Exam (elaborations)
NUR 216 Exam 1;COMPREHENSIVE GUIDE 2024 EDITION
- Course
- Institution
NUR 216 Exam 1;COMPREHENSIVE GUIDE 2024 EDITION
[Show more]
Content preview
NUR 216 Exam 1;COMPREHENSIVEGUIDE 2024 EDITION
comprehensive assessment - //An assessment that includes a
complete health history and physical assessment; Usually 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, 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
(Bowels: Inspection, Auscultation, Percussion. Auscultation) Do
not want to alter the bowel sounds
Inspection - //Observe for Symmetry, size, color, shape
Direct: Visualize with our eyes
Indirect: Use and instrument
Fingertips/pads: Palpation - //Fine sensation (texture, swelling,
pulsation. lumps)
Dorsa of hands: Palpation - //Best for determining temperature
Base of fingers or ulnar surface: - //vibrations
Palpation - //Light: surface characteristics
, Deep: Organs, masses, tenderness (use intermittent pressure)
Ballpottement: Size/Shape of free floating objects
- Always palpate tender areas last
Percussion - //tapping on a surface to determine the difference in
the density of the underlying structure
Ausculation - //listening to sounds within the body
Bell - //low pitched sounds
(mummers)
Diaphragm - //high pitched sounds
(bowel and lung sounds)
What should we do before leaving the patients room? - //Patients
safety
Bed to lowest position
Side Rails
Call button and personal belongings in reach
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 williesmaish2999. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now