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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 |
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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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