Exam (elaborations)
NUR-120-ALT Exam 2 Questions with Latest Update
- Course
- Institution
NUR-120-ALT Exam 2 Questions with Latest Update
[Show more]
Content preview
NUR-120-ALT Exam 2 Questions withLatest Update
General health assessment - Answer-an assessment of the physical, mental, spiritual,
socioeconomic, and cultural status of an individual, group, or community
Nursing Assessment - Answer-Focus on the client's functional abilities and physical
responses to illness and other stressors.
Purpose of physical exam - Answer-Establish baseline data.
Identify nursing diagnoses, collaborative problems, or wellness diagnoses.
Monitor the status of an identified problem.
Screen for health problems
Types of physical exam - Answer-Comprehensive- Interview plus complete head-to-toe
Focused- "Focused" on presenting problem
System specific- one body system
Ongoing- Performed as needed. Evaluates client outcomes
preparing for the physical exam - Answer-Theoretical Knowledge
Self Knowledge
Knowledge about patient
Nursing plan of care
Preparing the environment - Answer-Privacy
Noise
Lighting
Temperature
Equipment
Preparing the Client - Answer-Develop rapport
Respect cultural differences
Use proper positioning
Physical exam techniques - Answer-Inspection
Palpation (touch)
Percussion (tapping producing vibration)
Auscultation (Direct or Indirect)
Olfaction (Smell)
Physical Exam for Elderly (SPICES) - Answer-Sleep disorders
Problems with eating or feeding
Incontinence
Confusion
, Evidence of Falls
S kin Breakdown
Structure of skin - Answer-epidermis, dermis, subcutaneous
Factors affecting skin - Answer-Age
Mobility
Nutrition/hydration
Sensation
Impaired circulation
Medication
Moisture/fever
Infection
Lifestyle
Classification of Wounds - Answer-Open/closed
Acute/chronic
Clean/contaminated/ infected
Superficial/partial or full-thickness
Penetrating
Level of contamination - Answer-clean
clean-contaminated (surgical incision w/ increased risk of infection)
contaminated (break in asepsis. High risk of infection)
infected (bacteria above 100,000 organisms/gram)
Abrasion - Answer-Scrape of the superficial layers of skin
Abscess - Answer-localized collection of pus
Contusion - Answer-bruise, closed wound
Crushing - Answer-A wound caused by force leading to compression or disruption of
tissues
Incision - Answer-An open, intentional wound caused by a sharp instrument
Laceration - Answer-The skin or mucous membranes are torn open, resulting in a
wound with jagged margins
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lectknancy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now