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NSG 316 Exam 1 | Questions And Answers Latest {} A+ Graded | 100% Verified
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NSG 316 Exam 1 | Questions And Answers Latest {} A+ Graded | 100% Verified
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NSG 316 Exam 1 | Questions And Answers Latest {2024- 2025} A+ Graded |100% Verified
Describe the elements of a general survey - -physical appearance (age, sex, consciousness, skin color,
facial features, signs of distress)
-body structure (stature, nutrition, symmetry, posture, position, build, deformities)
-mobility (gait, involuntary movements)
-behavior (expression, mood, speech, dress, hygiene)
PBMB
when should you begin observing - the second you see the client
health assessment - collection of data about the patient's health state
complete database - full health history and physical examination (family practice)
episodic database - limited or short term problem
concerns 1 problem or complex or system (urgent care)
follow-up database - status of pervious problem at regular scheduled intervals (doctors office)
emergency database - rapid collection of data (ER)
comprehensive assessment - health history and complete physical examination, usually conducted when
a patient first enters a health care setting
focused assessment - assessment conducted to assess a specific problem; focuses on pertinent history
and body regions
subjective data - what the person says about himself or herself during history taking
,objective data - information that is seen, heard, felt, or smelled by an observer; signs
first level priority - Emergent, life threatening, and immediate (ABCs)
second level priority - Next in urgency, requiring attention so as to avoid further deterioration
third level priority - Important to patient's health but can be addressed after more urgent problems are
addressed
functional assessment components - -basis for care planning, goal setting, and discharge planning
-self care (ADLs)
-self maintenance (IADLs)
-physical mobility
collecting subjective data for the ill person - information about health problem
obtaining an accurate and current health history - -subjective data
-biographical data (name,DOB,sex,race,ethnic origin)
-source of history (themselves or family?)
-reason for seeking care (signs/symptoms)
-present health/illness (location, severity, timing, setting, relieving factors)
-past health (childhood illness, hospitalizations, operations, immunizations, allergies, current meds)
-family history
-review of systems
-functional assessment (ADLs, IADLs, AADLs)
cultural competence - An understanding of how a patient's cultural background shapes his beliefs,
values, and expectations for therapy; established through knowing your own culture first
, inspection - -begins when you first see the patient
-first examine as a whole and then systems
-good lighting, exposure, and instruments
palpation - -examine by touch
-doctor does this, if nurses do this it will be light
-fingertips (skin texture, swelling, pulsation, lumps)
-fingers/thumb (position, shape, consistency of organ/mass)
-dorsa of hand/fingers (temperature)
-base of fingers (vibration)
direct percussion - striking hand directly contacts body wall
indirect percussion - using both hands, striking hand contacts stationary hand fixed on patient's skin
Auscultation - -listening to body sounds
-bell (low-frequency sounds: extra heart sounds or murmurs)
-diaphragm (high-frequency sounds: breaths, bowels, normal heart sounds)
acute pain - -short term
-fast onset
-predictable trajectory
-goes away after injury heals
incident acute pain - happens with movement
chronic pain - -lasts 6 months or longer
-slow onset
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