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NUR 216 Exam 1

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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...

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  • August 16, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
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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 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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