Planning
✔️ Implementation
✔️ Evaluation
### Assessment (ADPIE)
✔️ Data collection (objective/subjective).
### Prioritize Data
- Primary: Life-threatening
- Secondary: Requires prompt attention
- Tertiary: Not urgent
### Planning (ADPIE)
✔️ Develop SMART goals and plan nursing interventions.
, ### Implementation (ADPIE)
✔️ Perform planned nursing interventions.
### Evaluation (ADPIE)
✔️ Were the goals met? If not, re-assess.
### Assessment Skills
✔️ Inspection
✔️ Palpation
✔️ Percussion
✔️ Auscultation
### Bowel Assessment Techniques
- Inspection, Auscultation, Percussion.
- Do not want to alter the bowel sounds.
### Inspection
✔️ Observe for symmetry, size, color, shape.
- **Direct:** Visualize with our eyes.
- **Indirect:** Use an instrument.
### Palpation Techniques
- **Fingertips/pads:** Fine sensation (texture, swelling, pulsation, lumps).
- **Dorsa of hands:** Best for determining temperature.
- **Base of fingers or ulnar surface:** For detecting vibrations.
### Palpation Types
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