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NSG-316 Exam 1/138 Questions & Answers A+ Rated
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- NSG-316 Exam 1/138 Questions & Answers A+ Rated
NSG-316 Exam 1/138 Questions & Answers A+ Rated
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NSG-316 Exam 1/138 Questions &Answers A+ Rated
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)
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